A Study On Fetal Weight In Oligohydramnios
Abstract
Background and Objectives: The purpose of this study is to assess the effect of oligohydramnioson fetal weight especially at third trimester of pregnancy.Methods: This prospective cohort study was conducted in Western Regional Hospital of Pokharafrom 28th April to 6th July 2013.In this study 65 singleton pregnant females with gestational age from37 - 42 weeks with less amniotic fluid index (AFI) were analyzed for fetal weight and perinataloutcome. Data were expressed as number (percentage). Independent t test was performed foranalysis of the sample, P value <0.05 was taken as level of significance.Results: Women with oligohydramnios were significantly associated with an abnormal antepartumfetal heart rate (FHR) and not associated with Low birth weight, meconium stained fluid, Apgarscore less than 7 or NICU admission. Also subjects with AFI of 5.0 cm or less had a higher rate ofcesarean section for fetal distressConclusion: Isolated oligohydramnios is not associated with impaired fetal growth or an increasedrisk of adverse perinatal outcomes.References
1. Nazlima N, Fatima B. Oligohydramnios at third
trimester and perinatal outcome. Bangladesh Journal
of Medical Science 2012; 11: 01
2. Vidyadhar B. B, Purushottam A. G, Bhushan MS.
Incidence of oligohydramnios during pregnancy and
its effects on maternal and perinatal outcome. Journal
of Pharmaceutical and Biomedical Science 2011; 11;
05
3. Ahmed H, Munim S. Isolated Oligohydramnios is not
an indicator for adverse perinatal outcome. Department
of Obstetrics and Gynecology 2009; 1: 10
4. Gita G, Shweta P, Arvind L. A Prospective Clinical
Study of Feto-Maternal Outcomein Pregnancies with
Abnormal Liquor Volume. The Journal of Obstetrics
and Gynecology of India 2011; 61(6):652–655
5. Chate P, Khatri M, Hariharan C. Pregnancy
outcome after diagnosis of oligohydramnios at term.
International Journal of Reproduction, Contraception,
Obstetrics and Gynecology 2013; 2(1):23-2
6. Iqbal S, Noreen A. Low Amniotic Fluid Index
as a Predictor of Perinatal outcome in Low Risk
Pregnancies at Term. Department of Obstetrics and
Gynecology 2009.
7. Shanks A, Tuul Mi, Schaecher C, Odibo AO,
Rampersad P. Assessing the Optimal Definition of
Oligohydramnios Associated With Adverse Neonatal
Outcomes. Society for Maternal-Fetal Medicine 30th
Annual Meeting 2010;1-6.
8. Aneela, Perinatal Outcome in Pregnancies Complicated
by Isolated Oligohydramnios at Term. Annals 2009;
15:1
9. Jung Zhang, Isolated Oligohydramnios is not associated
with adverse perinatal outcome, Intenational journal of
Obstetrics and Gynaecology March 2004. Vol. 111.
10. Jagatia K, Singh N, Patel S. Maternal and fetal outcome
in oligohydramnios: A study of 100 cases. Int J Med
Sci Public Health 2013; 2:731-734.
11. Jayati Nath, Maneesha Jain, Rehana Najam. “A clinical
study on oligohydramnios in the third trimester of
pregnancy with special emphasis on the perinatal
outcome”. Journal of Evolution of Medical and Dental
Sciences 2013; Vol2, Issue 39, September 30; Page:
7386-7391.
12. Elizabeth G. Voxman, MD, Susan Tran, M Deborah
A. Wing, MD” Low Amniotic Fluid index as a
Predictor of Adverse Perinatal Outcome” Journal of
Perinatology 2002; 22:282 –285
13. Asavari Ashok Bachhav Manjushri R Waikar. “Low
amniotic fluid index at term as a predictor of adverse
perinatal outcome”. Journal of Evolution of Medical
and Dental Sciences 2013; Vol2, Issue 38, September
23; Page: 7221-7226.
14. Anna Locatelli, Patrizia Vergani, Laura Toso , Maria
Verderio , John C. Pezzullo,Alessandro Ghidini “
Perinatal outcome associated with oligohydramnios
in uncomplicated term pregnancies Archives of
Gynecology and Obstetrics ,Volume 269, Issue 2 , pp
130-133
15. Cristina Rossi, Federico Prefumo, Perinatal outcome
of isolated Oligohydramnios at term and post term
pregnancy:a systematic review of literature with
meta-analysis, European Journal of Obstetrics &
Gynecology and Reproductive Biology Volume 169,
Issue 2 , Pages 149-154, July 2013.
16. Casey BM, Mclntire DD, Bloom SL et al.
Pregnancy outcomes after antepartum diagnosis of
oligohydramnios at or beyond 34 weeks of gestation.
Am J Obstet Gynecol 2000; 182: 909-12
17. Chauhan SP, Sanderson M, Hendrix NW et al. Perinatal
outcome and amniotic fluid index in the antepartum
and intrapartum periods: Ameta-analysis. Am J Obstet
Gynecol 1999; 181: 1473-78.
18. Magann EF, Kinsella JM, Chauhan SP McNamanra
MF, Gehring BW and Morison JC. Does an amniotic
fluid index of <5 necessitate delivery in high risk
pregnancies? A case control study. Am J Obstet
Gynecol 1999;181:1473-8.
19. Ghike S, Reddy G, Ghike NW. Increasing severity
of Oligohydramnios: A Risk Factor For Outcome
.J South Asia Feder Obst Gynae 2013;5 (1 )8 – 10.
Boys Rl. Polyhydramnios and oligohydramnios.
Available at: URL: http://www.E medicine. com/PED/
TOPIC854htm.
20. Chamberlain PF, Manning FA, Morrison I, et al.
Ultrasound evaluation of amniotic fluid volume.
Am J Obstet Gynecol. 1984; 150: 245-249.
21. Chamberlain PF, Manning FA, Morrison I, et al.
Ultrasound evaluation of amniotic fluid volume II
the relationship of increased amniotic fluid volume to
perinatal outcome. Am J Obstet Gynecol. 1984; 150:
250-254.
22. Banks EH, Miller DA. Perinatal risks associated with
borderline AFI. Am J Obstet Gynecol. 1999 Jun;
18:1461-3.
23. Hill LM, Breckle R, Wolfgram KR, O’Brien PC.
Oligohydramnios: ultrasonically detected incidence
and subsequent fetal outcome. Am J Obstet Gynecol
1983;147:407– 410.
24. Mercer LJ, Brown LG, Petres RE, Messer RH. A
survey of pregnancies complicated by decreased
amniotic fluid. Am J Obstet Gynecol 1984;149:355
–361.
25. Dasari P, Niveditta G, Raghavan S. The maximal
vertical pocket and amniotic fluid index in predicting
fetal distress in prolonged pregnancy. Int J Gynaecol
Obstet 2007;96(2):89-93.
26. Sultana S, Akbar Khan MN, Khanum Akhtar KA,
Aslam M. Low Amniotic fluid index in high-risk
pregnancy and poor apgar score at birth. J Coll
Physicians Surg Pak 2008;18(10):630-4.
27. Rainford M, Adair R, Scialli AR, Ghidini A, Spong
CY. Amniotic fluid index in the uncomplicated term
pregnancy. Prediction of outcome. J Reprod Med
2001;46 (6):589-92.
28. Phelan JP, Smith CV, Broussard P, Small M. Amniotic
fluid volume assessment using the four-quadrant
technique in the pregnancy at 36-42 weeks gestation. J
Reprod Med 1987;32(7):540-2.
29. Voxman EG, Train S and Wing BA. Low amniotic fluid
index as a predictor of adverse perinatal outcome.
Journal of Perinatology02; 22: 282-85
30. Youssef AA, Abdullah SD, Sayed EH et al. Superiority
of amniotic fluid pocket measurement for predicting
bad fetal outcomes. Southern Medical Journal 1993;
86: 426-29 http://dx.doi.org/10.1097/00007611-
199304000-00011 PMid:8465220.
31. Sarno AP, AHN MO, Phelan JP. Intrapartum amniotic
fluid volume at term. J Reprod Med 1990; 35: 719-
23.
32. Baron C, Morgan MA, Garite TJ. The impact of
amniotic fluid volume assessed intrapartum on
perinatal outcome. Am J Obstet Gynecol 1995; 173:
167-74.
33. Mc Curdy CM Jr, Seeds JW. Oligohydramnios;
problems and treatment. Semin Perinatol 1993; 17:
183-96.
34. Magann EF, Kinsella MJ, Chauhan SP, McNamara
MF, Gehring BW, Morrison JC. Does an amniotic
fluid index of pregnancies? A case-control study. Am J Obstet
Gynecol 1999;180: 1354-9.
35. Sherer DM. A review of amniotic fluid dynamics
and the enigma of isolated oligohydramnios. Am J
Perinatol 2002; 19: 253- 66.
36. Rutherford SE, Phelan JP, Smith CV, Jacobs N. The
four quadrant assessment of amniotic fluid volume.
An Adjuct to antepartum fetal heart rate testing obstet
Gynecol 1987 Sep,70(3pt1).353-56.
37. Rayburn WF, Motely ME, Stempel LE, Gendreau
RM. Antepartum prediction of the postmature infant.
Obstet Gynecol 1982; 60: 148–153.
38. Chauhan SP, Hendrix NW, Morrison JC, Magann EF,
Devoe LD. Intrapartum oligohydramnios does not
predict adverse peripartum outcome among high risk
parturient. Am J Obstet Gynaecol 1997;176:1130-8.
39. Ott WJ. Re-evaluation of the relationship between
amniotic fluid volumes and perinatal outcome. Am J
Obstet Gynecol 2005; 192:1803-9
40. Locatelli A, Zaqarella A, Toso L, Assi F, Ghidini A,
Biffi A. Serial assessment of AFI in uncomplicated
term pregnancies: Prognostic value of amniotic fluid
reduction. J Matern Fetal Neonatal Med 2004;15: 233-
6.
41. Brace RA. Physiology of amniotic fluid volume
regulation. Clin Obstet Gynecol 1997; 40:280–289.
42. Manning FA, Hill LM, Platt LD. Qualitative amniotic
fluid volume determination by ultrasound: antepartum
detection of intrauterine growth retardation. Am J
Obstet Gynecol 1981; 139:254–258.
43. Chamberlain PF, Manning FA, Morrison I, Harman
CR, Lange IR. Ultrasound evaluation of amniotic fluid
volume, I: the relationship of Marginal and decreased
amniotic fluid volumes to perinatal outcome. Am J
Obstet Gynecol 1984; 150:245–249.
44. ACOG practice bulletin. Antepartum fetal surveillance.
Number 9, October 1999 (replaces Technical Bulletin
number 188, January 1994). Clinical management
guidelines for obstetrician-gynecologists. Int J
Gynaecol Obstet 2000; 68:175-185.
trimester and perinatal outcome. Bangladesh Journal
of Medical Science 2012; 11: 01
2. Vidyadhar B. B, Purushottam A. G, Bhushan MS.
Incidence of oligohydramnios during pregnancy and
its effects on maternal and perinatal outcome. Journal
of Pharmaceutical and Biomedical Science 2011; 11;
05
3. Ahmed H, Munim S. Isolated Oligohydramnios is not
an indicator for adverse perinatal outcome. Department
of Obstetrics and Gynecology 2009; 1: 10
4. Gita G, Shweta P, Arvind L. A Prospective Clinical
Study of Feto-Maternal Outcomein Pregnancies with
Abnormal Liquor Volume. The Journal of Obstetrics
and Gynecology of India 2011; 61(6):652–655
5. Chate P, Khatri M, Hariharan C. Pregnancy
outcome after diagnosis of oligohydramnios at term.
International Journal of Reproduction, Contraception,
Obstetrics and Gynecology 2013; 2(1):23-2
6. Iqbal S, Noreen A. Low Amniotic Fluid Index
as a Predictor of Perinatal outcome in Low Risk
Pregnancies at Term. Department of Obstetrics and
Gynecology 2009.
7. Shanks A, Tuul Mi, Schaecher C, Odibo AO,
Rampersad P. Assessing the Optimal Definition of
Oligohydramnios Associated With Adverse Neonatal
Outcomes. Society for Maternal-Fetal Medicine 30th
Annual Meeting 2010;1-6.
8. Aneela, Perinatal Outcome in Pregnancies Complicated
by Isolated Oligohydramnios at Term. Annals 2009;
15:1
9. Jung Zhang, Isolated Oligohydramnios is not associated
with adverse perinatal outcome, Intenational journal of
Obstetrics and Gynaecology March 2004. Vol. 111.
10. Jagatia K, Singh N, Patel S. Maternal and fetal outcome
in oligohydramnios: A study of 100 cases. Int J Med
Sci Public Health 2013; 2:731-734.
11. Jayati Nath, Maneesha Jain, Rehana Najam. “A clinical
study on oligohydramnios in the third trimester of
pregnancy with special emphasis on the perinatal
outcome”. Journal of Evolution of Medical and Dental
Sciences 2013; Vol2, Issue 39, September 30; Page:
7386-7391.
12. Elizabeth G. Voxman, MD, Susan Tran, M Deborah
A. Wing, MD” Low Amniotic Fluid index as a
Predictor of Adverse Perinatal Outcome” Journal of
Perinatology 2002; 22:282 –285
13. Asavari Ashok Bachhav Manjushri R Waikar. “Low
amniotic fluid index at term as a predictor of adverse
perinatal outcome”. Journal of Evolution of Medical
and Dental Sciences 2013; Vol2, Issue 38, September
23; Page: 7221-7226.
14. Anna Locatelli, Patrizia Vergani, Laura Toso , Maria
Verderio , John C. Pezzullo,Alessandro Ghidini “
Perinatal outcome associated with oligohydramnios
in uncomplicated term pregnancies Archives of
Gynecology and Obstetrics ,Volume 269, Issue 2 , pp
130-133
15. Cristina Rossi, Federico Prefumo, Perinatal outcome
of isolated Oligohydramnios at term and post term
pregnancy:a systematic review of literature with
meta-analysis, European Journal of Obstetrics &
Gynecology and Reproductive Biology Volume 169,
Issue 2 , Pages 149-154, July 2013.
16. Casey BM, Mclntire DD, Bloom SL et al.
Pregnancy outcomes after antepartum diagnosis of
oligohydramnios at or beyond 34 weeks of gestation.
Am J Obstet Gynecol 2000; 182: 909-12
17. Chauhan SP, Sanderson M, Hendrix NW et al. Perinatal
outcome and amniotic fluid index in the antepartum
and intrapartum periods: Ameta-analysis. Am J Obstet
Gynecol 1999; 181: 1473-78.
18. Magann EF, Kinsella JM, Chauhan SP McNamanra
MF, Gehring BW and Morison JC. Does an amniotic
fluid index of <5 necessitate delivery in high risk
pregnancies? A case control study. Am J Obstet
Gynecol 1999;181:1473-8.
19. Ghike S, Reddy G, Ghike NW. Increasing severity
of Oligohydramnios: A Risk Factor For Outcome
.J South Asia Feder Obst Gynae 2013;5 (1 )8 – 10.
Boys Rl. Polyhydramnios and oligohydramnios.
Available at: URL: http://www.E medicine. com/PED/
TOPIC854htm.
20. Chamberlain PF, Manning FA, Morrison I, et al.
Ultrasound evaluation of amniotic fluid volume.
Am J Obstet Gynecol. 1984; 150: 245-249.
21. Chamberlain PF, Manning FA, Morrison I, et al.
Ultrasound evaluation of amniotic fluid volume II
the relationship of increased amniotic fluid volume to
perinatal outcome. Am J Obstet Gynecol. 1984; 150:
250-254.
22. Banks EH, Miller DA. Perinatal risks associated with
borderline AFI. Am J Obstet Gynecol. 1999 Jun;
18:1461-3.
23. Hill LM, Breckle R, Wolfgram KR, O’Brien PC.
Oligohydramnios: ultrasonically detected incidence
and subsequent fetal outcome. Am J Obstet Gynecol
1983;147:407– 410.
24. Mercer LJ, Brown LG, Petres RE, Messer RH. A
survey of pregnancies complicated by decreased
amniotic fluid. Am J Obstet Gynecol 1984;149:355
–361.
25. Dasari P, Niveditta G, Raghavan S. The maximal
vertical pocket and amniotic fluid index in predicting
fetal distress in prolonged pregnancy. Int J Gynaecol
Obstet 2007;96(2):89-93.
26. Sultana S, Akbar Khan MN, Khanum Akhtar KA,
Aslam M. Low Amniotic fluid index in high-risk
pregnancy and poor apgar score at birth. J Coll
Physicians Surg Pak 2008;18(10):630-4.
27. Rainford M, Adair R, Scialli AR, Ghidini A, Spong
CY. Amniotic fluid index in the uncomplicated term
pregnancy. Prediction of outcome. J Reprod Med
2001;46 (6):589-92.
28. Phelan JP, Smith CV, Broussard P, Small M. Amniotic
fluid volume assessment using the four-quadrant
technique in the pregnancy at 36-42 weeks gestation. J
Reprod Med 1987;32(7):540-2.
29. Voxman EG, Train S and Wing BA. Low amniotic fluid
index as a predictor of adverse perinatal outcome.
Journal of Perinatology02; 22: 282-85
30. Youssef AA, Abdullah SD, Sayed EH et al. Superiority
of amniotic fluid pocket measurement for predicting
bad fetal outcomes. Southern Medical Journal 1993;
86: 426-29 http://dx.doi.org/10.1097/00007611-
199304000-00011 PMid:8465220.
31. Sarno AP, AHN MO, Phelan JP. Intrapartum amniotic
fluid volume at term. J Reprod Med 1990; 35: 719-
23.
32. Baron C, Morgan MA, Garite TJ. The impact of
amniotic fluid volume assessed intrapartum on
perinatal outcome. Am J Obstet Gynecol 1995; 173:
167-74.
33. Mc Curdy CM Jr, Seeds JW. Oligohydramnios;
problems and treatment. Semin Perinatol 1993; 17:
183-96.
34. Magann EF, Kinsella MJ, Chauhan SP, McNamara
MF, Gehring BW, Morrison JC. Does an amniotic
fluid index of pregnancies? A case-control study. Am J Obstet
Gynecol 1999;180: 1354-9.
35. Sherer DM. A review of amniotic fluid dynamics
and the enigma of isolated oligohydramnios. Am J
Perinatol 2002; 19: 253- 66.
36. Rutherford SE, Phelan JP, Smith CV, Jacobs N. The
four quadrant assessment of amniotic fluid volume.
An Adjuct to antepartum fetal heart rate testing obstet
Gynecol 1987 Sep,70(3pt1).353-56.
37. Rayburn WF, Motely ME, Stempel LE, Gendreau
RM. Antepartum prediction of the postmature infant.
Obstet Gynecol 1982; 60: 148–153.
38. Chauhan SP, Hendrix NW, Morrison JC, Magann EF,
Devoe LD. Intrapartum oligohydramnios does not
predict adverse peripartum outcome among high risk
parturient. Am J Obstet Gynaecol 1997;176:1130-8.
39. Ott WJ. Re-evaluation of the relationship between
amniotic fluid volumes and perinatal outcome. Am J
Obstet Gynecol 2005; 192:1803-9
40. Locatelli A, Zaqarella A, Toso L, Assi F, Ghidini A,
Biffi A. Serial assessment of AFI in uncomplicated
term pregnancies: Prognostic value of amniotic fluid
reduction. J Matern Fetal Neonatal Med 2004;15: 233-
6.
41. Brace RA. Physiology of amniotic fluid volume
regulation. Clin Obstet Gynecol 1997; 40:280–289.
42. Manning FA, Hill LM, Platt LD. Qualitative amniotic
fluid volume determination by ultrasound: antepartum
detection of intrauterine growth retardation. Am J
Obstet Gynecol 1981; 139:254–258.
43. Chamberlain PF, Manning FA, Morrison I, Harman
CR, Lange IR. Ultrasound evaluation of amniotic fluid
volume, I: the relationship of Marginal and decreased
amniotic fluid volumes to perinatal outcome. Am J
Obstet Gynecol 1984; 150:245–249.
44. ACOG practice bulletin. Antepartum fetal surveillance.
Number 9, October 1999 (replaces Technical Bulletin
number 188, January 1994). Clinical management
guidelines for obstetrician-gynecologists. Int J
Gynaecol Obstet 2000; 68:175-185.
Published
2015-03-21
How to Cite
SHAKYA YL, STHAPIT R, Gupta SK, Prasad PN.
A Study On Fetal Weight In Oligohydramnios.
J Soc Surg Nep, [S.l.], v. 16, n. 2, mar. 2015.
ISSN 2392-4772.
Available at: <https://jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=47>. Date accessed: 26 apr. 2024.
Issue
Section
Original Article
Keywords
Oligohydramnios, Low birth Weight, Apgar Score
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