A Study of Pregnancies Complicated by Decreased Amniotic Fluid with Maternal and Fetal Outcome in Combined Military Hospital Dhaka

Introduction: Decreased amniotic fluid volume below the normal range expected for gestational age is a challenging entity encountered by obstetricians. Normal of Amniotic Fluid Index (AFI) 8-20cm. quantitative estimation seen and measured ultrasonography during pregnancy. AFI sum deepest vertical pocket fluid, excluding fetal parts umbilical cord, in four quadrants between maternal midline vertically transverse line half way pubic symphysis uterine fundus. has different etiology, pathophysiology, presentation effect on fetomaternal outcome. Objectives: To assess incidence, aetiology, time mode delivery as well to evaluate outcome associated with decreased fluid. Materials Methods: Prospective observational study was carried out among 60 cases pregnancy at 3rd trimester index admitted Department Obstetrics Gynaecology, Combined Military Hospital, Dhaka Bangladesh from October 2012-March 2013. determined quadrant technique admission. Variables used are parity, age, AFI, colour etiology delivery. Neonatal variables were birth weight, APGAR scores Iand 5 minutes admission neonatal intensive care unit. Results: This showed that 6% patients presented Among them 42% borderline 58% severe oligohydramnios. Termination caesarean section high especially oligohydramnios 29 34. High rate primarily due distress 60%. There no morbidity but there 32% morbidity. Conclusion: significant or other than increased section, however mainly asphyxia, others sepsis meconium aspiration syndrome. JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 67-70