Perinatal Outcome After Diagnosis of Oligohydramnious at Term

Background: Oligohydramnious is a threatening condition to fetal health for which some treatment are available, and some are under evaluation. Oligohydramnious, is associated with increased pregnancy complications, congenital anomalies, and perinatal mortality. There is an inverse relationship between the amniotic fluid index (AFI), and the adverse perinatal outcome. Oligohydramnious is clinical condition characterized by amniotic fluid index (AFI) of 5 cm or less. Its incidence is 3-5% of all the pregnancies an accurate and reproducible method of determining abnormality in amniotic fluid volume (AFI) is sonographic assessment of amniotic fluid index (AFI). It often increases the risk of small-for gestational age (SGA) and also the incidence of cesarean section, meconium stained, low Apgar score and neonatal intensive care unit (NICU) admission. Objectives: This study aimed to analyze the fetal outcome in low-risk pregnant women with oligohydramnious at term. This is a prospective, descriptive study. Materials and Methods: The study was conducted at Amiralmomenin Hospital in Zabol for a period of 8 months from March 27, 2012 to November 05, 2012. It included 100 pregnant women diagnosed with the AFI of 5 cm or less at term. Control group included 300 pregnant women with AFI more than 8cm. Comparison was done between the two groups. Detailed data, regarding the fetal and pregnancy outcome, were recorded in terms of fetal weight, Apgar score at 1 and 5 min, using chi-square and p value. Results: Mode of delivery, NICU admission neonatal death and induction of labor. Oligohydramnious is associated with a high rate of pregnancy complications and increased perinatal morbidity and mortality. Women with oligohydramnious usually have low-birth babies. Conclusion: However, we can expect a safe and good outcome for pregnant women with oligohydramnious, should proper fetal surveillance and regular antenatal care visits be prepared.