OLIGOHYDRAMNIOS IN TERM LOW�RISK PREGNANCY AND PREGNANCY OUTCOME

Dr.Vandana Kanumury; Dr.Sunkaraneni Alekhya

Volume : VI, Issue : XII, December - 2016

OLIGOHYDRAMNIOS IN TERM LOW�RISK PREGNANCY AND PREGNANCY OUTCOME

Dr. Vandana Kanumury, Dr. Sunkaraneni Alekhya

Abstract :

Background : Amniotic fluid is measured using amniotic fluid index. Oligohydramnios is defined as amniotic fluid index(AFI) of less or equal to five centimeters. Objective: This study is undertaken to know the adverse pregnancy outcome in term low risk pregnancy with oligohydramnios. Methods: This is a Cohort study done from Jan 2015 to Oct 2016 (22 months) at ASRAM , Eluru. It consists of analysis of pregnancy outcome in 50 cases with diagnosis of oligohydramnios by ultrasound after 37 completed weeks of gestation(Cohort 1) compared with 50 controls with no oligohydramnios (Cohort 2) and matched for other variables like age, parity, gestational age. Results: There was significant difference between two groups in delivery by LSCS for fetal distress(p–<0.05) . There is increased incidence of labour induction in women with AFI ≤5cm than women with AFI >8cm. (p–0.04) Conclusion: An amniotic fluid index of ≤ 5cm detected after 37 completed weeks of gestation is an indicator of poor pregnancy outcome. Determination of AFI can be used as an adjunct to other fetal surveillance methods. Determination of AFI is a valuable screening test for predicting fetal distress in labour requiring caesarean section