Maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at ESIC MC and PGIMSR
Background: Polyhydramnios, severe oligohydramnios in the published literature are around 1.25% and 1- 5% of the pregnancies respectively. Polyhydramnios causes more maternal and fetal morbidity. Oligohydramnios is associated with fetal morbidities and maternal hypertension. Objectives: The presen...
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| Format: | Article |
| Language: | English |
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Barpeta Obstetrics and Gynaecological Society
2024-12-01
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| Series: | New Indian Journal of OBGYN |
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| Online Access: | https://journal.barpetaogs.co.in/pdf/11162.pdf |
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| author | Nagesh Gowda BL Shakuntala PN Akshatha DS Satish Prasad BS |
| author_facet | Nagesh Gowda BL Shakuntala PN Akshatha DS Satish Prasad BS |
| author_sort | Nagesh Gowda BL |
| collection | DOAJ |
| description | Background: Polyhydramnios, severe oligohydramnios in the published literature are around 1.25% and 1- 5% of the
pregnancies respectively. Polyhydramnios causes more maternal and fetal morbidity. Oligohydramnios is associated
with fetal morbidities and maternal hypertension. Objectives: The present study was designed to compare the
maternal and neonatal outcome in women with normal versus abnormal amniotic fluid index. Method: A cross
sectional study was conducted in the Department of Obstetrics and Gynaecology, ESIC-PGIMSR Bangalore between
January 2019 to June 2020.302 pregnant women with normal and abnormal AFI were included in the study. The
maternal and fetal outcomes were observed. Results: Among 302 women 151 had normal AFI, 103 had
oligohydramnios and 48 had polyhydramnios. Age ranged from 26-28 years. In abnormal AFI group, higher induction
of labor 90(59.6%) vs 40(26.5%), cesarean section rate 85(56.3%) vs 46(30.5%), APGAR <7 at 5 minutes 45(29.8%)
vs 16(10.6%), low birth weight babies 50(33.2%) vs 27(17.9%) and NICU admission 51(33.8%) vs 25(16.6%) with a
p≤0.001 when compared to normal AFI group. PPH was 7(14.6%) vs 5(3.3%), p=0.004. Conclusion: Amniotic fluid
index is an important part of antepartum fetal surveillance. Abnormalities of AFI are associated with increased
obstetric interventions and higher maternal cesarean sections and NICU admissions. |
| format | Article |
| id | doaj-art-4cb25d98f9094302876c4badd5eeb84e |
| institution | OA Journals |
| issn | 2454-2334 2454-2342 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj-art-4cb25d98f9094302876c4badd5eeb84e2025-08-20T02:12:23ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422024-12-01111626910.21276/obgyn.20252024.11.1.12Maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at ESIC MC and PGIMSRNagesh Gowda BL0 Shakuntala PN1Akshatha DS2Satish Prasad BS3Senior Resident, Department of Obstetrics and Gynaecology, ESIC MC and PGIMSR, Rajajinagar, Bengaluru, Karnataka, IndiaAssociate Professor, Department of Obstetrics and Gynaecology, ESIC MC and PGIMSR, Rajajinagar, Bengaluru, Karnataka, IndiaJunior Resident, Department of Obstetrics and Gynaecology, ESIC MC and PGIMSR, Rajajinagar, Bengaluru, Karnataka, IndiaAssociate Professor and Head of Department. Department of Radiodiagnosis, ESIC MC and PGIMSR, Rajajinagar, Bengaluru, Karnataka, IndiaBackground: Polyhydramnios, severe oligohydramnios in the published literature are around 1.25% and 1- 5% of the pregnancies respectively. Polyhydramnios causes more maternal and fetal morbidity. Oligohydramnios is associated with fetal morbidities and maternal hypertension. Objectives: The present study was designed to compare the maternal and neonatal outcome in women with normal versus abnormal amniotic fluid index. Method: A cross sectional study was conducted in the Department of Obstetrics and Gynaecology, ESIC-PGIMSR Bangalore between January 2019 to June 2020.302 pregnant women with normal and abnormal AFI were included in the study. The maternal and fetal outcomes were observed. Results: Among 302 women 151 had normal AFI, 103 had oligohydramnios and 48 had polyhydramnios. Age ranged from 26-28 years. In abnormal AFI group, higher induction of labor 90(59.6%) vs 40(26.5%), cesarean section rate 85(56.3%) vs 46(30.5%), APGAR <7 at 5 minutes 45(29.8%) vs 16(10.6%), low birth weight babies 50(33.2%) vs 27(17.9%) and NICU admission 51(33.8%) vs 25(16.6%) with a p≤0.001 when compared to normal AFI group. PPH was 7(14.6%) vs 5(3.3%), p=0.004. Conclusion: Amniotic fluid index is an important part of antepartum fetal surveillance. Abnormalities of AFI are associated with increased obstetric interventions and higher maternal cesarean sections and NICU admissions.https://journal.barpetaogs.co.in/pdf/11162.pdfamniotic fluid indexoligohydramniospolyhydramniosneonatal intensive care unitapgar scorepph |
| spellingShingle | Nagesh Gowda BL Shakuntala PN Akshatha DS Satish Prasad BS Maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at ESIC MC and PGIMSR New Indian Journal of OBGYN amniotic fluid index oligohydramnios polyhydramnios neonatal intensive care unit apgar score pph |
| title | Maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at ESIC MC and PGIMSR |
| title_full | Maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at ESIC MC and PGIMSR |
| title_fullStr | Maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at ESIC MC and PGIMSR |
| title_full_unstemmed | Maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at ESIC MC and PGIMSR |
| title_short | Maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at ESIC MC and PGIMSR |
| title_sort | maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at esic mc and pgimsr |
| topic | amniotic fluid index oligohydramnios polyhydramnios neonatal intensive care unit apgar score pph |
| url | https://journal.barpetaogs.co.in/pdf/11162.pdf |
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