- Specifities of delivery methods of pregnant with oligohydramnios
Specifities of delivery methods of pregnant with oligohydramnios
HEALTH OF WOMAN. 2017.9(125):65–68; doi 10.15574/HW.2017.125.65
Aliyeva L. I., Aliyeva E. M., Ismaylova A. D., Akhmedova T. N.
Azerbaijan Medical University, Baku
The objective: to study the rate of different obstetric pathologies followed by oligohydramnios, and to determinate the specifities of delivery methods in pregnant with oligohydramnios.
Materials and methods. There was done the retrospective analysis of 100 birth histories of pregnant with oligohydramnios. Эt was confirmed, that the cause for oligohydramnios in 54% of cases was premature rupture of membranes (PROM), in 10% of cases intrauterine growth restriction (IUGR), dead fetus – in 19%, congenital abnormalities of the fetus in 8% and moderate and severe preeclampsia in 9% cases.
The rate of the spontaneous labor was 57%; 12% of labors was induced and 37% ended by cesarean section.
Results. The study showed that spontaneous labor (n=51) resulted in 47% of cases with very early labor, 41.1% of cases with early premature labor, and 11.8% with premature labor. In case of induced labor (n=12), the main indication for labor induction were dead fetus (n=9), and congenital abnormalities of the fetus (n=3). In 83.3% of cases induction of the labor was perfomed in 22-28, in 16% of cases in 29-31 weeks of gestation.
Conclusion. The rate of cesarean delivery in pregnant with oligohydramnios was 37%. The main indications for cesarean birth were: dead fetus, uterine car – 100%, severe preeclampsia – 18.2%, PROM – 13.2%, and breach presentation and acute hypoxia in 12.1% of cases. So, pregnant with oligohydramnios are in risk group for premature birth.
Key words: oligohydramnios, dead fetus, premature rupture of membranes, congenital abnormalities of the fetus, premature birth.
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