The effects of oligohydramnios on perinatal outcomes after preterm premature rupture of membranes
Author(s) -
Subhashini Ladella,
David E. Lee,
Fatemeh Abbasi,
Brian Morgan
Publication year - 2021
Publication title -
perinatal journal
Language(s) - English
Resource type - Journals
ISSN - 1305-3124
DOI - 10.2399/prn.21.0291005
Subject(s) - oligohydramnios , medicine , amniotic fluid index , chorioamnionitis , obstetrics , premature rupture of membranes , neonatal intensive care unit , amniotic fluid , apgar score , pregnancy , fetus , pediatrics , biology , genetics
Objective Amniotic fluid plays a vital protective role in fetal growth and development. Low amniotic fluid index (AFI) during pregnancy increases risk of adverse perinatal outcomes. Prior studies reported association of oligohydramnios (AFI 5 cm (p<0.007). The mean neonatal Apgar scores at 1 and 5 minutes (5.2 and 7.4 respectively) were lower in the AFI<5 cm group compared to AFI≥5 cm (6.9 at 1 minute and 8.4 at 5 minutes, p<0.001). Conclusion Oligohydramnios after PPROM is associated with adverse perinatal outcomes such as lower Apgar scores and longer LOS in the NICU. No association was observed with latency period and chorioamnionitis.
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