A Hospital based Study Evaluating Oligohydraminous and Its Perinatal Outcome
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 10
Abstract
Introduction: Decrease in the volume of amniotic fluid is known as Oligohydramnios and it is associated with increased risk of intrauterine growth retardation, severe birth asphyxia along with low APGAR scores and congenital abnormities. The aim of the present study was to determine the incidence of oligohydraminos and its perinatal outcome. Material and methods: The present prospective study was carried out in the Obstetric and Gynae Department in Nepalgunj Medical College and Teaching Hospital Nepalgunj Banke, Nepal during a period of one year. A detailed history along with complete clinical examination was done. All the required investigations were performed. Assessment of gestational age was done. AFI was measured to assess oligohydraminos. All the data was arranged in a tabulated form and analysed using SPSS software. Results were expressed as percentage of the total value. Results: In this study a total of 150 subjects were enrolled over a period of 1 year. Out of these there were 10 who had oligoohydraminos. Therefore the prevalence in our study was 6.6%. The mean age of the subjects was 25.43 +/- 4.31 years. Amongst the subjects who had oligohydraminos, there were 20% (n=2) who were aged less than 20 years. Meconium aspiration was seen in 10% (n=1) subject. There were no cases of neonatal sepsis. Apagar score of less than 7 was seen in 10% (n=1) subject at 1 minute and 20% (n=2) subjects at 5 minutes. There was 10% (n=1) neonate who was still born and 20% (n=2) had early neonatal death. Conclusion: The diagnosis of oligohydraminos is done routinely using ultrasound. The detection of this at an early stage is necessary to prevent both maternal and perinatal mortality. The incidence in our study was 6.6%. There was 1 neonate who was still born and 2 had early neonatal death.
Authors and Affiliations
Farhat Banu, Vijay J. Paul, Shakil Ahmad, Ajay Pokhrel
Keywords
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