Case Report on Oligohydramnios

Abstract

Introduction: Oligohydramnios is an extremely rare condition where there is a deficiency of liquor amnii
in the amount of less than 200Ml at the time of delivery. Sonographically, it is amaximum vertical pocket of
liquor is < 2 cm or the amniotic fluid index is < 5 cm (less than 5 percentiles) is specified.
Patient History: A 23years old ANC & 8months mother was admitted on 11.9.2019 with the complaints of
reduced fetal movements and abdominal discomfort.
Past History: Patient has history of blood transfusion 3months back and has history of cervical cerclage at
7months of pregnancy.
Clinical Findings: Reduced fetal movements, abdominal discomfort, leaking of the amniotic fluid, low
amniotic fluid on ultrasound, low maternal weight gain, pre labor rupture of membranes.
Investigations: Ultrasonography (AFI=5cm), Hb% - 9.1gm%, MCV-74, MCH-23.5pico/gm, HCT-28.5%,
Total WBC Count – 8000/cu.mm, Lymphocytes- 20%.
Surgical Management: Patient does not have any past surgical history.
Medical Management: Tab. AFI plus BD, L- Arginitrate sachet 5gm/BD/orally, Tab. iron OD, Tab. Calcium
OD.
Nursing Management: Assess both maternal and fetal conditions carefully, fetal heart rate and vital signs
should be assessed properly. During labor, an amnio-infusion should be given via intrauterine catheter.
Fluid should be administered via amniocentesis before giving birth. The level of amniotic fluid may help by
increasing the amount of oral fluid intake.
Conclusion: Patient was admitted to AVBRH and was diagnosed as oligohydramnios and got appropriate
treatment and her condition has improved.