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Name | Incidence of oligohydramnios during pregnancy and its effects on maternal and perinatal outcome |
Description | Research article:- * Vidyadhar B. Bangal1, Purushottam A. Giri2, Bhushan M. Sali3.
1Professor and Head, Dept. of Obstetrics and Gynaecology (OBGY), Rural Medical College & Pravara Rural Hospital of Pravara Institute of Medical Sciences (Deemed University), Loni, Dist. Ahmednagar, Maharashtra, India. 2Assistant Professor, Dept. of Community Medicine (PSM), Rural Medical College & Pravara Rural Hospital of Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra, India. 3Postgraduate student, Dept. of Obstetrics and Gynaecology (OBGY), Rural Medical College & Pravara Rural Hospital of Pravara Institute of Medical Sciences (Deemed University), Loni Dist. Ahmednagar, Maharashtra, India.
Abstract:- Oligohydramnios or reduced amount of amniotic fluid volume is a commonly observed obstetric problem during third trimester of pregnancy. It accompanies a broad range of reproductive disorders including anomalies of fetus and functional disorders of mother, fetus and placenta. Reduced amniotic fluid volume is associated with adverse perinatal outcome. A prospective hospital based study of total 100 cases of oligohydramnios coming for delivery to Pravara Rural Hospital, Loni was undertaken over a period of two years from October 2007 to September 2009. The information regarding bio-social characteristics, maternal and perinatal outcome were collected and results were analyzed by using percentage and proportion. In the present study, the majority of the cases( 78%) were unbooked and belonged to the age group of 20-30 years and had associated maternal or fetal complications. Postdated pregnancy, pregnancy induced hypertension and fetal congenital anomalies were the commonest complications associated with oligohydramnios. Forty four percent cases were delivered by caesarean section. Overall perinatal mortality was 24%. Cases with severe oligohydramnios and anhydramnios were associated with intrapartum fetal heart rate abnormalities, (16%) low Apgar score and (8%) meconium aspiration syndrome. Every case of oligohydramnios needs careful evaluation, parental counseling and individualized decision regarding timing and mode of delivery. Continuous intrapartum fetal monitoring and good neonatal care support is essential for optimum perinatal outcome.
Keywords:- Maternal outcome, perinatal outcome, Oligohydramnios. |
Filename | Bangal B Vidyadhar et. al..pdf |
Filesize | 198.91 kB |
Filetype | pdf (Mime Type: application/pdf) |
Creator | admin |
Created On: | 11/16/2011 00:00 |
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Maintained by | Editor |
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Last updated on | 12/17/2011 08:07 |
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