A CLINICAL STUDY OF MATERNALAND PERINATAL OUTCOME IN OLIGOHYDRAMNIOS AT DMCH, LAHERIASARAI, BIHAR

Abstract

Background:Oligohydramnios is one of the major causes of maternal and perinatal morbidity and mortality. Our study was aimed to study the maternal and perinatal outcome in oligohydramnios and measures needed to reduce the incidence. Aims: To find out the incidence of oligohydramnios by ultrasonographic evaluation of AFI, obstetric risk factors associated with oligohydramnios and maternal outcome in the form of mode of delivery. The purpose of this study is also to assess congenital anomalies in fetus along with their apgar score at birth, NICU admission rates and still birth rates. Materials and Methods: After taking consent from the women, risk factors at the time of admission were recorded. Detailed clinical history including obstetric, menstrual, past and personal history were taken.AFI to be measured using Phelan’s four quadrant ultrasound technique. All the information was entered in the proforma and analyzed and observations were made and accordingly discussion and recommendations were made. Results: The incidence of oligohydramnios was 3%. In the present study 78.5% cases had associated obstetrical complications; acting singly or in combination for causing oligohydramnios. The incidence of congenital anomalies is 9%. The LSCS was done in 47% in present study.17.5% babies had low Apgar score (less than 7 at 5 min).In our study 36% of neonates were admitted in nursery. The perinatal mortality was 15% in present study. Conclusion: Hence it can be concluded that maternal evaluation of risk factors, AFI, regular antenatal and intranatal monitoring of fetus should be done to improve maternal and neonatal outcome in oligohydramnios.