TO STUDY THE EFFECT OF OLIGOHYDRAMNIOS ON MATERNAL AND FETAL OUTCOMES IN 37 WEEKS OR MORE GESTATION PERIOD AT ANMMCH, GAYA, BIHAR

Abstract

Background : Oligohydramnios is a threatening condition to maternal and fetal health. It is a clinical condition characterized by amniotic uid index (AFI) of ≤ 5cm by sonographic assessment. Aim and objectives: The aim of this study was to compare the maternal and fetal outcome in parturient women with oligohydramnios versus others with normal amniotic uid, and to suggest plan of action in management of oligohydramnios women. Study design: Prospective comparative observational. Method : Antenatal women with gestational age 37 weeks and above and fullling inclusion criteria attending our Out Patient Department or Labour rooms were included in the present study. Detailed antenatal history including presence of high risk factors were elicited from the patients, then they were clinically examined and subjected to ultrasonography. purposive sample of 168 parturient women (84 study group and 84 control group) were taken. The tools used for data collection were; a structured interview sheet, maternal assessment sheet, Partogram, and neonatal assessment record. Results: The results of the present study revealed that the rate of Caesarian section was signicantly higher in oligohydramnios group compared to the control group (44.0% vs. 30.0% respectively). There was signicant increasing in FHR decelerations, low Apgar score at 5 min, low birth weight, admission to NICU. Conclusion: It can be concluded that an amniotic uid index of ≤ 5 cm detected after 37 completed weeks of gestation is an indicator of poor perinatal outcome. It is recommended that determination of AFI through regular antenatal care visits can be used as an adjunct to other fetal surveillance methods to identify those infants at risk of poor perinatal outcome