Maternal and perinatal outcomes of oligohydramnios in late term and post term pregnancies at public hospitals in Ethiopia: a cross-sectional study
Abstract Background The prevalence of oligohydramnios ranges from 12 to 14% after 41 weeks to as high as 30% in post term pregnancies. Oligohydramnios poses a dilemma in the choice of mode of labor and delivery in a setup where there is lack of continuous electronic fetal monitoring during labor. Th...
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-024-02952-0 |
| _version_ | 1827326337453391872 |
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| author | Matiyas Asrat Shiferaw Ananya Solomon Sintayehu Getachew Wondimu Gudu |
| author_facet | Matiyas Asrat Shiferaw Ananya Solomon Sintayehu Getachew Wondimu Gudu |
| author_sort | Matiyas Asrat Shiferaw |
| collection | DOAJ |
| description | Abstract Background The prevalence of oligohydramnios ranges from 12 to 14% after 41 weeks to as high as 30% in post term pregnancies. Oligohydramnios poses a dilemma in the choice of mode of labor and delivery in a setup where there is lack of continuous electronic fetal monitoring during labor. The condition also puts the mother at risks of operative interventions and cesarean delivery. We aimed to asses the maternal and perinatal outcomes in pregnancies with oligohydramnios in late term and post term pregnancy in this study. Methods A cross-sectional study was conducted among mothers with diagnosis of oligohydramnios after 40+ 6 weeks of gestation at four hospitals at four public hospitals in Addis Ababa, Ethiopia from May 1, 2021 to September 30, 2021. Data were collected using structured questionnaire. Logistic regression were performed to assess factors associated with the adverse maternal and perinatal outcomes. Results From a total of 142 mothers with oligohydramnios in late term and post tem pregnancies, 40.8% delivered through cesarean section. Spontaneous labor and elective cesarean section were more likely to occurr in parous women (AOR 2.5, 95% CI 1.06–6.04, p = 0.04), but with less likely in those with secondary level education (AOR 0.13, 95% CI 0.02–0.74, p = 0.02). There was no statistically significant difference in adverse outcomes between those who had induction of labor and those who had either spontaneous labor or had elective cesarean section. Conclusions The adverse maternal and perinatal outcomes in late term and post term pregnancies with oligohydramnios may not be different among different modes of delivery. Induction of labor can be safe in these particular group of women with intermittent auscultation with fetoscope in a setup where continuous electronic fetal monitoring is not readily available. |
| first_indexed | 2024-03-07T14:42:59Z |
| format | Article |
| id | doaj.art-af133c2b93854800935ec523da40ed5d |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-03-07T14:42:59Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-af133c2b93854800935ec523da40ed5d2024-03-05T20:08:50ZengBMCBMC Women's Health1472-68742024-02-012411810.1186/s12905-024-02952-0Maternal and perinatal outcomes of oligohydramnios in late term and post term pregnancies at public hospitals in Ethiopia: a cross-sectional studyMatiyas Asrat Shiferaw0Ananya Solomon1Sintayehu Getachew2Wondimu Gudu3Department of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical CollegeDepartment of Obstetrics and Gynecology, Yekatit 12 Hospital Medical CollegeDepartment of Obstetrics and Gynecology, Ras Desta Damtew HospitalDepartment of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical CollegeAbstract Background The prevalence of oligohydramnios ranges from 12 to 14% after 41 weeks to as high as 30% in post term pregnancies. Oligohydramnios poses a dilemma in the choice of mode of labor and delivery in a setup where there is lack of continuous electronic fetal monitoring during labor. The condition also puts the mother at risks of operative interventions and cesarean delivery. We aimed to asses the maternal and perinatal outcomes in pregnancies with oligohydramnios in late term and post term pregnancy in this study. Methods A cross-sectional study was conducted among mothers with diagnosis of oligohydramnios after 40+ 6 weeks of gestation at four hospitals at four public hospitals in Addis Ababa, Ethiopia from May 1, 2021 to September 30, 2021. Data were collected using structured questionnaire. Logistic regression were performed to assess factors associated with the adverse maternal and perinatal outcomes. Results From a total of 142 mothers with oligohydramnios in late term and post tem pregnancies, 40.8% delivered through cesarean section. Spontaneous labor and elective cesarean section were more likely to occurr in parous women (AOR 2.5, 95% CI 1.06–6.04, p = 0.04), but with less likely in those with secondary level education (AOR 0.13, 95% CI 0.02–0.74, p = 0.02). There was no statistically significant difference in adverse outcomes between those who had induction of labor and those who had either spontaneous labor or had elective cesarean section. Conclusions The adverse maternal and perinatal outcomes in late term and post term pregnancies with oligohydramnios may not be different among different modes of delivery. Induction of labor can be safe in these particular group of women with intermittent auscultation with fetoscope in a setup where continuous electronic fetal monitoring is not readily available.https://doi.org/10.1186/s12905-024-02952-0OligohydramniosOutcomeLate term pregnancyPost term pregnancy |
| spellingShingle | Matiyas Asrat Shiferaw Ananya Solomon Sintayehu Getachew Wondimu Gudu Maternal and perinatal outcomes of oligohydramnios in late term and post term pregnancies at public hospitals in Ethiopia: a cross-sectional study BMC Women's Health Oligohydramnios Outcome Late term pregnancy Post term pregnancy |
| title | Maternal and perinatal outcomes of oligohydramnios in late term and post term pregnancies at public hospitals in Ethiopia: a cross-sectional study |
| title_full | Maternal and perinatal outcomes of oligohydramnios in late term and post term pregnancies at public hospitals in Ethiopia: a cross-sectional study |
| title_fullStr | Maternal and perinatal outcomes of oligohydramnios in late term and post term pregnancies at public hospitals in Ethiopia: a cross-sectional study |
| title_full_unstemmed | Maternal and perinatal outcomes of oligohydramnios in late term and post term pregnancies at public hospitals in Ethiopia: a cross-sectional study |
| title_short | Maternal and perinatal outcomes of oligohydramnios in late term and post term pregnancies at public hospitals in Ethiopia: a cross-sectional study |
| title_sort | maternal and perinatal outcomes of oligohydramnios in late term and post term pregnancies at public hospitals in ethiopia a cross sectional study |
| topic | Oligohydramnios Outcome Late term pregnancy Post term pregnancy |
| url | https://doi.org/10.1186/s12905-024-02952-0 |
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