Abstract Issue

Volume 12 Issue 2 ( April- June) 2023

Original Articles

Assessment of effect of maternal and fetal outcome in oligohydramnios at term pregnancy
Dr. Sameena Begum, Dr. Smita Rai

Background: Oligohydramnios is associated with increased risk of adverse perinatal outcome. This present study was undertaken to study the effect of maternal and fetal outcome in oligohydramnios at term pregnancy. Materials & Methods: A total of 100 patients was included. Oligohydramnios was confirmed by measuring AFI with ultrasound. Fetal surveillance was done by NST and Biophysical profile. Cases were then studied for maternal and fetal outcome. Results: Maternal outcomes of labour with respect to age. In our study among 11 (11%) of below 20 years patients 4 (36%) normal delivery and 7 (64%) were LSCS cases. Among the 59 patients of 20 to 25 years age group, 23 (39%) patients were normal delivery and 36 (61%) were LSCS. Among the 26 patients of 25 to 30 years age group 15 (58%) were normal delivery and 11 (42%) were LSCS. Among 4 patients of above 30 years age group 2(50%) were found normal delivery and another 2 (50%) patients were foundLSCS. Among 62 patients of primigravida 21 were normal labour and 41 were LSCS, where 38 patients of multi gravida 15 were normal delivery and 23 were LSCS. CTG analysis in respect of maternal outcomes of Labour. Among 62 CTG reactive patients, 35 were normal labour and 27 were LSCS and p value was not significant (p=0.098). Among 38 patients of CTG non- reactive patients 1 was normal labour and 37 were LSCS, the p value was significant (p<0.001). Among39patientsofnomeconiumcases31werenormallabourand8wereLSCS,wherep value was highly significant (p<0.001) and among 61 patients of meconium cases 5 werefoundnormaldeliveryand56werefoundLSCS. Onset of labour was induced in 61 and spontaneously in 39 cases. There was 1 still birth, 92 (92%) were found no requirement of NICU where 7 (7%) babies were admitted in NICU. Among 100 participants neonatal outcome found as 71 (71%) were discharged, 1 (1%) Death, 13 (13%) Death IUGR and 15 (15%) IUGR. Among 100 patients, 7 were chronic hypertension, 19 were pre-eclampsia, 14 were postdated, 14 were IUGR and 46 were uncomplicated. The difference was significant (P< 0.05).Conclusion: Due to intrapartum complication and high rate of perinatal morbidity and mortality, rates of caesarean section are rising, but decision between vaginal delivery and caesarean section should be well balanced so that unnecessary maternal morbidity prevented and other side timely intervention can reduce perinatal morbidity and mortality

 
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