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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 2, February 2023
Evaluate the Outcome of Labor Induction in Cases of Isolated Oligohydramnios at Term Gestation
Dr. A. Abirami [2] | Dr. R M. Shrimathi [2]
Abstract: Background: Amniotic fluid volume is an important dynamic parameter for the evaluation of fetal well being. The incidence of isolated oligohydramnios ranges from 0.5% to 5% depends on the target population. Isolated Oligohydramnios (IO) refers to the presence of oligohydramnios without fetal anomalies, without fetal growth restriction, without intrauterine infection, and in the absence of known maternal disease. Methods: A prospective cohort study was conducted at Department of Obstetrics and Gynaecology, Govt Ranees Hospital Pudukottai, Pudukottai Medical College, Pudukottai over a period of 1 and a half year (January 2021 to June 2022) among Antenatal mothers of singleton term gestation based on inclusion and exclusion criteria. This study has been done to establish the fetomaternal outcome associated with active induction of labour for isolated oligohydramnios in term gestation. Results: Mode of delivery in study population, 120 were delivered by labour natural (59.1%), 50 were delivered by assisted delivery (24.6%) and 33 were delivered by LSCS (16.3%) Mode of indication for LSCS, Out of 33, 16 were taken for LSCS due to fetal distress, 11 due to nonreactive CTG and remaining 6 due to failed induction. Type of delivery, 136 were primi, among primigravida, 74 delivered labour natural, 32 by assisted delivery, 30 were LSCS.67 were multigravida, among multigravida 46 delivered labour natural, 18 by assisted delivery, 3 were LSCS. Induction delivery interval for primigravida is longer than multigravida in all types of induction. G + O group delivered faster than F + G; G + O group delivered faster than F + O. Neonatal outcome was insignificant. Conclusion: In this study, both maternal and fetal outcomes are similar to those pregnancies with normal amniotic fluid. Hence early detection of oligohydramnios and its management help in reduction of perinatal morbidity and mortality and also decreased cesearean deliveries.
Keywords: Amniotic fluid, Oligohydramnios, Labour induction, Early detection, fetomaternal outcome
Edition: Volume 12 Issue 2, February 2023,
Pages: 396 - 403