Maternal & Perinatal Outcome in Oligohydramnios at or Beyond 34 Weeks of Gestation in Working Population
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2017, Vol 5, Issue 1
Abstract
Introduction: Oligohydramnios has adverse effect on perinatal outcome and is associated with incidence of increased rate of labor induction, non-reassuring fetal heart pattern, stillbirth, meconium aspiration syndrome (MAS) and neonatal death. . Criteria for oligohydramnios are Amniotic fluid volume < 500 cc at 32-36 weeks of gestation,Single deepest vertical pocket of < 2 cm, Amniotic fluid index (AFI) < 8cms at 34 weeks of gestation. Material and Methods: The study was level II study i.e. prospective - observational study comprising of one hundred fifty pregnancies divided into two groups; one group had seventy-five pregnancies with oligohydramnios and the control group with seventyfive pregnancies without oligohydramnios confirmed by ultrasound examination. Maternal and perinatal outcome was evaluated at or beyond 34 weeks of gestation. Results: Majority of cases were between the age group of 20 to 30 years in both study and control group. Oligohydramnios was commonly found in primigravida – 65% in study group and 48% in control group (p=0.0476). Most common cause of oligohydramnios was idiopathic i.e. 51% followed by pregnancy induced hypertension (PIH) in 21% cases. It was observed that 45% of cases in study group required induction of labor by cervipime gel ( 0.5 mg given by intracervical route) as opposed to control group in which 29% of cases required induction (p=0.043). Non-reactive non stress test (NST) at the time of admission in labor room or at the time of labor was more in the study group (36%) than in control group (15%) [p=0.0427]. It was also observed that meconium stained liquor (thin +thick) was more common in study group than control group i.e. 43% v/s 23% respectively (p=0.0419).
Authors and Affiliations
Suman Chaurasia
Keywords
Related Articles
- EP ID EP456723
- DOI 10.21088/ijog.2321.1636.5117.4
- Views 125
- Downloads 0
Spontaneous Heterotopic Pregnancy with Intrauterine Twin Pregnancy with Tubal Rupture : A Rare Case
Heterotopic pregnancy (HP) is defined as the coexistence of an intrauterine pregnancy and an ectopic pregnancy i.e. the presence of simultaneous gestations at two or more implantation sites [1]. Incendence of heterotopic...
Local Ultrasound Guided Intra-Embryonic KCL Instillation with Systemic Methotrexate Versus Methotrexate Alone in Management of Live Tubal Ectopic Pregnancy: A Case Series
Objective: To compare efficacy of systemic methotrexate with concurrent intra-embryonic potassium chloride (KCl) instillation versus systemic methotrexate alone in cases of live unruptured ectopic pregnancies. Method: In...
A Study of Primary Caesarean Section in Parous Females
Aims and Objectives: The objective of this study was to find out the incidence and indications of primary caesarean section in parous women and evaluate the maternal and perinatal outcomes there from. Methods: Prospectiv...
A Study on Assessment of Blood Loss in Third Stage of Labour Using Vaccum Retraction Cannula
Objective: To compare the effects of AMTSL only, AMTSL without uterine massage, AMTSL with vacuum retraction cannula in prevention of post partum hemorrhage and to compare the effectiveness of vacuum retraction cannula w...
Correlate Abnormal Pap Smears with Colposcopic Findings, HPV Testing, FHACT and Cervical Biopsy Findings
Introduction: Almost one-fourth of the global cervical cancer burden is in India. There is an enormous opportunity for screening with the prospect of detection of cancer at the preclinical stage and hence, cervical cance...