Maternal and fetal outcome in pregnant women with abnormal amniotic fluid volumes at ESIC MC and PGIMSR

Background: Polyhydramnios, severe oligohydramnios in the published literature are around 1.25% and 1-5% of the pregnancies respectively.Polyhydramnios causes more maternal and fetal morbidity.Oligohydramnios is associated with fetal morbidities and maternal hypertension.Objectives: The present study was designed to compare the maternal and neonatal outcome in women with normal versus abnormal amniotic fluid index.Method: A cross sectional study was conducted in the Department of Obstetrics and Gynaecology, ESIC-PGIMSR Bangalore between January 2019 to June 2020.302pregnant women with normal and abnormal AFI were included in the study.The maternal and fetal outcomes were observed.Results: Among 302 women 151 had normal AFI, 103 had oligohydramnios and 48 had polyhydramnios.Age ranged from 26-28 years.In abnormal AFI group, higher induction of labor 90(59.6%)vs 40(26.5%),cesarean section rate 85(56.3%)vs 46(30.5%),APGAR <7 at 5 minutes 45(29.8%)vs 16(10.6%),low birth weight babies 50(33.2%)vs 27(17.9%)and NICU admission 51(33.8%)vs 25(16.6%)with a p0.001 when compared to normal AFI group.PPH was 7(14.6%)vs 5(3.3%), p=0.004.Conclusion: Amniotic fluid index is an important part of antepartum fetal surveillance.Abnormalities of AFI are associated with increased obstetric interventions and higher maternal cesarean sections and NICU admissions.