THE OBSTETRIC OUTCOMES OF OLIGOHYDRAMNIOS IN FULL-TERM PREGNANCIES AT CAN THO CENTRAL GENERAL HOSPITAL IN 2023 - 2024

Tóm tắt

Background: Oligohydramnios is a crucial maternity issue that increases the risk factors for fetal distress and difficult delivery. Objectives: To describe the clinical and subclinical features of oligohydramnios and to evaluate the pregnancy outcomes in full-term pregnancies with oligohydramnios at Can Tho Central General Hospital. Materials and methods: The study used a cross-sectional descriptive design involving 50 pregnant women diagnosed with oligohydramnios at Can Tho Central General Hospital from July 2023 to December 2024. Results: 3.27% of pregnant women were diagnosed with oligohydramnios. The average age of the pregnant women studied was 27.32 ± 7.4 years old. The majority were < 35 years old, with 82%. The group with amniotic fluid index of 3-5 cm accounted for 76%, and the group with amniotic fluid index of < 3 cm accounted for 24%. The rate of caesarean section and vaginal delivery accounted for 82% and 18%, respectively. The indication for caesarean section is due to fetal distress, accounting for 70.7%. The mean birth weight was 2850 ± 407.7 g. The rate of newborns with an Apgar score at 1 minute less than 7 was 8%. There was an association between an Apgar score at 1 minute and the degree of oligohydramnios (p < 0.05). Conclusion: Oligohydramnios, though not highly prevalent, pose diagnostic challenges due to nonspecific clinical symptoms and is only detectable via ultrasound. Its impact on pregnancy outcomes is significant and potentially severe. Therefore, regular prenatal checkups and early detection are crucial for timely intervention to minimize complications for both mother and infant.