Thanka Mithra, M (2021) The Study of Doppler Changes in Oligohydramnios beyond 32 Weeks and the Associated Maternal and Fetal Outcome. Masters thesis, Kilpauk Medical College, Chennai.
Full text not available from this repository.Abstract
INTRODUCTION: Amniotic fluid plays a major role in the growth and development of the fetus. Amniotic fluid cushions the fetus against external injuries. It maintains the temperature and prevents the fetus from infection during antenatal period. During labour amniotic fluid purpose is to evenly spread the uterine contraction over the fetus. This most vital element which protects and aids in the delivery of the baby,when decreased is termed as oligohydramnios. AIM OF THE STUDY: The aim behind the study is to assess the Doppler changes associated with oligohydramnios beyond 32 weeks of gestation and its maternal and fetal outcome. OBJECTIVES: 1. To describe the doppler changes seen in oligohydramnios with amniotic fluid index less than 5 cm beyond 32 weeks of gestation. 2. To describe the maternal outcome- whether spontaneous vaginal delivery/induction of labour /instrumental delivery/cesarean section. 3. To analyse the fetal outcome at birth- normal neonate/low birth /IUGR/meconium stained liquor. MATERIALS & METHODS: This prospective study for the evaluation of Doppler changes in oligohydramnios beyond 32 weeks of gestation and the associated maternal and fetal outcome was undertaken at Government Kilpauk Medical College Hospital, Chennai in the Department of Obstetrics and Gynaecology during the year march 2020 to September 2020. Ethical committee clearance was obtained from our institute. RESULTS: The mean age in the study population was 24 years. Predominantly oligohydraminos was found in primigravida 50%. Predominant associated maternal complications with oligohydraminos were GHTN 22% and postdatism 18%. Abnormal Doppler changes were seen in 23%.Rate of induction of labour was 42%. Increased rate of caesarean among oligohydraminos were seen in 60%.Among the study population 42% had preterm deliveries. Among the babies delivered 14% had low APGAR . 32% of the babies needed NICU care and 2% needed ventilatory support. 4% of the babies died in the neonatal period. In my study it was seen that there is statistically significant association between abnormal Doppler changes and neonatal mortality and morbidity. CONCLUSION: The study therefore concludes that Doppler changes in oligohydramnios is a very good tool for the early diagnosis and management of fetal hypoxia. Doppler changes is more frequently encountered in patients with existing maternal complication like gestational hypertension, post datism when compared to isolated oligohydramnios. Hence every case of oligohydramnios needs careful and meticulous ante natal evaluation.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221816157 |
| Uncontrolled Keywords: | Doppler Changes, Oligohydramnios, beyond 32 Weeks, Associated Maternal and Fetal Outcome. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 03 Oct 2021 15:41 |
| Last Modified: | 03 Oct 2021 15:41 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/18472 |
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