The New Indian Journal of OBGYN. 11(1):62-69
Maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at ESIC MC and PGIMSR
Nagesh Gowda BL, Shakuntala PN, Akshatha DS, Satish Prasad BS
ABSTRACT
Background: Polyhydramnios, severe oligohydramnios in the published literature are around 1.25% and 1- 5% of the pregnancies respectively. Polyhydramnios causes more maternal and fetal morbidity. Oligohydramnios is associated with fetal morbidities and maternal hypertension. Objectives: The present study was designed to compare the maternal and neonatal outcome in women with normal versus abnormal amniotic fluid index. Method: A cross sectional study was conducted in the Department of Obstetrics and Gynaecology, ESIC-PGIMSR Bangalore between January 2019 to June 2020.302 pregnant women with normal and abnormal AFI were included in the study. The maternal and fetal outcomes were observed. Results: Among 302 women 151 had normal AFI, 103 had oligohydramnios and 48 had polyhydramnios. Age ranged from 26-28 years. In abnormal AFI group, higher induction of labor 90(59.6%) vs 40(26.5%), cesarean section rate 85(56.3%) vs 46(30.5%), APGAR <7 at 5 minutes 45(29.8%) vs 16(10.6%), low birth weight babies 50(33.2%) vs 27(17.9%) and NICU admission 51(33.8%) vs 25(16.6%) with a p≤0.001 when compared to normal AFI group. PPH was 7(14.6%) vs 5(3.3%), p=0.004. Conclusion: Amniotic fluid index is an important part of antepartum fetal surveillance. Abnormalities of AFI are associated with increased obstetric interventions and higher maternal cesarean sections and NICU admissions.