Relationship between APGAR at the minute and oligohydramnios in term pregnant women treated at the hospital
DOI:
https://doi.org/10.18041/2390-0512/biociencias.1.7834Keywords:
APGAR, oligohydramnios, low birth weightAbstract
Objective: To determine the relationship between minute APGAR and the presence of oligohydramnios in full-term pregnant women attended at the Niño Jesús Hospital in Barranquilla during the period 2018 to 2019. Materials and methods: Descriptive, cross-sectional, retrospective study, case series type. 203 pregnant women who were treated at the Niño Jesús Hospital, with term pregnancy and ultrasound diagnosis of oligohydramnios (ILA less than or equal to 5 cm), during the years 2018 and 2019 were included. Sociodemographic and gyneco-obstetric variables were related to the APGAR and ILA and results were compared using Chi2 and Fisher's test. Results: The average age of the participants was 23.6 years (SD +/-: 5.7); 48.8% came from municipalities in the Atlántico department and 18.2% from Venezuela; 48.3% had an ILA of 4 to 4.9 and 8.4% had APGAR at one minute less than 7; 4.9% had products with low birth weight; 15.3% of those with ILA from 1 to 3 had APGAR less than 7, compared to 5.6% of those with ILA from 4 to 5 (Chi2: 5.13; p: 0.024). Likewise, 40% of those with low birth weight had APGAR <7 in contrast to 6.7% of those with normal-weight products (Fisher: 0.005). Conclusion: A directly proportional relationship was found between the ILA value and the APGAR results per minute, and this relationship should be analyzed through a case-control study.Similarly, it was deduced that the safest lower level of amniotic fluid with which less adverse perinatal results can occur, such as perinatal asphyxia, is with an ILA equal to or greater than 4 cm.
Downloads
References
Cunningham F, Leveno K, Bloom S, Spong C, Dashe J, Hoffman B, Sheffield J. (2016). Obstetricia de Williams. McGraw Hill Brasil.
Kehl S, Schelkle A, Thomas A, et al. Single deepest vertical pocket or amniotic fluid index as evaluation test for predicting adverse pregnancyoutcome (SAFE trial): a multicenter, open-label, randomized controlled trial. Ultrasound Obstet Gynecol. 2016;47(6):674-679.
Petrozella L, Dashe J, McIntire D, Leveno K. Clinical Significance of Borderline Amniotic Fluid Index and Oligohydramnios in Preterm Pregnancy. Obstetrics & Gynecology, 2011; 117(2 Pt1):338-42.
Bansal D, Deodhar P. A clinical study of maternal an dperinatal outcome in oligohydramnios. J Res Med Dent Sci 2015; 3(4): 312-6.
Jandial C, Gupta S, Sharma S. Perinatal outcome after antepartum diagnosis of oligohydramnios at or beyond 34 weeks gestation. J Sci 2007; 9(4): 213- 4.
Asnafi N, Bouzari Z, Mohammadnetadj M. Oligohydramnios and Pregnancy Outcome: Ten-Year Review. IBBJ Winter. 2015;1(1).
Chate P, Khatri M, Hariharan C. Pregnancy outcome after diagnosis of oligohydramnios at term. Int J Reprod Contracept Obstet Gynaecol. 2013;2(1):23-26.
Jagatia k, Singh N, Patel S. Maternal and fetal outcome in oligohydramniosStudy of 100 case. Int J Med Sci Public Health. 2013;2(3):724-727.
Chauhan SP, Sanderson M, Hendrix NW, Magann EF. Perinatal outcome and amniotic fl uid index in the antepartum and intrapartum periods: a meta-analysis. Am J ObstetGynecol 1999; 181: 1473- 8.
Álvarez-Zapata E, González-Hernández L, Jiménez-Arango N, Zuleta-Tobón J. Cumplimiento inadecuado de las recomendaciones para el proceso de la inducción del trabajo de parto como desencadenante de la cesárea en mujeres con embarazo simple a término. Estudio descriptivo. Revista Colombiana de Obstetricia y Ginecología, 2019; 70(2): 103-114.
Mendoza Tascón L, Gómez Giraldo D, Gómez Giraldo D, Osorio Ruíz M, Villamarín Betancourth, E, Guatibonza A, Deyfilia M. Determinantes biológicos de mortalidad neonatal, en una población de mujeres adolescentes y adultas de un hospital en Colombia. Revista chilena de obstetricia y ginecología, 2017; 82(4): 424-437.
Reddy G, Pranitha P. Maternal and perinatal outcome in oligohydramnios at and after 34 weeks of gestation. IOSR J Dental Med Sci, 2018; 17(2): 64-8.
Qadir M, Amir S. Fetomaternal outcome of oligohydramnios–a clinical study in a tertiary care hospital of Peshawar. Pak J Surg, 2017; 33(4): 306-310.
Tripathi M, Gurung T, Ghale T, Gurung B, Pandit C, Shrestha R, Sherchan K. Pregnancy Outcome in Women Having Oligohydramnios in Gandaki Medical College Teaching Hospital, Pokhara, Nepal. Journal of Gandaki Medical College-Nepal, 2019; 12(1), 1-4.
Chidanandaiah S, Chandrashekhar K, Gaddi S, Tharihalli C Pregnancy outcome after diagnosis of oligohydramnios at term. Int J Reprod Contracept Obstet Gynecol. 2013 Mar;2(1):23-26
Nankali, A., Hematti, M., & Talebi, A. Fetomaternal Outcomes in Cases of Term Oligohydramnios. Scient open acces, 2017; 3 (1): 37-42.
Sante-Farfán G, Silva-Rado E. Oligohidramnios en el Hospital Regional Hipólito Unanue: Tacna 2013-2015. Acta médica peruana, 2016; 33(2), 165-166.
Munn MB. Management of oligohydramnios in pregnancy. Obstet Gynecol Clin North Am. 2011;38(2):387-95
Harman C. Amniotic fluid abnormalities. Semin Perinatol. 2014;32(4):288-294.
Reddy G, Pranitha P. Maternal and perinatal outcome in oligohydramnios at and after 34 weeks of gestation. IOSR J Dental Med Sci, 2018; 17(2): 64-8.
Jagatia K, Singh N, Patel S. Maternal and fetal outcome in oligohydramnios: A study of 100 cases. Int J Med Sci Public Health 2013; 2:724- 727
Madhavi K, Rao PC. Clinical Study of oligohydramnios, mode of delivery and perinatal outcome. IOSR Journal of Dental and Medical Sciences. 2015;14 (4):6-11.
Chate P, Khatri M, Hariharan C. Pregnancy outcome after diagnosis of oligohydramnios at term. Int J Reprod Contracept Obstet Gynecol, 2013; 2(1): 23-6.
Grubb D, Paul R. Amniotic fluid index and prolonged antepartum fetal heart rate decelerations. Obstetrics and gynecology, 2002; 79(4): 558-560.
Chauhan S, Magann E, Perry K, Morrison J. Intrapartum amniotic fluid index and two-diameter pocket are poor predictors of adverse neonatal outcome. Journal of perinatology: official journal of the California Perinatal Association, 1997; 17(3): 221-224.
Patel P, Pitre D, Gupta H. Pregnancy outcome in isolated oligohydramnios at term. Ntl J of Community Med, 2015; 6(2): 84-88.
Sriya R, Singhai S, Rajan M. Perinatal outcome in patients with amniotic fluid index< 5cm. J Obstet Gynaecol India, 2001; 51(5): 98-100.
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Biociencias

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
-
Reconocimiento — Debe reconocer adecuadamente la autoría, proporcionar un enlace a la licencia e indicar si se han realizado cambios<. Puede hacerlo de cualquier manera razonable, pero no de una manera que sugiera que tiene el apoyo del licenciador o lo recibe por el uso que hace.
-
NoComercial — No puede utilizar el material para una finalidad comercial.
-
CompartirIgual — Si remezcla, transforma o crea a partir del material, deberá difundir sus contribuciones bajo la misma licencia que el original.
- No hay restricciones adicionales — No puede aplicar términos legales o medidas tecnológicas que legalmente restrinjan realizar aquello que la licencia permite.