Journal

Penelitian saya berjudul Increasing Severity of Oligohydramnions: A Risk

factor for outcome

From: Departement of Obstetrics and Gynecology, NKP Salve Institute of Medical
Science , Nagpur, India

Metode Penilitian: Prospective case control, by taking 100 subjects randomly
from a bigger group of possible subjects, and watching them over a period of 2
years.

Criteria: People who were selected had:
A singleton pregnancy
Gestational age of between 37 to 42 weeks each
Cephalic presentation, with intact membranes
Having delivered during the same hospitalization when AFI was
determined.

Exclusion: Pregnant women who arent sure of dates, gestational age of <37
weeks or >42 weeks, with abnormal presentations, multiple pregnancy or PROM.


EXECUTION: During the 2 year study period, 4,782 women delivered , in which
156 women had AFI 8cm and only 121 women satisfied the study criteria.
Then, 100 of these women were selected randomly from the 121 and they
were followed. These 100 women were divided into 2 groups;
Group 1: AFI 5cm
Group 2: AFI >5cm and 8cm

These 100 women who were fulfilling the inclusion criteria were enrolled
for the study. Detailed History, Age, Obstetric History (past and present),
menstrual history (LMP) were noted.
A thorough clinical examination was done (general, systemic and
obstetric).
The perinatal outcome was studied in both the groups and were
compared.

Of the 100 study population;
o Group 1: 37 people
o Group 2: 63 people

The mean age of women:
o Group 1: 24.65 4.1 SD
o Group 2: 24.00 4.2 SD

Majority of women in both groups were either nulliparous or
primiparous.

Mean gestation age:
o Group 1: 40.30 1.64 weeks
o Group 2: 40.08 1.61 weeks
Group 1 (severe oligohydramnios): 54.05% showed maximum antenatal
complications such as; IUGR, PIH and PIH + IUGR
Group 2 (borderline oligohydramnios) : 47,62% had complications.

Meconium Stained Liquor: Group 1 > Group 2, when compard using
statistical Chi-squared test the value was significant.

The c-section for FD was significantly higher in group 1 (29,73%)
compared to group 2 (9,52%),
Statistical Significance Chi-square 6,74 and p-value <0,01

The need for NICU: G1 [43,24 %] > G2 [19.05 %]
There is statistical significance chi-square 6,77 and p-value <0,01

The percentage of neonatal deaths : G1 [10,8 %] > G2 [3.17%]
no statistical significance-


DISCUSSION:
1. Abnormal fetal Heart Rate
2. Meconium stained liquor
3. Cesarean Section for FD

Abnormal Fetal Heart Rate

Group 1 45,95 %
Group 2 23,08 %
Group 3 14,00 %

Women with abnormal fetal heart rate G1 > G2

Meconium Stained Liquor

Group 1: 54,05 %
Group 2: 26,89 %

Conway et al (1998)
Group 1 > Group 2
no significant difference

Jeng et al (1992)
Group 1 > Group 2
no significant difference




Rutherford et al (1987)
Sarno et al (1989)
Robson et al (1992)
Ergun et al (1998)
Tsang et al (1998)
Magann et al (1999)
Casey et al (2000)
Raj Sriya et al (2001)




Cesarean Section for FD

Group 1: 29,73 % underwent LSCS fro FD
Group 2: 9,52 % underwent LSCS fro FD

G1 > G2
(G1 significantly higher than G2 Present Study)

Sarno et al (1989)
Jeng CJ et al (1992)
Robson et al (1992)
Conway et al (1998)
Poolchandra et al (2000)
Raj Sriya et al (2001)





Study Purpose: This study was conducted to determine the correlation between
AFI and perinatal outcome because oligohydramnios is an important obstetric
complication.

The results of this is that Low AFI there is an increased incidence of perinatal
mortality.
Results were
similar to present
study !

G1>G2

G1
significantly
higher than
G2