Oligohydraminos associated factors among pregnant women: a cross-sectional study from Bharatpur, Nepal

Abstract

Background

Oligohydramnios refers to a situation where the amniotic fluid volume is less than expected for gestational age. Decrease in amniotic fluid volume considered as pathology termed as polyhydramnios and oligohydramnios. Severely depleted amniotic fluid volume cause fetal anomalies; poor development of the lung and leads to death. Current study was undertaken to determine Oligohydramnios and associated sociodemographic factors, labour status, perinatal outcomes among pregnant women in Bharatpur district, Tarai region of Nepal

Methods

The present research work was carried out in the maternity unit of Bharatpur Hospital Chitwan. A total number of 148 pregnant women, gestational age ≥28 week were considered for this research. Questionnaire was created, filled by the participants; obstetrical information, perinatal outcomes was also obtained.

Results

56.4% of the respondents were primigravida. Oligohydramnios was more in respondents who had rupture of membrane and meconium stained liquor primigravida respondents whose duration of labour was >12. Perinatal outcomes of oligohydramnios were more with cesarean section 63.6%, asphyxia (56.2%). Low birth weight was more (54.5%) amongst severe cases. Resuscitation of newborn was needed in severe Oligohydramnios (49%) mothers.

 Conclusion

Oligohydramnios patients require intensive fetal surveillance and proper antepartum and intrapartum care. Correct decision should be taken timely to reduce perinatal morbidity and mortality. Newborn asphyxia, low birth weight, resuscitation were important perinatal outcomes to reduce mortality.