A Prospective Analysis of Maternal and Fetal Outcomes in Term Pregnancies Complicated by Oligohydramnios at Bundelkhand Medical College.

BACKGROUND

Oligohydramnios in term pregnancies is associated with adverse perinatal outcomes and often necessitates early intervention. This study aims to assess maternal and fetal outcomes in such cases.

METHODS

A prospective observational study was conducted on 150 term pregnant women with an amniotic fluid index (AFI) ≤ 5 cm. Maternal demographics, mode of delivery, complications, and neonatal outcomes were recorded and analyzed.

RESULTS

Of the 150 participants, 65.3% underwent cesarean section due to fetal distress and meconium-stained liquor. Neonatal complications included Apgar scores < 7 at 1 minute in 12% and NICU admission in 20% of cases. Low birth weight (<2.5 kg) was observed in 28% of neonates. No maternal mortality was reported.

CONCLUSION

Oligohydramnios at term is significantly associated with increased operative delivery and neonatal morbidity. Routine AFI monitoring and timely intervention can improve outcomes in resource-limited settings.