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Oligoamnios and Perinatal Outcome.

Sandhyasri Panda1, M Jayalakshmi1, G Shashi Kumari1

  • 1Department of OBGYN, MIMS, Vizianagaram, A.P 535217 India.

Journal of Obstetrics and Gynaecology of India
|April 14, 2017
PubMed
Summary

Oligoamnios, or low amniotic fluid index (AFI) ≤5, significantly predicts adverse perinatal outcomes. This includes higher rates of fetal distress, low birth weight, and NICU admission, highlighting its clinical importance.

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Area of Science:

  • Perinatal Medicine
  • Maternal-Fetal Medicine
  • Obstetrics

Background:

  • Amniotic fluid volume is crucial for fetal well-being.
  • Oligoamnios (low amniotic fluid) is a common complication in pregnancy.
  • Predictive markers for adverse perinatal outcomes are essential for clinical management.

Purpose of the Study:

  • To evaluate the predictive value of amniotic fluid index (AFI) ≤5 for perinatal outcomes.
  • To assess the impact of oligoamnios on cardiotocography, mode of delivery, and neonatal well-being.

Main Methods:

  • Prospective study of 308 antenatal women (34-41 weeks gestation).
  • Inclusion of history taking, physical examination, and AFI estimation.
  • Comparison between women with AFI ≤5 and a control group.
Keywords:
AFIOligoamniosPerinatal outcome

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Main Results:

  • Significantly higher rates of non-reactive cardiotocography (CTG) in the oligoamnios group.
  • Increased cesarean section rates due to fetal distress among women with oligoamnios.
  • Higher incidence of low birth weight, low APGAR scores (<7), and neonatal intensive care unit (NICU) admissions.

Conclusions:

  • Oligoamnios (AFI ≤5) is significantly correlated with adverse perinatal outcomes.
  • Early identification and management of oligoamnios are crucial for improving perinatal health.
  • AFI ≤5 serves as a valuable predictor for monitoring fetal well-being and guiding obstetric interventions.