Factors associated with Oligohydramnios: age, hydration status, illnesses in pregnancy, nutritional status and fetal condition - a study from Nepal

Abstract

Background

Amniotic fluid (AF) is marvelously dynamic milieu constantly in a transformation as pregnancy progresses are vital for foetus. The present study was undertaken to determine Oligohydramnios and associated factors like age, hydration status, pregnancy related illnesses, nutritional status and fetal condition among pregnant women in Nepal.

 Methods

This hospital based study was done in Bharatpur, Chitwan, Nepal.  148 pregnant women participated in this study. Pregnancy related information was obtained from ward register. Questionnaire was distributed to obtain associated sociodemographic factors.

 Results

Oligohydramnios cases were more among the age group ≥25 years, weeks of gestation >40, history of leaking ≤7, extreme thirst, less urine production. History of high blood pressure, deficiency of extra dietary meat, fish, eggs, vegetables, low pregnancy BMI, had higher risk.

 Conclusion

Oligohydramnios is associated with high perinatal morbidity and mortality. There are multiple factors connected with it. Early intervention is required in the form of induction of labour, close intrapartum monitoring, maternal hydration to increase amniotic fluid volume, artificial rupture of membrane in active phase of labour, early planning of mode of delivery can prevent poor perinatal outcome.