PERINATAL OUTCOME IN TERM PREGNANCY WITH OLIGOHYDRAMNIOS

Introduction:Modern obstetrics is concerned with health and well-being of both mother and the unborn child. Recognition of foetus at risk for death or damage in utero, balancing the fetal risk against the risk of neonatal complications from immaturity, and determining the optimal time and mode of intervention are cornerstones. Quantification of amniotic fluid is an important component of the biophysical profile in USG evaluation of fetal well-being at term. There is an inverse relationship between the amniotic fluid index and the adverse perinatal outcome. Oligo hydramnios is clinical condition characterized by amniotic fluid index (AFI) of 5cm or less. Its incidence is 3-5 % of all the pregnancies an accurate and reproducible method of determining abnormality in amniotic fluid volume (AFI) is sonographic assessment of amniotic fluid index (AFI) It often increase the risk of small for gestational age (SGA) and also the incidence of cesarean section, meconium stained, low Apgar score and Neonatal intensive care (NICU) admission. Objective: The aim of study was to analyze the fetal out come in low risk pregnant women with oligohydramnios at term. This is a prospective, descriptive study. Material and method:In this study 50 Antenatal women were assessed In Dr. Susheela Tiwari government hospital Haldwani, Distt. Nainital, Uttarakhand. The women history, clinical examination recorded and AFI measured and perinatal outcome compared between two groups AFI <5 and >5. Regarding the fetal and pregnancy outcome using chi square and p value, details were recorded in terms of fetal weight, Apgar score at 1 and 5 minutes. Results: Mode of delivery, NICU admission neonatal death and induction of labour. Oligohydramnios is associated with a high rate of pregnancy complication and increased perinatal morbidity and mortality. Women with oligohydramnios usually have low birth babies. Conclusions: However, we can expect a safe and good outcome for which proper fetal surveillance and regular antenatal care visits are required.