A Prospective Study on Role of IV Amino Acid Infusion in Improving Pregnancy Outcome in Cases of Oligohydramnios

Authors

  • Kshiti Baxi Assistant Professor, Department of Obstetrics and Gynaecology, Pacific Medical College & Hospital, Bhilo ka Bedla, Udaipur. Author
  • Shalini Bansal Associate Professor, Department of Obstetrics and Gynaecology, Pacific Medical College & Hospital, Bhilo ka Bedla, Udaipur. Author

DOI:

https://doi.org/10.21276/910rzj06

Keywords:

Oligohydramnios, Perinatal morbidity, foetal distress

Abstract

Background: Adequate Amniotic fluid volume is essential for the normal growth and well-being of the foetus. Diminished liquor or oligohydramnios is quite often associated with abnormal foetal outcomes such as intrauterine growth restriction, foetal anomaly malpresentation, post maturity syndrome and foetal distress in labour

Methods: The present study was conducted in the Department of Obstetrics and Gynecology, PMCH, Udaipur during the period of March 2015 to February 2016. The study group comprised of 50 clinically and sonographically proven cases of oligohydramnios in third trimester attending antenatal clinic and those admitted in antenatal ward and clean labour room at random.

Results: Maximum no. (72% of patients) were in age group of 20-25 years and only 2 patients were less than 20years of age. 68% cases were from urban and 32% were from rural areas, as urban population is more aware about prenatal care. higher incidence of oligohydramnios cases were belonging to lower and middle class families i.e. 44% and 40% respectively and only 8 patients were from upper socio-economic status.

Conclusion: it is suggested that for idiopathic oligohydramnios, intravenous aminoacid may prove useful in reducing maternal morbidity and perinatal morbidity and mortality and improving pregnancy outcome in developing countries.

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References

Sarah J. Kilpatrick MD, Ph.D Therapeutic interventions for oligohydramnios, amino-infusion and maternal hydration. Clinical obstetrics & Gynaecology Vol. 40, No.2 PP 328-36, 1997.

Hashimoto B. Filly RA, Beblon C, et al. Objective method of diagnosing oligohydramnios in post-term pregnancies. J. Ultrasound Med. 1987;6:81-84.

Fernando Arias 1998. Practical guide to high risk preg. and delivery. 2nd edition, pg. No. 153,310, 321-322.

Rutherford SE, Smith CV, Phelan JP, et al. Four quadrant assessment of amniotic fluid volume intra-observer and inter observer variation. J. Reprod. Med. 1987;32:587-589.

Vrunda Joshi-Shaila Sapre. Role of intravenous amino-acid infusion in cases of oligohy dr amnios in improving pregnancy outcome. J. Obs. and Gyn. of India, vol 51, No. 4 July-Aug, 2001, pg. 60-62.

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Published

26.03.2024

Issue

Section

ORIGINAL ARTICLES ~ Obstetrics & Gynaecology

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