Abstract
Oligohydramnios is defined as a disorder of amniotic fluid which resulting in decreased amniotic fluid volume for certain gestational age. It also have some effects on maternal health. This condition may occur due to late pregnancies, ruptured membranes, placental dysfunction and fetal abnormalities which can lead to poor perinatal outcomes. There are so many methods available for antepartum and intrapartum surveillance of fetus. They are NST, VAST, doppler velocimetry, FAST, BPP, FHR tracing, foetal stimulation test and foetal scalp blood pH estimation. Even it is useful there are some advantages and disadvantages. Low amniotic fluid disorder is associated with an increased risk for fetal and neonatal death, which may be related to the underlying cause of the decreased AFI, AFV, the sequalae of reduced AFV, or both. AFI is preferred in sonographic evaluation because, it will assess the total amount of fluid in the cavity and not a single pocket. Oligohydramnios is a complication in approximately 4.4% of all pregnancies and severe oligohydramnios is a complication in 0.7% of pregnancies. Oligohydramnios is more common in pregnancies beyond term, as the AFV normally decreases at term. A prospective observational study conducted at maternal hospital with the sample size of 130 reveals perinatal outcome with decreased AFI results in birth asphyxia, NICU admission, low birth weight, umbilical cord compression, still birth, meconium stain, fetal distress, new born babies having low APGAR scores. Evaluation of Amniotic fluid index levels in 130 pregnant patients reveals AFI levels are low in 9% of the study population with the least value of 2cm. Following that 11% population are with 3cm AFI, 32% are with 4cm, 35% are with 5cm, 10% of population have 6cm AFI and finally 3% of population has 7cm AFI in our study. Although oligohydramnios in low-risk pregnancies is an abnormal finding, there is no enough data to determine the optimal timing of delivery to reduce the risk of adverse outcomes. Complicated pregnancies with oligohydramnios should be managed based on the comorbid conditions.