A Study on Neonatal Outcome in Pregnancies with Oligohydramnios

AIM: The aim of the present study is to understand the correlation of neonatal outcomes like gender, birth weight, and requirement of resuscitation, staining of liquor with meconium, duration of Nicu stay, mode of delivery required, and Apgar score at 5 minutes in pregnancies with oligohydramnios. Methods: 25 pregnancies with oligohydramnios, (Amniotic fluid index less than 5cms diagnosed on an ultra-sound) admitted at Katuri medical college was selected and detailed obstetric history of mothers was taken. Amniotic fluid index was obtained from ultra sound scanning, and thorough clinical examination of the newborn was done, and relevant history of the neonatal outcome till the stay of the mother and child in the hospital was entered in a predesigned and pre validated proforma. Patients with Multiple pregnancies and with intrauterine death were excluded from the study. Results: In the present study, 18 babies were male (60%) and 12 babies were female (40%), 14 babies were low Birth weight (56%), 3 babies were very low birth weight (12 %), and 8% (2) were extremely low birth weight.4 babies needed rescusitaion (16%), while 22 babies required no resuscitative measures (88%), 6 babies were born with thick meconium stained liquor (24%), 2 babies were born with thin meconium stained liquor (8%), and 17 babies with no meconium in liquor (68%), 19 babies were given to mother immediately (76%), while 6 babies were admitted in nicu (24%), 18 were born though caesarean section (72%) while 7 babies were born by normal vaginal delivery (28%), Apgar at 5 minutes was 0-3 in 2 cases (8%), 4-6 in 3 cases (12%) and 7-10 in 20 cases (80%). Conclusion: In mothers with oligohydramnios there is more chances of LSCS, birth asphyxia, foetal distress, low birth weight and very low birth weight leading to NICU admission, So, foetal and neonatal monitoring is associated with better perinatal outcomes.