Abstract
A STUDY OF FETAL OUTCOME IN PREGNANCIES WITH INADEQUACY OF LIQUOR AMNII AT TERTIARY CARE CENTER: A CROSS SECTIONAL STUDY

Neethika Raghuwanshi* and Sumit Suresh Aggarwal

ABSTRACT

Background: Appropriate amount of amniotic fluid is essential for development of fetus. Any changes in normal course of fetus development can decrease or increase amniotic fluid, which will affect the outcome of pregnancy. So the present study was conducted with the aim of, to observe effect of oligohydramnios on fetal outcome. Material and Methods: in present study, 160 clinically suspected cases of oligohydramnios of more than 28 weeks of gestational age at Govt. Medical College Akola Maharashtra. All these cases were subjected to ultrasonography for fetal surveillance and AFI calculation. Results: The study revealed that predisposing factors and complications associated with oligohydramnios were – post term pregnancies, PROM, PIH, chronic abruption placenta. The incidence of C-section for fetal distress were higher in oligohydramnios. Genitourinary anomalies are most commonly associated with oligohydramnios but in our study incidence of central nervous system anomalies were more. 100% mortality noted in fetuses having renal anomalies. Conclusion: We concluded from this study that there was higher proportion of congenital anomalies associated with oligohydramnios hence it is essential to evaluate amniotic fluid volume during antepartum fetal surveillance, while maternal examination should look for high risk factors. Thus management of women with oligohydramnios should be indivisualised with carefull monitoring during labour, judicious and active intervention timely gives margin of safety.

Keywords: Oligohydramnios, Amniotic fluid index(AFI), Congenital anomaly.


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