Severe Oligohydramnios with Good Fetal Outcome
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Abstract
Amniotic fluid provides a protected milieu for the growing fetus , cushioning the fetus against mechanical and biological injury, supplying nutrients and facilitating growth and movement. Oligohydramnios is defined as a single pocket measuring 2 cm in both vertical and horizontal planes or AFI less than 5 cm. Incidence of oligohydramnios varies between 0.5 to gt; 5 %. Causes of oligohydramnios: #x2022; Maternal #x2013; postdated pregnancy, PPROM, hypertension, autoimmune disorders and maternal medications like prostaglandin synthetase inhibitors. #x2022; Fetal- IUGR, fetal anomalies particularly of renal tract. Most commonly associated include bilateral renal agenesis, multicystic dysplastic kidneys, bladder outlet obstruction and infantile polycystic kidney disease. #x2022; Other factors noted to affect are maternal hydration and fetal presentation. #x2022; As per some reports Change of Breech to cephalic presentation has shown increase in AFI.
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2019-05-15
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