Oligohydramnios in 3rd trimester; risk factors, maternal and perinatal outcome/Sudan (Saudi Arabia)
Background: Early detection of oligohydramnios and its management may help in reduction of perinatal morbidity and mortality one side and decreased caesarean deliveries on the other side. Objectives: To study risk factors of oligohydramnios during pregnancy in 3rd trimester and its effects on maternal and perinatal outcome. Methods: A prospective case control study conducted at Ibrahim Malik Teaching Hospital during the period from April 2017 to December 2017. The study sample was 247 pregnant women diagnosed with oligohydramnios as case and 247 healthy pregnancies as control. Results: The commonly reported risk factors among 247 pregnant women with oligohydramnios at 3rd trimester were; idiopathic disorder 149(60.3%), preeclampsia & hypertension 82 (13.8%), diabetes mellitus 13(5.3%) and antiphospholipid antibody syndrome 3 (1.2%). operative delivery was very high in the case group; 76 versus 34 OR 2.7843, cesarean sections were due to pathological CTG 66 versus 26 OR 2.0308. Most of the babies in the case group admitted to NICU; 181 versus 17 OR 37. 1034. The indications of admission were due to; observation, congenital anomalies, RDS, IUGR, Meconium aspiration and HIE (Hypoxic Ischemic Encephalopathy). Conclusion: The indications for cesarean section were pathological CTG, fetal distress and previous scar with diabetes mellitus.
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The Past Head, General Administration of Pharmaceutical Care at Ministry of Health,
Saudi Arabia Critical Care/TPN
Clinical Pharmacist Ministry of Health,
Riyadh, Saudi Arabia.
Department of Radiation Oncology
Asahi University Hospital
Gifu city, Gifu, Japan
Maher Abdel Fattah Al-Shayeb
Department of Surgical Sciences, Ajman University, UAE
Institute of Gynecology and Obstetrics, Medical University of Lodz, I Clinic of Gynecology and Gynecological Oncology (Lodz, Poland)
Head of the Oncology Gynecology Clinic, Oncology Center - Instytut im. Maria Sklodowska Curie, Department in Krakow (Krakow, Poland)