Perinatal outcome in cases of severe oligohydramnios

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dc.contributor.authorDalal, Nileshen_US
dc.contributor.authorMalhotra, Anjalien_US
dc.date.accessioned2020-10-16T07:55:08Z
dc.date.available2020-10-16T07:55:08Z
dc.date.issued2019-04
dc.description.abstractBackground: Oligohydramnios is defined as when on ultrasonography the single largest pocket in horizontal and vertical diameter is less than 2cm or amniotic fluid index is less than 5cm. Normal amniotic fluid index is 5-25cm. The overall incidence is 0.5 to more than 5%. However, the incidence increases in post dated pregnancies as many as 11%. It is increasing these days because of changes in lifestyle and also reduced maternal fluid intake.Methods: A prospective randomized study was done in Dept of Obstetrics and Gynaecology, MGMMC and MYH, Indore during the period of 6 months from 1st July 2017 to 31st December 2017. It included 200 cases from all the antenatal patients attending Antenatal OPD in routine and emergency and who are admitted in MYH beyond 28 weeks of pregnancy.Results: Most of the perinatal cases nearly 64% of babies were handover, 26% were IUDs (intra uterine devices) and rest 10% requiring neonatal care in nursery. The color Doppler changes showed normal flow in 54% in cases with 26% showing early fetal hypoxia and 14% showing uteroplacental insufficiency. Rest of the 6% cases were IUD. Incidence of IUGR was 50% in babies most commonly being constitutionally small. About 8% cases were found to be associated with abruption and 24% cases were found to be associated with pregnancy induced hypertension. Most common mode of delivery was vaginal delivery in 68% cases. However, 32% cases underwent LSCS.Conclusions: There has been reported cases of sudden IUD in severe oligohydramnios presenting with loss of fetal movements.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, MGMMC and MYH, Indore, Madhya Pradesh, Indiaen_US
dc.identifier.citationDalal Nilesh, Malhotra Anjali. Perinatal outcome in cases of severe oligohydramnios. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Apr; 8(4): 1538-1541en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/206632
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20191214en_US
dc.subjectAbruptionen_US
dc.subjectAmniotic fluid indexen_US
dc.subjectColor Doppleren_US
dc.subjectIUGR (intrauterine growth restriction)en_US
dc.subjectNICU (neonatal intensive care unit)en_US
dc.subjectOligohydramniosen_US
dc.subjectPregnancy induced hypertensionen_US
dc.subjectTSVD (term spontaneous vaginal delivery)en_US
dc.subjectVBAC (vaginal birth after caesarean)en_US
dc.titlePerinatal outcome in cases of severe oligohydramniosen_US
dc.typeJournal Articleen_US
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