| The amniotic fluid is a protective liquid present in the amniotic sac.Two types of amniotic fluid disorders have been
identified. First refers to polyhydramnios, which is an immoderate volume of amniotic fluid with an Amniotic Fluid Index
(AFI) greater than 24 cm. Second includes oligohydramnios, i.e., less than 5 cm. The main objective is to study on
incidence of normal, decrease amniotic fluid in third trimester of pregnancy and its result. A prospective observational
study was carried out in obstetrics and gynecology hospital in SLIMS, Puducherry. 150 patients with gestational age from
30-40 weeks with Amniotic Fluid index AFI<5cms with intact membranes were analysed for perinatal outcome during the
period April 2021 to September2021. Out of 150 patients, 40% patients were reported to be with oligohydramnios. More
patients were reported in the age group of 24-26years. 73% of patients showed primigravida and 27% of patients showed
multigravida. 53% of people showed gestational period of 35-37weeks. All patients showed AFI ?25%.The incidence of
different risk factors in pregnancy included preeclampsia (27%) ,premature rupture (22%),gestational diabetes mellitus
(GDM) (10%), anemia (110%), and with non-maternal factors (25%). Lower Segment caesarian Section (LSCS) was done
in 95% of patients and 5% of patient’s undergone normal vaginal delivery. The LSCS was highly indicated due to
oligohydromnios in 50% of cases and its associated causes such as fetal distress 18.4%, intrauterine growth retardation
13.1%, malformation 16%and failed induction 2.6%. All 40 babies of oligohydramnios patient showed Appearance, Pulse,
Grimace,Activity, and Respiration (APGAR) score of above ?7 and associated fetal outcomes such as Respiratory Distress
Syndrome 27.5%, and Preterm 7.5%. The patients in primigravida are more prone to oligohydramnios with associated
factors such as GDM and anemia. In the third trimester, the complications resulting in the caesarian section was high in
order to improve the fetal outcome. Well timed screening for Amniotic fluid index (AFI) among intrapartum and
postpartum pregnancy, right antenatal checkup and way of life changes in patients enables to lessen the maternal chance
factors and enhance the fetal final resultsddd |
