A Study of Fetal Outcome in Oligohydramnios

INTRODUCTION- During antenatal surveillance, amniotic fluid assessment is a crucial barometer to know foetal status. Around 3-8 % pregnant women suffered with oligohydramnios. Objective of present study was to find assosciated comorbidities and perinatal outcome in oligohydramnios. AIMS- 1) To study foetal outcome at birth in oligohydramnios in form of a) foetal distress, b) growth retardation, c) NICU admission 2) To study APGAR score of newborn babies of oligohydramnios 3) To study the incidence of congenital malformation in relation to oligohydramnios 4) To study early neonatal morbidity and mortality MATERIAL AND METHODS- This prospective were carried out in Dhiraj Hospital, Vadodara from 1st jan 2018-1st jan 2019.100 patients were selected randomly after satisfying inclusion and exclusion criteria. Inclusion criteria- 1) Antenatal patients in their 3rd trimester 2) Singleton pregnancy 3) Amniotic fluid index less than 5cm Exclusion Criteria- 1) Multiple gestation 2) Patient having major medical illness 3) Patient not taking medicines which cause reduction in amniotic volume like NSAIDS, ACE inhibitors. RESULT AND ANALYSIS- 58 % participants were belonged to 20-25yrs age group and 52 % participants were primigravida. Mean age was 23.66yrs.23 % were affected with oligohydramnios in gestational age more than 41wks. There is less chances of oligohydramnios in pregnancy gestational age less than 32wks or pregnancy near term.66 % participants were suffered with moderate AFI (3.1-5.0). In 33 % participants, there were no associated comorbidities and 27 % had PIH.58 % Participants were delivered vaginally and 42 % were by caesarean section in which 38 % were operated for foetal distress.31 % were admitted in NICU in which 6 babies were died.3 were still birth and 4 were IUD. CONCLUSION- Oligohydramnios is frequent occurrence problem in obstetrics and needs intensive surveillance in antenatal and intranatal and postnatal period. Due to high morbidity and mortality, the rate of LSCS increases. However, vaginal delivery has same outcome, but its need strict vigilance during labour.