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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >A study on maternal and perinatal outcome of oligohydramnios in term low risk pregnancy
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A study on maternal and perinatal outcome of oligohydramnios in term low risk pregnancy

机译：足月低风险妊娠羊水过少的母婴围产期研究

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Background: Oligohydramnios is a frequent complication of pregnancy that is associated with increased perinatal morbidity and mortality. Once diagnosed; oligohydramnios should further lead to intensive fetal surveillance including ultrasound evaluation. The aim of the study was to determine obstetric outcome in term low risk pregnancy with AFI less than or equal to 5 and to assess whether antepartum oligohydramnios is associated with adverse perinatal outcome. Methods: 200 patients in third trimester in the hospital with evidence of oligohydramnios (AFI less than or equal to 5) were selected after satisfying inclusion and exclusion criteria and studied prospectively. Observations regarding the outcome of labour in form of maternal and perinatal parameters including AFI value, CTG features, mode of delivery, LSCS rate, meconium stained, APGAR score, birth weight and NICU admission were made. Results: Overall perinatal outcome with respect to CTG, 128 (64%) out of 200 patients had non-reactive CTG and only 72 (36%) had reactive CTG. 128 (64%) of non-reactive CTG delivered by LSCS, 72 (36%) delivered by labour natural. Nil labour natural in the subset of AFI 1 to 2, birth weight (2.5 kg-8% and 2.5 kg-92%), Apgar score (7 at 1-5 mins:18%), still birth (1%), meconium (58.5%), NICU admission (6%) and perinatal mortality (2%). Conclusions: AFI measurement of less than 5 cm detected after 37 completed weeks of gestation with a low risk pregnancy is found to be an indicator of adverse pregnancy outcome with higher fetal distress, meconium stained liquor and higher caesarean section rate. AFI assessment serves as an important tool and remains as an effective screening test in predicting fetal distress in labour that requires caesarean section.
机译：背景：羊水过少是妊娠的常见并发症，与围产期发病率和死亡率增加有关。一旦被诊断;羊水过少应进一步导致加强胎儿监护，包括超声评估。该研究的目的是确定足月AFI小于或等于5的足月低危妊娠的产科预后，并评估产前羊水过少是否与不良围产期预后相关。方法：选择符合入选和排除标准的200例妊娠晚期羊水过少（AFI小于或等于5）的患者并进行前瞻性研究。对产妇和围产期参数形式的分娩结果进行了观察，包括AFI值，CTG特征，分娩方式，LSCS率，胎粪染色，APGAR评分，出生体重和重症监护病房。结果：关于CTG的总体围产期结局，200例患者中有128例（64％）为非反应性CTG，只有72例（36％）为反应性CTG。 LSCS交付了128（64％）个非反应性CTG，自然劳动交付了72（36％）个。在AFI 1-2的子集中为零自然分娩，出生体重（<2.5 kg-8％和> 2.5 kg-92％），Apgar评分（1-5分钟时<7：18％），静止出生（1％） ），胎粪（58.5％），NICU入院（6％）和围产期死亡率（2％）。结论：在妊娠37周完整妊娠后发现低风险妊娠，AFI测量值小于5 cm被发现是不良妊娠结局的指标，胎儿窘迫程度更高，胎粪污染液和剖腹产率更高。 AFI评估是重要的工具，并且仍然是预测需要剖腹产的分娩中胎儿窘迫的有效筛查测试。

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