Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-3 | Issue-11 | 227-231
Original Research Article
“Fetomaternal Outcome in Term Oligohydramnios-A Study in Rajshahi Medical College Hospital, Rajshahi, Bangladesh”
Dr. Homaira Shahreen (Simi)
Published : Nov. 25, 2020
Abstract
Introduction: Oligohydramnios is defined as AFI <5cm (amniotic fluid index) or the maximum vertical pocket of liquor is less than 2 cm. It has been correlated with increased risk of intrauterine growth retardation, meconium aspiration, severe birth asphyxia, low APGAR score and congenital abnormalties. There is an inverse relationship between amniotic fluid volume and pregnancy outcome. Objective: To find out the fetomaternal Outcome in Term Oligohydramnios. Materials and Methods: This study was conducted in the department of Obstetrics and Gynaecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh over a period of 1 year from January 2018 to December 2018. 65 patients in third trimester of pregnancy with oligohydramnios were selected randomly after satisfying inclusion and exclusion criteria. Results: This study was performed in 65 pregnant women with amniotic fluid index <5 cm with sinleton pregnancy. In this study 38 out of the 65 patients (58%) had vaginal delivery (either induced or spontaneous) and 27 patients (42%) underwent lower segment caesarean section. Patients with amniotic fluid index 4 - 5cm on USG were 39 (60%) followed by AFI 2-4 cm was 18 (28%) and AFI <2 cm was 8 (12%). Low birth weight (<2.5 kg) was seen in 19 newborns (29%). NICU was required in 22 newborns (34%). Fetal congenital anomalies were seen in 4 cases (4%). congenital anomalies were hydronephrosis, diaphragmatic hernia, hypoplastic kidneys and multiple congenital anomalies. Conclusion: In conclusion, oligohydramnios in term pregnancies is associated with an increased risk of obstetric intervention. All cases of oligohydramnios require intensive antepartum and intrapartum care. Early detection of oligohydramnios, evaluation of the cause and severity of oligohydramnios and assessment of gestational age are essential for management. Its management may help in reduction of perinatal morbidity and mortality and decreased caesarean deliveries.