scholarly journals A STUDY OF THIRD TRIMESTER OLIGOHYDRAMINOS AND ITS MATERNALAND FETAL OUTCOME

2020 ◽  
pp. 1-2
Author(s):  
Saila Khatri ◽  
Megha S. Patel ◽  
Pankti Jaiswal ◽  
Prakruti Patel
Keyword(s):  
Congenital Anomaly ◽  
Apgar Score ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Third Trimester ◽  
Amniotic Fluid Index ◽  
Cross Sectional ◽  
Increase Rate ◽  
Nicu Admission

Background: Oligohydramnios is defined as amniotic fluid index <5cm sonographically.5 Various complications to fetus like meconium stained liquor, IUGR, cord around neck, fetal distress, congenital anomaly, low birth weight, low Apgar score which leads to increase NICU admissions are seen. Increase rate of caeserian section compared to vaginal birth exposes mother to further operation related complications.6,7 Methodology: A cross sectional study was carried out among 124 patients who presented with oligohydraminos and got admitted in obstetric ward. Result: Oligohydraminos seen more in gestational age from 36.1 to 42 weeks(51%) and less from 28.1 to 32 weeks(15%). 62% AFI is between 3-5cm and 38% <3cm. Complications like meconium stained liquor(19%), IUGR(18%), cord around neck(15%), fetal distress(21%) also checked in form of low Apgar score (23%),congenital anomaly(4%), NICU admission(62%), increased rate of LSCS(76%) than vaginal delivery(24%) seen.

scholarly journals Early Neonatal Outcome of Clinically Diagnosed Fetal Distress in Low Resource Areas

2021 ◽  
Vol 33 (2) ◽  
pp. 152-155
Author(s):  
Arifa Akhter ◽  
Asma Begum ◽  
Nadira Sultana ◽  
Shampa Saha ◽  
Mubina Nuzhat Chowdhury ◽  
...  
Keyword(s):  
Apgar Score ◽  
Neonatal Outcome ◽  
Active Phase ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Nicu Admission ◽  
Medicine Today

Introduction: Fetal distress is a high risk obstetric situation associated with increased perinatal morbidity and mortality. It is also a major contributor to operative interventions in the majority hospitals of developing countries. The objective of this study was to observe clinically diagnosed fetal distress and early neonatal outcome after delivery. Materials and Methods: This hospital based cross-sectional study was carried out in Department of Obstetrics and Gynecology at Bashundhara Addin Medical College Hospital, Keraniganj during the period of January to December 2019. 212 women in active phase of labor at term pregnancy who met the inclusion and exclusion criteria were enrolled. Fetal distress was diagnosed by abnormal FHR and /or presence of meconium in amniotic fluid after rupture of membrane. Neonatal outcome was assesss by 1st & 5th mins Apgar Scores after delivery, babies requiring immediate resuscitation and admission to neonatal care unit & recorded. Result: Among fetal distress 11.32% babies had Apgar score <7 as compared to babies without fetal distress that had 5.66% apgar score <7 at 5th minutes(p<0.05). 28.3% fetal distressed born babies required NICU admission rather than only 9.44% of without fetal distress. Conclusion: This study shows relative adverse neonatal outcome for fetal distressed babies than without distress. Medicine Today 2021 Vol.33(2): 152-155

scholarly journals Perinatal outcome associated with oligohydramnios in third trimester

2016 ◽  
Vol 6 (1) ◽  
pp. 72 ◽  
Author(s):  
Kamlesh R. Chaudhari ◽  
Kushagra R. Chaudhari ◽  
Omkar M. Desai
Keyword(s):  
Birth Weight ◽  
Amniotic Fluid ◽  
Apgar Score ◽  
Neonatal Morbidity ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
High Rate ◽  
Research Centre ◽  
Meconium Staining ◽  
Nicu Admission

Background: We aimed to evaluate the effect of Oligohydramnios on fetal outcome in terms of fetal distress, Meconium staining of amniotic fluid, birth weight, Apgar score of newborn babies, NICU admission, early neonatal morbidity and mortality.Methods: This was a prospective study of 156 antenatal patients booked at K. J. Somaiya medical college and research centre during the year January 2012 to December 2013 with gestational age between 30-40wks with AFI<5cms with intact membranes were analyzed for perinatal outcome.Results: The Caesarian section rate for fetal distress was 41% in patients with Oligohydramnios. Meconium staining of amniotic fluid was found in 30.7% patients. APGAR score at 5 minutes <7 was found in 6 patients (3.8%).Conclusions: Oligohydramnios has significant correlation with Caesarean section for fetal distress and low birth weight babies. Oligohydramnios is associated with high rate of pregnancy complication and increased perinatal morbidity and mortality. Oligohydramnios is a frequent occurrence demand careful evaluation, intensive parental counseling, fetal surveillance and proper antepartum and intrapartum care.

CLINICAL, SUB-CLINICAL CHARACTERISTICS AND MANAGEMENT OF ACUTE FETAL DISTRESS AT MATERNITY DEPARTMENT OF HUE CENTRAL HOSPITAL

2018 ◽  
Vol 8 (5) ◽  
pp. 20-25
Author(s):  
Giang Truong Thi Linh
Keyword(s):  
Amniotic Fluid ◽  
Apgar Score ◽  
Clinical Characteristics ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Central Hospital ◽  
Cross Sectional ◽  
Natural Childbirth ◽  
Dark Green

Objective: Examination ofclinical, sub-clinical characteristics and attitudes of management of acute fetal distress at Maternity Department, Hue Central Hospital. Methods and Material: Descriptive cross sectional study on 208 acute fetal distress patients at Maternity Department of Hue Central Hospital from 06/2016 – 03/2017. Results: DIP II: 35.6% and Apgar score after birth < 7: 4.1%, variability < 5 bpm: 7.2%, and Apgar score after birth < 7: 6.7%. Dark green amniotic fluid: 25.0% and increase after birth. Apgar score/1 minute < 7: 1.9%, Apgar/5 minutes < 7: 0.5%. Medical treatment: infusion, oxygen, lying on the left side are the most used methods. Management of obstetric use including caesarean (94.2%), Forceps (1.5%), natural childbirth (4.3%). Conclusions: Follow Monitoring changes and amniotic fluid color are very valuable in the diagnosis of acute fetal distress. Treatment of acute fetal distress is a combination of medical and obstetric treatment. Key words: Acute fetal distress, green amniotic fluid, cardiotocography

scholarly journals FETAL OUTCOME;

2017 ◽  
Vol 24 (03) ◽  
pp. 462-465
Author(s):  
Afsheen Memon ◽  
Aisha Abdullah Sheikh ◽  
Anisa Kamal
Keyword(s):  
Caesarean Section ◽  
Apgar Score ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
High Rate ◽  
P Value ◽  
Study Group ◽  
Nuchal Cord ◽  
Nicu Admission

Objectives: To compare the effect of nuchal cord versus without cord aroundthe neck on mode of delivery and fetal outcome. Study design: Case control comparativestudy. Period: 1st August 2013 to 31st March 2014. Setting: Gyn /Obs Department at Sir SyedHospital Karachi. Material and Methods: A comparative study was carried out on 2 groupsof parturient ladies. The study group comprised of those ladies who at the time of delivery(vaginal delivery/caesarean-section) had clinically cord around the neck while the other group(control) did not have nuchal cord. Duration of labour, mode of delivery were noted. Perinataloutcome was measured in terms of Apgar score and NICU admission. High risk pregnancieswere excluded from the study. Result: Incidence of nuchal cord at the time of delivery was22.7%. A high rate of caesarean delivery observed in study group as compared to controlgroup (70 % vs 40%) (P value 0.00006). Fetal heart rate irregularities & meconium stainedliquor finding was not significantly different in two groups (p< 0.161) & (p<0.169) respectively.Similarly fetal outcome measured in terms of Apgar score at 1 & 5 min & NICU admissionwas also not significantly different between the two groups. Conclusion: A significant highrate of caesareans section rate was observed in the study group mainly due to fetal distress(FHR irregularities). This means cord around the neck is a risk factor & needs extra monitoringspecially through intermittent CTG monitoring during labour so that fetal distress can be pickedup early & emergency caesarean section can be performed to avoid fetal compromise.

scholarly journals Ultrasound evaluation of pregnancies with oligohydramnios in third trimester and their feto-maternal outcome at tertiary care hospital

2017 ◽  
Vol 5 (8) ◽  
pp. 3292
Author(s):  
Awdhut Tiparse ◽  
Bhumika Kalathiya ◽  
Preeti Bajaj
Keyword(s):  
Tertiary Care ◽  
Fetal Outcome ◽  
Care Hospital ◽  
Third Trimester ◽  
Amniotic Fluid Index ◽  
Exclusion Criteria ◽  
Ultrasound Evaluation ◽  
Increased Risk ◽  
Group Rate ◽  
Nicu Admission

Background: Oligohydramnios presents a threat to the fetus due to increased risk of the umbilical cord getting compressed and resulting in impaired blood flow to the fetus. The objective of the study was to find out the significance of oligohydramnios during third trimester of pregnancy.Methods: A hospital based prospective study was conducted in the Department of Radiodiagnosis and Obstetrics and Gynaecology, Sir T. Hospital, Bhavnagar. Amniotic fluid index (AFI) estimation was done on 60 pregnant women in third trimester, who were selected after screening for inclusion and exclusion criteria. Women with AFI < 5 cm were taken as cases while women with AFI > 5 cm as controls.Results: Maximum number of the patients were belonging to 20-25-year age group in normal AFI, oligohydramnios and borderline oligohydramnios group. Incidence of malpresentation was significantly higher in oligohydramnios (20%), borderline oligohydramnios (17.5%). In oligohydramnios common, etiological factors were PIH (27.5%), idiopathic factor (27.5%), postdatism (12.5%) and IUGR (7.5%), while borderline oligohydramnios group is commonly associated with idiopathic factors (52.5%) followed by PIH (17.5%). Incidence of caesarean section was significantly higher in oligohydramnios group (67.5%) than normal AFI (18%). In borderline oligohydramnios group rate is significantly higher (45%) than normal AFI, but it is less as compared to oligohydramnios.Conclusions: Identification of oligohydramnios can be done by a good clinical examination and confirmed by measuring AFI on ultrasonography. Poor fetal outcome in the form of preterm, IUD, LBW, low APGAR score at 5 minute and increased chances of still birth, NICU admission and neonatal death are seen with oligohydramnios in third trimester and more so if it is detected in early third trimester. Chances of induction of labour and risk of LSCS also increase. Thus, detection of oligohydramnios helps in proper management of the cases so that maternal and perinatal outcome can be improved.

scholarly journals Relationship of Amniotic Fluid Index (AFI) Between Maternal and Perinatal in Patients

2021 ◽  
pp. 460-465
Author(s):  
Manimekalai, Neranjana
Keyword(s):  
Amniotic Fluid ◽  
Pregnant Women ◽  
Bacterial Infections ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Control Group ◽  
Amniotic Fluid Index ◽  
Nicu Admission ◽  
Relationship Of

Background: Alcohol amniotic, a protecting fluid that surround the embryo. It protects from concussion, pressure, desiccation, reminiscent of the aquatic origin of life. Adequate amount of amniotic fluid is essential requirement for the normal development and it acts like a cushion against trauma, agitation and accidental impulsions. It has also bacteriostatic properties and prevents the infection of many bacterial infections. Aim: To assess the maternal and fetal outcome in cases with normal and abnormal Amniotic Fluid Index levels. Results: The mode of delivery was spontaneous vaginal delivery followed by Assisted VD, Elective CS, Emergency CS respectively. It was affected by amount of liquor since, low AFI group 35 (75%) patients ended up in cesarean section for fetal distress. While in control group 63(18.3%) patients had caesarean section. Conclusion: Early neonatal death was seen in 0.2%, 4.5% and 70.5% newborns were born to pregnant women with normal AFI, oligohydramnios respectively. 70.5% neonates born to pregnant women with oligohydramnios had NICU admission. All cases were admitted in NICU because of respiratory distress.

scholarly journals Oligohydramnios at third trimester and perinatal outcome

1970 ◽  
Vol 11 (1) ◽  
pp. 33-36 ◽  
Author(s):  
N Nazlima ◽  
B Fatima
Keyword(s):  
Heart Rate ◽  
Apgar Score ◽  
Fetal Heart Rate ◽  
Perinatal Outcome ◽  
Fetal Heart ◽  
P Value ◽  
Third Trimester ◽  
Amniotic Fluid Index ◽  
Increased Risk ◽  
Nicu Admission

Objectives: The purpose of this study to assess the effect of oligohydramnios on perinatal outcome especially at third trimester of pregnancy. Methods: This prospective and observational study was conducted in a private specialized hospital at Dhaka city from January to December 2009. In this study 78 singleton pregnant females with gestational age from 28 - 42 weeks with less amniotic fluid index (AFI) were analyzed for perinatal outcome. Data were expressed as number (percentage). Proportion test was performed for comparison between two groups , P value <0.05 was taken as level of significance. Results:Women with oligohydramnios were significantly associated with an abnormal antepartum fetal heart rate (FHR), meconium stained fluid, Apgar score less than 7 or NICU admission. Also subjects with AFI of 5.0 cm or less had a higher rate of cesarean section for fetal distress. Conclusions: Antepartum oligohydramnios is associated with an increased risk of fetal heart rate abnormalities. Although in our population it is not predictive of adverse perinatal outcome as measured by low apgar score and NICU admission, yet this may be reflective of the aggressive antepartum and intrapartum management that these patients received. DOI: http://dx.doi.org/10.3329/bjms.v11i1.9820 BJMS 2012; 11(1): 33-36

scholarly journals Abnormal liquor volume and mode of delivery

2018 ◽  
Vol 5 (2) ◽  
pp. 58-61
Author(s):  
Yogita Dwa ◽  
Shreejana Shrestha ◽  
Pooja Jaiswal
Keyword(s):  
Amniotic Fluid ◽  
Mode Of Delivery ◽  
Birth Asphyxia ◽  
Cross Sectional Study ◽  
Third Trimester ◽  
Amniotic Fluid Index ◽  
Cross Sectional ◽  
Intrauterine Growth ◽  
Four Quadrant ◽  
Record Section

Introductions: Sonographic assessment of four quadrant measurement of amniotic fluid index (AFI) is an integral part of antenatal evaluation of pregnancies, especially in the third trimester. Decreased (oligohydramnios, AFI 0-9.9 cm) or increased (polyhydramnios >25 cm) increases the risk of intrauterine growth retardation, birth asphyxia and induction or operative interference. The aim of this study was to analyse abnormal liquor volume and mode of delivery. Methods: This retrospective cross-sectional study analysed the cases of abnormal liquor volume in term pregnancies during 2013-2016 at Patan Hospital. Patient's files were traced from medical record section. We analysed the abnormal liquor volume based on amniotic fluid index (AFI) and the mode of deliveries. Results: Among 15,272 term pregnancies scanned, 130 had abnormal AFI, 128 oligohydramnios and 2 polyhydramnios. Out of 128 oligohydramnios, 40 (30.8%) were severe, 54 (41.5%) moderate and 34 (26.2%) mild. Two cases had polyhydramnios. The emergency lower uterine segment caesarean sections (emLSCS) were performed in 99 (76.1%) oligohydramnios. Conclusions: This study suggests that oligohydramnios measured by AFI at term pregnancy required more emLSCS.

scholarly journals INDICATIONS OF PRIMARY CAESAREAN SECTIONS AMONG IRAQI WOMEN IN KARBALA CITY DURING 2018

2019 ◽  
pp. 123-125
Author(s):  
EMAN MAHDI MOHAMMAD ◽  
SAAD IBRAHIM AL-GHABBAN ◽  
MOUSA MOHSIN AL-ALAK
Keyword(s):  
Caesarean Section ◽  
Antenatal Care ◽  
Perinatal Care ◽  
Fetal Distress ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Iraqi Women ◽  
Prolonged Labor ◽  
First Time

Objective: To study the different indications of primary caesarean sections for women attending Karbala Maternity Teaching Hospital and Al-kafeel Super Specialty hospital. Methods: This was cross-sectional study, the sample was 330 women. Over the period from 1st January 2018 to [30]th June 2018. Questionnaire was filled by direct interviews. A pilot study was done; the subjects of the pilot including 20 women with previous PCS, and some modifications were occurred done accordingly. The sample of study was convenient sample including all women for whom PCS was done in the first time, it was 330 women. Then data was entered and analyzed by SPSS program version 22. Results: The commonest age group in this study was (25-29) year, which represent 32.1%. Majority of the study sample (49.7%) were primigravida. The percentage of indications of Caesarean section include fetal distress 22.1%, prolonged labor18.5%, malpresentation 17.3% and amniotic fluid leakage 16.4%. Emergency CS had 43.6%, and maternal request had 21.5%. Conclusion: Largest number of participant were primigravidarum which read big and serious problem for women life in future. Most women had taken regular antenatal care. Fetal distress and prolonged labor were the most common indications for caesarean section. Fetal outcome was good that reflect good antenatal care and perinatal care.

scholarly journals Low amniotic uid index and the materno-fetal out come in 3rd trimester of pregnancy

2016 ◽  
Vol 44 (1) ◽  
pp. 16-20
Author(s):  
Fahmida Monir ◽  
Rumana Nazneen ◽  
Rumana Akhter ◽  
Tahmina Begum ◽  
AKM Abdul Kayum ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Amniotic Fluid ◽  
Apgar Score ◽  
Mode Of Delivery ◽  
Well Being ◽  
Fetal Outcome ◽  
Amniotic Fluid Index ◽  
Cross Sectional ◽  
Medical Disorders ◽  
Indirect Indicator

Amniotic fluid volume is an indirect indicator of fetal well being. About 8% of pregnant women can have low amniotic fluid, with about 4% being diagnosed with oligohydramnios. Oligohydramnios can cause complications in about 12% of pregnancies that go past 41 wks of gestation. This cross-sectional observational study was carried out in the Department of Obstetrics and Gynaecology, BSMMU, Dhaka from July 2010 to December 2010 on 55 admitted pregnant mother of 28-40 weeks gestational age with low amniotic fluid index (<8cm) with or without medical disorders specially during and after delivery along with its impact on mode of termination of pregnancy & complications of the fetus. Most of the mother (64%) had mild oligohydramnios. Most of them were < 37weeks of gestation and 69.1% of them had to undergo caesarean section as there mode of delivery. The indications were mostly (66%) due to less fetal movement, IUGR, previous C/S, malpresentation etc. The current study showed significantly higher rate (65.5%) of low birth weight resulting from the low AFI. The APGAR score less than 7 in 5 minute was significantly higher in severe oligohydramnios group and majority of the neonate experienced complications like RDS (13%), meconeum aspiration (21%) with admission in neonatal ward (54%). Low AFI has poorer prognosis to some extent with maternal as well as fetal outcome. It is responsible for a significantly higher rate of caesarean section & also associated with low birth rate along with low APGAR score and increase in neonatal complications.Bangladesh Med J. 2015 Jan; 44 (1): 16-20

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