THIRD TRIMESTER OLIGOHYDRAMNIOS WITH MATERNAL AND FETAL OUTCOME: STUDY OF 75 CASES

Dr. I. Padma Sree; Dr.B.Sarada; Dr. N. Krishna veni; Dr. S. Shyamala Devi

Volume : VI, Issue : III, March - 2016

THIRD TRIMESTER OLIGOHYDRAMNIOS WITH MATERNAL AND FETAL OUTCOME: STUDY OF 75 CASES

Dr. I. Padma Sree, Dr. B. Sarada, Dr. N. Krishna Veni, Dr. S. Shyamala Devi

Abstract :

<p>&nbsp;Pregnancies with oligohydramnios have a bimodal distribution. It is most common during the last trimester. The common complications are intrauterine growth retardation, preterm birth, labour complications such as cord compression, meconium stained fluid and caesarean section. Aims &amp; Objectives: To study the effects of oligohydramnios on labour, fetal outcome, early neonatal and maternal morbidity, mortality in the form of operative delivery and induced labour and to correlate Amniotic Fluid Index (AFI) with per operative findings of liquor quantity.Materials and Methods: Retrospective study of 75 cases of oligohydramnios in third trimester; Amniotic fluid index taken to classify the severity, the information regarding maternal and perinatal outcome, conditions associated with oligohydramnios, rate of caesarean section were collected and results were analyzed. RESULTS: The rate of oligohydramnios was more in primipara (60%). Most common cause being PIH (34.6%) and second common cause is post dated pregnancy (20%).. All associated conditions with oligoamnios and labour outcome was noted. The rate of caesarean section is 76%.CONCLUSION: Oligohydramnios is the most frequent third trimester complication resulting in more number of caesarean sections due to maternal and fetal risks. Regular antenatal checkups, timely screening for AFI, with proper management helps to reduce unnecessary maternal morbidity and mortality.</p>