A Prospective Observational Study of Oligohydramnios and Polyhydramnios on Maternal and Fetal Outcome

Abstract

A prospective observational study of oligohydramnios and polyhydramnios on maternal and fetal outcome. Objectives of the study was to recognize the maternal risk factors related to prenatal fluid disorders, to evaluate the consequences of prenatal fluid disorders on mother and neonatal outcomes, to observe the relation between abnormal amniotic fluid index (AFI) and perinatal outcome, to notice the source related to abnormal (AFI) and to estimate maternal morbidity associated with abnormal AFI. A Prospective observational study was conducted at Manjula Hospital, in Hanmakonda, Telangana. The patients visiting the inpatient department of gynecology were reviewed, and patients diagnosed with the following conditions, such as oligohydramnios and polyhydramnios, were enrolled in the study. 150 patients with oligohydramnios and polyhydramnios conditions took part. Among 150 patients, 78% (n=117) were diagnosed with oligohydramnios, while 12%(n=18) were diagnosed with polyhydramnios where as 10% (n=15) were diagnosed with polyhydramnios with gestational diabetes. The incidence of oligohydramnios was 6.89% in our hospital, in which moderate oligohydramnios was 4.58% &severe oligohydramnios was 2.31%. Doppler changes were found in 3.2% on USG. The rate of LSCS was 28.5%. SGA was seen in 33%, of which 11% had IUGR. NICU admissions were 28%, and perinatal deaths were 2%. Prevention, early detection, and intervention of antenatal complications can probably reduce the incidence of oligohydramnios and improve maternal and fetal outcome.