Dr Mansi Shrigiriwar, Dr Shrikant Khandekar


BACKGROUND: To study the maternal and perinatal outcome in oligohydramnios of AFI(amniotic uid
index) ≤ 5 cm at term in low risk pregnancy
METHODS: A Prospective case control study consists of an analysis of pregnancy outcome in 102 cases with diagnosis of
oligohydramnios (≤5) after 37 to 41weeks6days completed is compared with 102 controls with pregnant women AFI>5.
RESULTS: There is increased chances of oligohydramnios with primigravida. The selected outcomes showed signicant
variations in both groups with increase rate of caesarean section, fetal distress, and NICU admission.
CONCLUSIONS: An amniotic uid index of ≤ 5 cm detected after 37 completed weeks of gestation is an indicator of maternal
and poor perinatal outcome. In method of fetal surveillance determination of AFI can be important


Perinatal Outcome, Oligohydramnios, A < 5 Cm, Maternal Outcome

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Taylor MF, Fisk NM. Hydramnios and oligohydramnios. In James DK, Steer PJ, Weiner CP, Gonik B, editors. High risk pregnancy, 3rd edition. Philadelphia: WB Saunder publications, 2006; 278-285.

Phelan JP, Ahn MO, Smith CV. et al, "Amniotic fluid index measurements during pregnancy". J Reprod Med, 1987; 32: 601-604

Manning FA, Hill LM, Platt LD. "Qualitative amniotic fluid volume determination by ultrasound in antepartum detection of intrauterine growth retardation". Am J Obst Gynaecol 1981; 139: 254-258.

Ever HF. Comparalibity of amniotic fluid index and single deepest pocket measurements in clinical practice. Aus NJ J Obs and Gynecol. 2003; 43:75-7

Volent E, Llimi G. Alteration of amniotic fluid and neonatal outcome. Acta Biomed. 2004; 75(1):71-5

Nicolini U, Fisk NM, Rodeck CLI. Low amniotic pressure in oligohydramnios- Is this cause of pulmonary hypoplasia. Am J Obstet Gynecol. 1989; 161(5):1098101]

Ever HF. Comparalibity of amniotic fluid index and single deepest pocket measurements in clinical practice. Aus NJ J Obs and Gynecol. 2003; 43:75-7]

William M.G. Amniotic fluid disorders. In Jennifer R.N, Joe L.S, Henry G, Eric M.J, Laura G, editors. Obstetrics normal and problem pregnancies, 7th edition. Elsevier publications 2016.

Everett F, Magan, Dorota A, Doherty, Karan Field Et al. “Biophysical profile with amniotic fluid volume assessments.” Journal of the American college of obstetricians and Gynecologists, 2004;104:5-10

Windrim R, Bennett K, Mundle W, Young DC. “Oral administration of misoprostol for labor induction : A randomized controlled trial” J Obstetrics and gynecology ;1997, vol. 89, pp. 392-397.

Casey BM, McIntire DD, Bloom SL, Lucas MJ, Santos R, Twickler DM, Remus RM. “ pregnancy outcomes after ante partum diagnosis of oligohydramnios at or beyond 34wks of gestation”. Am J Obstet Gynecol 2000; 182: 909-920.

Sriya R, Singhai S. Perinatal outcome in patients with amniotic fluid index ≤5cm. J Obstet Gynecol India. 2001;51:98-100.

Mangal Puri, Kanika Sharma, IJMHR ISSN: 2454-9142 Volume 3; Issue 11; November 2017; Page No. 129-134 “Low amniotic fluid index and intranatal and perinatal outcome in term pregnancy “

Patel PK, Pitre DS, Gupta H, “Pregnancy outcome in isolated oligohydramnios at term”. Ntl J of Community Med 2015; 6(2):84-88.

Preshit Chate, Meena Khatri, C. Hariharan “Pregnancy outcome after diagnosis of oligohydramnios at term” International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Obstet Gynecol. 2013 Mar;2(1):23-26

Kaur P et al.” A study on the perinatal outcome in cases of oligohydramnios ” Int J Reprod Contracept Obstet Gynecol. 2016 Jan;5(1):98-109 pISSN 2320-1770 | eISSN 2320-1789 DOI:

Vibha Moses, Sarita Thakre” A study of maternal and fetal outcome in third trimester diagnose case of oligohydramnios” Moses V et al. Int J Reprod Contracept Obstet Gynecol. 2016 Sept;5(9):2944-2948 DOI:

Maha M. Al-bayat” Amniotic Fluid Index as a Predictor of Perinatal Outcome in Patients with Prolonged Pregnancy” Iraqi J. Comm. Med. Jul. 2008 Vol. (3) P 216-219.

Tamiru Minwuye , Zelalem Mengistu1 and Simegnaw Handebo, “Severe Oligohydramnios at term pregnancy and associated factors among pregnant women “Acta Scientific Women's Health” Volume 1 Issue 2 July 2019

Jagatia K, Singh N, Patel S. Maternal and fetal outcome in oligohydramnios: A study of 100 cases. Int J Med Sci Public Health 2013; 2:724-727. DOI:10.5455/ijmsph.2013.070520132

Ghosh R et al” Maternal and fetal outcome in oligohydramnios: study from a tertiary care hospital”. Int J Reprod Contracept Obstet Gynecol. 2018 Mar;7(3):907-910 pISSN 2320-1770 | eISSN 2320-1789 DOI:

Sowmya K “Effect of isolated oligohydramnios in otherwise normal term Pregnancy” International Journal of Biomedical Research ISSN: Journal DOI:10.7439/ijbr CODEN:IJBRFA IJBR (2014) 05 (02)

Gaikwad PR et al. Perinatal outcome in oligohydramnios and borderline amniotic fluid index: a comparative study “Int J Reprod Contracept Obstet Gynecol. 2016 Jun;5(6):1964-1968 pISSN 2320-1770 | eISSN 2320-1789 DOI:

Chandra P, Kaur SP, Hans DK, Kapila AK. The impact of amniotic fluid volume assessed intrapartum on perinatal outcome. Obstet Gynaecol Today 2000;5:478-81


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