Publication:

A retrograde study to evaluate the maternal and fetal outcome of severe oligohydramnios in singleton term (37-40 weeks) gestation

Background Oligohydromnios is a condition where there is very low or absent amniotic fluid and it demands intense antepartum, intrapartum care and fetal surveillance, as it is frequently associated with IUGR, fetal distress, PIH, PROM, fetal renal abnormalities as renal agenesis, bilateral cystic kidneys and obstructive uropathy.

Methods Total 124 antenatal patients delivered at Department of Obstetrics and Gynecology at GMERS Medical College and General Hospital, Junagadh. During Period of September 2022 to February 2023 with gestational age between 37-40wks with AFI<1cms with intact membranes were studied and analyzed retrospectively for perinatal and maternal outcome.

Results Out of 124 cases with oligohydramnios with AFI <1cm studied, about 115 cases underwent LSCS (92.7%). Most patients belong to age group of <25 about 85. Growth retardation seen in 38 (30.6 %), NICU admission seen in 35(28.2%) and new born with APGAR <7 @ 1 min seen in 30 cases (24.2%).

Conclusions According to our study on severe oligohydramnios, the common mode of delivery was caesarean section and indications for CS were PIH, FGR and poor BISHOP score with severe oligohydramnios. Growth retardation seen in babies who were born from severe oligohydramnios mother.