Publication:

The role of intravenous aminoacid infusion in case of oligohydramnios in improving pregnancy outcome

Background Adequate amniotic fluid volume is essential for the normal growth and well-being of the foetus. Diminished liquor or oligohydramnios is quite often associated with abnormal foetal outcomes such as intrauterine growth restriction, foetal anomaly, malpresentation, post maturity syndrome and foetal distress in labour.

Methods The present study was conducted in the department of obstetrics and gynecology, at PDZH, RNT Medical College, Udaipur in the year 2020-2021. The study group comprised sonographically proven cases of Oligohydramnios in third trimester attending antenatal clinic and those admitted in wards and clean labour room.

Results Patient with severe oligohydramnios (AFI<5) 17% chance of persistent oligohydramnios and patient with borderline oligohydramnios (AFI 5-8) had 83% on 1st ANC visit, which improved at the time of delivery to 28% with normal AFI and 67% (5-8 AFI).

Conclusions Antepartum AFI assessment is one of the most reliable and inexpensive standard technique for assessment of foetal wellbeing in antepartum period. This is a good predictor of foetal wellbeing. oligohydramnios means that the foetus is in a compromised condition. Amniotic fluid index assessment is a helpful tool in determine who is at risk for adverse outcome during labour and delivery. This helps in instituting appropriate corrective measures so that interventional procedures can be undertaken in the interest of unborn baby.