M. Krishnaveni1
OBJECTIVES: Amniotic fluid Volume (AFV) is an important indicator of fetal wellbeing Oligohydramnios affects 0.5 to 5% of the pregnancy. In presence of Oligohydramnios if the AFI is 0-7 the fetal outcome is not good. If the AFI <5 which needs immediate delivery irrespective of the NST results. So the cases selected between AFI 0-7 are directly taken to LSCS. To know the fetal outcome associated with Oligohydramnios (AFI 0-7).
MATERIALS AND METHODS: This is a prospective study. The study group consisted of 67 pregnant cases selected from Vanivilas Hospital attached to Bangalore Medical College and Research Institute, Bangalore. The cases were studied between the periods 15th November 2014 to 1st March 2015. These 67 in patients were selected for emergency OT directly because of variable AFI (0-7). Based on this fetal outcome is assessed. The AFI was totally based on USG report on admission and these cases was referred from outside to Vanivilas Hospital because this hospital is a tertiary care center where emergency OT is working round the clock.
RESULTS: Out of 67 cases in the present study group there was not even one fetal mortality. The birth weight was varying from 1.4 kg to 3.2 kg out of these two babies needed stimulation after extraction in the OT their birth weight was 1.4 kg and 1.6 kg. There was meconium in 17 cases (thick meconium 12 cases, thin meconium 5 cases). Anhydramnios (nil liquor) 3 cases, NICU admissions (16).
CONCLUSION: Oligohydramnios (AFI) between 0-7 is an important indication for emergency LSCS without depending on NST which can result in good fetal outcome in a tertiary center like VVH. So the mortality and morbidity of the fetus can be avoided if we decide for emergency LSCS
