A prospective study of maternal and fetal outcome in oligohydramnios in rural area

Author: 
Hindumathi, M., Karthiki, J., Ramamani and Sivajyothi

Oligohydramnios is one of the common complications diagnosed more frequently these days due to usage of ultrasonography. The aims of the study are to study the maternal and fet al., effects of Oligohydramnios, to evaluate the causes Oligohydramnios, to evaluate the perinatal morbidity and mortality Material and Methods: The study was conducted in Santhiram medical college, in rural area of nandyal from January 2014 to June 2015 after satisfying inclusion and exclusion criteria. 100 cases of Oligohydramnios were randomly selected. Borderline Oligohydramnios are monitored by f et al. surveillance test on out patient basis. All cases of severe Oligohydramnios are admitted and evaluated by NST and Doppler study. Maternal and perinatal out come is assessed. Results: Results were analysed based on percentages and proportions. In our study majority of cases are from rural areas (92%). There is no difference in booked or unbooked status of patients. Common age group is 20 to 25 years. The incidence of Oligohydramnios in our study is 4%. Most common cause of Oligohydramnios is idiopathic. Other common causes are PIH(20%)post dates (12%)and congenital anamolies(2%). 47% of patients had caserean section. common indication being fet al., distress(17%) neonatal admissions were 13% and meconium aspiration syndrome in 6% of babies. Perinatal mortality rate is 6%in our study. Conclusion: Every case of Oligohydramnios needs evalutions of gestational age, cause of Oligohydramnios, monitoring of fetus in the antepartum and intra partum for optimum perinatal out come.

Paper No: 
458