Conference abstract
Prevalence, risk factors, maternal and perinatal outcomes of women with oligohydramnios in third trimester of pregnancy delivered at KCMC Hospital
Pan African Medical Journal - Conference Proceedings. 2024:21(62).29
Apr 2024.
doi: 10.11604/pamj-cp.2024.21.62.2393
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Prevalence, risk factors, oligohydramnios, third trimester, pregnancy
Oral presentation
Prevalence, risk factors, maternal and perinatal outcomes of women with oligohydramnios in third trimester of pregnancy delivered at KCMC Hospital
Upendo Tulinagwe Kibona1,&, Bariki Mchome2, Raziya Gaffur2, Joseph Mlay2, Benjamin Shayo3, Patricia Swai2, Olola Oneko2, Eusebious Maro2, Lacatus Nyombi2, Novacatus Chuma2, Pendo Samwel Mlay2
1Department of Obstetrics and Gynecology, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania, 2Baylor College of Medicine, Lilongwe, Malawi obstetrics and gynecologist, Lilongwe, Malawi
&Corresponding author
Introduction: oligohydramnios is defined by reduced amniotic fluid volume (AFV) that surrounds the fetus. It presents a threat to the fetus and has been correlated with an increased risk of perinatal mortality. The magnitude of this condition and its outcomes have not been well described in Tanzania, where ultrasound use to diagnose this condition is limited.
Methods: hospital-based analytical cross-sectional survey conducted from September 2022 to February 2023, the study group was those with amniotic fluid index of ≤ 5 cm, and the control group had amniotic fluid index of 8-24.9 cm. Obstetric ultrasound performed by an expert radiologist. We excluded those with known rupture of membranes confirmed by sterile speculum examination and congenital malformations of the fetus. Maternal and perinatal outcomes after delivery were extracted and analyzed using Stata version 15
Results: enrolled 381 participants, 70 (18.3%) had oligohydramnios. The majority (76.11%) had age group 20-34 years. Pre-eclampsia (OR=5.77, 95% CI: 3.25-10.22) eclampsia (OR=4.56, 95% CI: 1.11-18.76) Gestational diabetes (OR=2.93, 95% CI: 1.17-7.35) were significant associated with oligohydramnios. Cesarean section rate was high (67.3 %) those with vaginal delivery, induction of labor was (91.3%), birth weight less than 2.5 kg was (65.71%), NICU admission (37.14%), pre-term birth (58.57%), and Apgar score less than 7 at 5th minutes (40%).
Conclusion: Oligohydramnios was associated with preeclampsia, eclampsia, gestational diabetes, higher rate of cesarean section, induction of labor, and adverse perinatal outcomes. Every case of oligohydramnios requires careful antepartum and intrapartum assessment using ultrasonography and timely management.
Prevalence, risk factors, maternal and perinatal outcomes of women with oligohydramnios in third trimester of pregnancy delivered at KCMC Hospital
Upendo Tulinagwe Kibona1,&, Bariki Mchome2, Raziya Gaffur2, Joseph Mlay2, Benjamin Shayo3, Patricia Swai2, Olola Oneko2, Eusebious Maro2, Lacatus Nyombi2, Novacatus Chuma2, Pendo Samwel Mlay2
1Department of Obstetrics and Gynecology, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania, 2Baylor College of Medicine, Lilongwe, Malawi obstetrics and gynecologist, Lilongwe, Malawi
&Corresponding author
Introduction: oligohydramnios is defined by reduced amniotic fluid volume (AFV) that surrounds the fetus. It presents a threat to the fetus and has been correlated with an increased risk of perinatal mortality. The magnitude of this condition and its outcomes have not been well described in Tanzania, where ultrasound use to diagnose this condition is limited.
Methods: hospital-based analytical cross-sectional survey conducted from September 2022 to February 2023, the study group was those with amniotic fluid index of ≤ 5 cm, and the control group had amniotic fluid index of 8-24.9 cm. Obstetric ultrasound performed by an expert radiologist. We excluded those with known rupture of membranes confirmed by sterile speculum examination and congenital malformations of the fetus. Maternal and perinatal outcomes after delivery were extracted and analyzed using Stata version 15
Results: enrolled 381 participants, 70 (18.3%) had oligohydramnios. The majority (76.11%) had age group 20-34 years. Pre-eclampsia (OR=5.77, 95% CI: 3.25-10.22) eclampsia (OR=4.56, 95% CI: 1.11-18.76) Gestational diabetes (OR=2.93, 95% CI: 1.17-7.35) were significant associated with oligohydramnios. Cesarean section rate was high (67.3 %) those with vaginal delivery, induction of labor was (91.3%), birth weight less than 2.5 kg was (65.71%), NICU admission (37.14%), pre-term birth (58.57%), and Apgar score less than 7 at 5th minutes (40%).
Conclusion: Oligohydramnios was associated with preeclampsia, eclampsia, gestational diabetes, higher rate of cesarean section, induction of labor, and adverse perinatal outcomes. Every case of oligohydramnios requires careful antepartum and intrapartum assessment using ultrasonography and timely management.
