ABSTRACT

Oligohydramnios or reduced amniotic fluid during pregnancy can be well-defined by an amniotic fluid index (AFI) that is below the 5th percentile for gestational age. Early detection and management can help, on the one hand, to reduce perinatal morbidity and mortality and, on the other hand, to reduce caesarean deliveries. To study the incidence and causes of oligohydramnios during pregnancy, its effects on maternal and perinatal outcomes, calculate the amniotic fluid index (AFI), find out the causes and maternal age group of having oligohydramnios, APGAR score, possible correlation between diet and oligohydramnios; stress and oligohydramnios. It is a hospital based, prospective, observational study conducted for a period of 6 months (November 2014 to April 2015) with a sample size (N=880) in third trimester, of which 80 participants were with oligohydramnios were selected after satisfying inclusion and exclusion criteria. Mean maternal age – 26 years. In our research, the incidence of oligohydramnios was higher in primipara (52%), and operative morbidity was higher in primipara as well. Most common cause of oligohydramnios is idiopathic (52%), secondly due to pregnancy induced hypertension (10%), and followed by patients with fetoplacental insufficiency (7%). Oligohydramnios is detected more often these days by performing obstetric ultrasonography routinely. According to our study we observed that many mothers were stressed about the baby. Every mother of oligohydramnios needs careful perinatal and maternal monitoring, counseling; individualized decision regarding timing and mode of delivery, proper diet and medications to relieve stress can help in controlling the oligohydramnios. Keywords: Amniotic Fluid Index (AFI), Appearance Pulse Grimace Activity Respiration (APGAR), Oligohydramnios, Pregnancy Induced Hypertension (PIH)
Publication date: 01/01/2022

https://ijbpas.com/pdf/2022/January/MS_IJBPAS_2022_5810.pdf

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https://doi.org/10.31032/IJBPAS/2022/11.1.5810