The New Indian Journal of OBGYN. Epub Ahead of Print

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.