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Dr. Gayatri A
GUIDE:
Dr. Nagarathnamma
M.S.OBG
1. NAME
: GAYATRI.A
2. ADDRESS
: MS OBSTETRICS AND
GYNECOLOGY
: 28.05.2013
(2)
. The prevalence
depends largely upon the definition and criteria used for oligohydramnios and the population
studied. The common etiological factors associated with oligohydramnios are ruptured
membranes, congenital abnormalities and placental insufficiency. It is thought to be
associated with increased maternal and fetal morbidities. The perinatal morbidity and
mortality is due to a high risk of caesarean deliveries for mothers due to fetal distress, low
APGAR scores and meconium aspiration syndrome in the fetus. The possible explanation of
the increased Perinatal Morbidity and Mortality could be due to umbilical cord compression,
potential utero-placental insufficiency and the increased incidence of meconium stained
amniotic fluid and oligohydramnios. (1,2,3,4)
RISKS ASSOCIATED WITH OLIGOHYDRAMNIOS(1,2,3,4)
MATERNAL
FETAL
Proloned labour
Abortion
Malpresentation
Cesarean delivery
Septicemia
Instrumental delivery
Cord compression
Perinatal mortality
fluid volume (AFV) in patients with oligohydramnios and also prevents occurrence of
oligohydramnios in patients with IUGR and normal liquor volume.result showed
Oligohydramnios may be responsible for malpresentations, umbilical cord compression,
concentration of meconium in the liquor and difficult or failed external cephalic version.
Simple maternal hydration appears to increase amniotic fluid volume and may be beneficial
to reduce some of these problems.(7)
delivery, neonatal APGAR scores, birth weight and admission in Neonatal intensive care unit
(NICU).(5,6,7)
Multiple gestation
PROM
AFI<2cm
9. STATISTICAL ANALYSIS:
9.1 DESIGN OF STUDY: Obsesrvational Study
9.2 SAMPLING METHOD: Purposive sampling
9.3 DURATION OF STUDY: November 2013- March 2015
9.4 METHOD OF ANALYSIS: Paired t test
Data collected will be analyzed using descriptive statistics namely Mean and Standard
Deviation wherever necessary, results will be depicted in the form of tabular and graphical
representation. If necessary, for comparative purpose percentage can be used.
10.4
LIST OF REFERENCES
1. Mudaliar AL, Krishna Menon MK. Sarala Gopalan, Vanita Jain, editors. Mudaliar
And Menons Clinical Obstetrics . Tenth Edition. Chennai: Orient Longman Pvt Ltd;
2007. ISBN-13: 9788125028703
2. Ian Donald. Renu Misra MS, editor.Ian Donalds Practical Obstetric Problems. Sixth
Edition. New Delhi:BI PublicationsPvt Ltd; 2012 ISBN-13:978-81-7225-238-0
3. Gary Cunningham F, Kenneth J Leveno , Steven L Bloom, John C Hauth, Dwight J
Rouse, Catherine Y Spong, editors. Williams Obstetrics. 23rd Edition.
The McGraw - Hill Companies;2010. ISBN 978-0-07-149701-5
4. Dutta D C. Hiralal Konar, Editor. Text Book Of Obstetrics including perinatology and
contraception. Sixth Edition.Calcutta: New Central Book Agency; 2004. ISBN13: 978-8173811425
5. Fozia Umber , Ahmed Wasim Yusuf .Intravenous Amino Acids in Third Trimester
Isolated Oligohydramnios. Annals of King Edward Medical University.2011;
17( 2):140-44.
8. Krishna Jagatia, Nisha Singh, Sachin Patel. Maternal and fetal outcome in
oligohydramnios : a study of 100 cases. International Journal of Medical Science and
Public Health. 2013; 2(3): 476-477. DOI:10.5455/ijmsph.2013.070520132.
12. REMARKS OF THE GUIDE: Being a tertiary care centre, we are getting good
number of High Risk Pregnancy cases specially Oligohydramnios.This study will be of
great help to compare the outcomes after treatment with hyperalimentation and to decide
at right time and plan for delivery at the earliest so that major maternal & perinatal
mortality and morbidity can be prevented.
Dr. NAGARATNAMMA
PROFESSOR AND HOD
DEPARTMENT OF OBSTETRICS
AND GYNAECOLOGY
RAJA RAJESHWARI MEDICAL
COLLEGE, BANGALORE
SIGNATURE:
14. HEAD OF DEPARTMENT:
Dr.NAGARATNAMMA
PROFESSOR AND HOD
DEPARTMENT OF OBSTETRICS
AND GYNAECOLOGY
RAJA RAJESHWARI MEDICAL
COLLEGE, BANGALORE
SIGNATURE
15. REMARKS OF THE CHAIRMAN AND PRINCIPAL
SIGNATURE
ETHICALCOMMITTEE CLEAREANCE
1.
TITLE OF
DISSERTATION
2.
NAME OF THE
CANDIDATE
Dr.GAYATRI A
3.
4.
APPROVED/NOT
APPROVED
YES
SUPERINTENDENT
Raja rajeswari medical college and hospital
Bangalore
APPENDIX I
INI
TIA
LS
CONSENT FORM
STUDY TITLE
Pregnancy outcomes after Diagnosis of Oligohydramnios and Treatment with
Intravenous Hyperalimentation at RRMCH.
1. I have been explained and have understood the procedures involved in the study
2. I confirm that I have read and understand the information sheet for the above study.
3. I have had the opportunity to consider the information, ask questions and have had
these answered satisfactorily.
4. I understand that my participation is voluntary and that I am free to withdraw at any
time, without giving any reason, without my medical care or legal rights being
affected.
5. I understand that relevant sections of any of my medical notes and data collected
during the study may be looked at by responsible individuals from [Raja rajeshwari
Medical College], where it is relevant to my taking part in this study. I give
permission for these individuals to have access to my records.
6. I agree to take part in the above study.
Signature of subject
Date:
Date