The relationship between borderline oligohydramnios and the outcome of a term pregnancy

Abstract

Background: Amniotic fluid contamination, foetal distress, newborn hypoxia, aspiration pneumonia, increased
perinatal mortality, and unfavourable pregnancy outcomes may all result from oligohydramnios. Treating
individuals with oligohydramnios in late pregnancy is crucial due to unusual clinical signs. The study's goals were
to examine the perinatal outcome in cases of term pregnancy with borderline amniotic fluid index (AFI), as well as
the mode of delivery, rate of operative interference, incidence of caesarean section, and foetal distress/non
reassuring foetal heart rate status.
Methods: From January 2018 to January 2019 (12 months), patients visiting the prenatal clinic at the department of
obstetrics and gynaecology at Tirunelveli Government Medical College Hospital will participate in this prospective
comparative research. Age, socioeconomic position, and demographic information were gathered, along with a
thorough history that included the patient's symptoms, how long they lasted, menstruation and obstetric history,
important prior events, and personal and family history. After applying exclusion criteria, 150 of the 265 instances
with borderline oligohydramnios that were found were chosen for the research. Results: The two groups' APGAR
scores. The borderline AFI group's mean APGAR score was 8.0±0.9, whereas the normal group's was 8.3±0.7.
There was a statistically significant difference between the averages (p<0.01).
Conclusions: It is acceptable to draw the conclusion that antepartum monitoring for borderline oligohydramnios is
recommended in instances linked to foetal growth limitation or poor foetal development based on the cumulative
analysis of many studies.