Feto maternal outcomes of term regnancy in oligohydromnios

Abstract

Background: In case of oligohydromnios maternal outcomes are associated with increased intervention in the form of induction of labour and cesarean deliveries due to fetal growth retardation and preterm deliveries indirectly increase maternal morbidity. Fetal outcomes are associated in the form of intrauterine fetal growth retardation, increase risk of meconium aspiration syndrome, low Apgar score, increase NICU admission and congenital anomalies. Method: 50 patients with 37-42 weeks of period of gestation with oligohydromnios confirmed by ultrasonographic measurement of Amniotic fluid index using four quadrant technique. Patients were selected from the opd.Results: In our study incidence of oligohydromnios more found in primigravida (74%). Most common cause of oligohydromnios was idiopathic (30%) followed by pregnancy induced hypertension (25%). Most common cause of cesarean section was fetal distress (32%). Oligohydromnios associated with 40% of Neonatal intensive care unit admission. Conclusion: An amniotic fluid index <5cm. Detected after 37 weeks of gestation is an indicator of poor perinatal outcomes and it increases the risk of cesarean section, so if it detected earlier we can overcome the problem by proper antenatal checkup, councelling and treatment.