Title: A clinical study of feto outcome in pregnancies with abnormal liquor volume
Abstract: AIMS AND OBJECTIVES:
To study the obstetric and perinatal outcome in pregnancies complicated
with abnormal liquor volume and to detect the etiological factors responsible
for causing abnormal liquor volume.
MATERIALS AND METHODS:
This descriptive study was conducted at Institute Of Obstetrics and
Gynaecology, egmore, Chennai from October 2012 to September 2013. In this
study, pregnant women with singleton, gestational age between 28- 42 weeks
with oligohydramnios (AFI ≤ 5) and polyhydramnios (≥ 25) were taken as a
study population. They were subjected to detailed history, clinical examination
and ultrasound examination with Doppler and they were followed up through
out the pregnancy and their fetal and maternal outcome were studied.
RESULTS:
� Most of the women with abnormal liquor volume were presented at term.
Isolated oligohydramnios (37.33%) was the most common cause followed by
post dated pregnancy (28.67%) in oligohydramnios group. Incidence of
congenital anomalies were high in polyhydramnios (22%) than in
oligohydramnios (4%). Incidence of induction of labour (65.33%), cesarean
section(59.33%), fetal distress(76.4%), meconium stained liquor(57.33%),
low 5 minutes APGAR, low birth weight(54%), IUGR(18.66%) and NICU
admission(50.66%) were common in oligohydramnios group.
� Idiopathic polyhydramnios (58%) were the first common cause of
polyhydramnios, the second were congenital anomalies( 22%). Incidence of
PROM(44.5%), preterm labour(14%), cord prolapse(6%),atonic PPH (4%),
retained placenta(2%) were common in polyhydramnios group. Perinatal
mortality were high in polyhydramnios than in oligohydramnios group.
CONCLUSION:
Isolated oligo and polyhydramnios in term gestation has better perinatal
outcome compared to early onset and with associated conditions like
hypertensive diseases of pregnancy, GDM, IUGR. A detailed history, clinical
examination and relevant investigations should be done to identify the various
etiological factors in all cases of abnormal liquor volume, to get better foetal
outcome as well as to avoid the maternal complications.
Publication Year: 2014
Publication Date: 2014-04-01
Language: en
Type: dissertation
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