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Background <p>This study addresses the significance of amniotic fluid in pregnancy, focusing on oligohydramnios, a condition with potential maternal and fetal complications. Due to conflicting findings in existing literature, we conducted a comparative study to clarify the association between oligohydramnios (severe and borderline) and neonatal outcomes, aiming to inform timely interventions for improved results (Cunningham FG 231, 2014).</p> Objectives <p>To establish maternal and fetal outcomes with normal amniotic fluid index (AFI) and patients with oligohydramnios (borderline and severe).</p> Methods and Materials <p>This hospital-based case–control prospective study included pregnant women with gestational age &gt; 37&#xa0;weeks with a total sample size 100 in which 50 as control group with AFI &gt; 8–24&#xa0;cm and 50 as study group with [AFI &lt; 5&#xa0;cm (severe oligohydramnios) and AFI &gt; 5 to 8&#xa0;cm (borderline oligohydramnios)] in the department of OBGY at JLNH&amp;RC Bhilai. AFI estimation was done, and various fetomaternal outcomes were compared.</p> Results <p>The rate of LSCS was higher in cases 52% whereas 30% in control (<i>p</i> = 0.0414). Neonates with birth weight &lt; 2.5&#xa0;kg were 28% whereas only 8% in control group (<i>p</i> = 0.0179). Apgar score at 5&#xa0;min was 15% in cases as against 6% in control group (<i>P</i> = 0.0479). Neonates with birth weight &lt; 2.5&#xa0;kg were 28% whereas only 8% in control group (<i>p</i> = 0.0179). All these parameters were statistically significant.</p> Conclusions <p>The identification of oligohydramnios and borderline oligohydramnios requires attentive monitoring and timely interventions by obstetricians. Given the increased risk of low Apgar scores and low birth weight, these interventions aim to mitigate perinatal mortality and morbidity, underscoring the importance of proactive care in such cases.</p>

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Oligohydramnios and Borderline Oligohydramnios in Term Pregnancy and Its Fetomaternal Outcome in Tertiary Centre of Chhattisgarh: A Prospective Case Controlled Study

  • 期刊论文

  • 发表日期：

    2025年9月29日

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  • Vandana Sonkesriya,
  • Sangeeta Kamra,
  • Arpit Agrawal,
  • Aditi Rana,
  • Mansi Agrawal

摘要

Background

This study addresses the significance of amniotic fluid in pregnancy, focusing on oligohydramnios, a condition with potential maternal and fetal complications. Due to conflicting findings in existing literature, we conducted a comparative study to clarify the association between oligohydramnios (severe and borderline) and neonatal outcomes, aiming to inform timely interventions for improved results (Cunningham FG 231, 2014).

Objectives

To establish maternal and fetal outcomes with normal amniotic fluid index (AFI) and patients with oligohydramnios (borderline and severe).

Methods and Materials

This hospital-based case–control prospective study included pregnant women with gestational age > 37 weeks with a total sample size 100 in which 50 as control group with AFI > 8–24 cm and 50 as study group with [AFI < 5 cm (severe oligohydramnios) and AFI > 5 to 8 cm (borderline oligohydramnios)] in the department of OBGY at JLNH&RC Bhilai. AFI estimation was done, and various fetomaternal outcomes were compared.

Results

The rate of LSCS was higher in cases 52% whereas 30% in control (p = 0.0414). Neonates with birth weight < 2.5 kg were 28% whereas only 8% in control group (p = 0.0179). Apgar score at 5 min was 15% in cases as against 6% in control group (P = 0.0479). Neonates with birth weight < 2.5 kg were 28% whereas only 8% in control group (p = 0.0179). All these parameters were statistically significant.

Conclusions

The identification of oligohydramnios and borderline oligohydramnios requires attentive monitoring and timely interventions by obstetricians. Given the increased risk of low Apgar scores and low birth weight, these interventions aim to mitigate perinatal mortality and morbidity, underscoring the importance of proactive care in such cases.