Abnormal liquor volume and mode of delivery

  • Yogita Dwa Patan Academy of Health Sciences, Lalitpur, Nepal
  • Shreejana Shrestha Patan Academy of Health Sciences, Lalitpur, Nepal
  • Pooja Jaiswal Patan Academy of Health Sciences, Lalitpur, Nepal
Keywords: amniotic fluid index, oligohydramnios, polyhydramnios, emergency caesarean sections, spontaneous vaginal deliveries

Abstract

Introductions: Sonographic assessment of four quadrant measurement of amniotic fluid index (AFI) is an integral part of antenatal evaluation of pregnancies, especially in the third trimester. Decreased (oligohydramnios, AFI 0-9.9 cm) or increased (polyhydramnios >25 cm) increases the risk of intrauterine growth retardation, birth asphyxia and induction or operative interference. The aim of this study was to analyse abnormal liquor volume and mode of delivery.

Methods: This retrospective cross-sectional study analysed the cases of abnormal liquor volume in term pregnancies during 2013-2016 at Patan Hospital. Patient's files were traced from medical record section. We analysed the abnormal liquor volume based on amniotic fluid index (AFI) and the mode of deliveries.

Results: Among 15,272 term pregnancies scanned, 130 had abnormal AFI, 128 oligohydramnios and 2 polyhydramnios. Out of 128 oligohydramnios, 40 (30.8%) were severe, 54 (41.5%) moderate and 34 (26.2%) mild. Two cases had polyhydramnios. The emergency lower uterine segment caesarean sections (emLSCS) were performed in 99 (76.1%) oligohydramnios.

Conclusions: This study suggests that oligohydramnios measured by AFI at term pregnancy required more emLSCS.

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Author Biographies

Yogita Dwa, Patan Academy of Health Sciences, Lalitpur, Nepal

Department of Radiology and Imaging

Shreejana Shrestha, Patan Academy of Health Sciences, Lalitpur, Nepal

Department of Radiology and Imaging

Pooja Jaiswal, Patan Academy of Health Sciences, Lalitpur, Nepal

Department of Radiology and Imaging

Published
2018-12-30
How to Cite
Dwa, Y., Shrestha, S., & Jaiswal, P. (2018). Abnormal liquor volume and mode of delivery. Journal of Patan Academy of Health Sciences, 5(2), 58-61. https://doi.org/10.3126/jpahs.v5i2.23995
Section
General Section: Original Articles