ROLE OF ANTEPARTUM TRANSABDOMINAL AMNIOINFUSION IN OLIGOHYDRAMNIOS IN PERINATAL MORTALITY AND MORBIDITY-A PRSOPECTIVE, COMPARATIVE HOSPITAL BASED STUDY
Dr. Shabir Ahmad Bhat, Dr. Nisar Ul Hassan, Dr. Shadab Maqsood and *Dr. Iqubal Hussain Dar
ABSTRACT
Background: To determine the usefulness of antepartum transabdominal amnioinfusion in oligohydramnios and reduction in perinatal mortality and morbidity. Methods: A prospective, hospital-based study of 260 subjects. 130 pregnant women subjected to transabdominal infusion and 130 pregnant females with some gestational age were studied as control group, diagnosed as cases of oligohydramnious on the basis of clinical examination and ultrasonography. Results: Mean gestational age in the studied subjects and controls was 29.98 and 30.16 years, respectively. Among the study group, mean amniotic fluid index (AFI) was 4.01cm and 12.49cm before and after the amnioinfusion, respectively, carrying high statistical significance, spontaneous labour was more pronounced in the study group compared to controls (36.92% vs. 16.92%). The neonatal deaths were for lesser (3.07%) in the study group compared to 18.46% in the control group, carrying very high statistical significance (p=0.007526). Conclusion: Antepartum transabdominal amnioinfusion in oligohydramnious increases patient outcome and deeds to definite reduction in perinatal mortality, demanding further research among large study samples.
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