Batool Asma, Sultana Mussarat, Sher Zaiba, Fayyaz Saadia, Sharif Ayesha, Faisal Nida
Department of Obstetrics and Gyneacology, Specialist care hospital, Islamabad, Pakistan.
Department of Obstetrics and Gyneacology, NESCOM hospital Islamabad, Pakistan.
Niger Med J. 2024 Jun 20;65(3):313-319. doi: 10.60787/nmj-v65i3-438. eCollection 2024 May-Jun.
Maintaining normal amniotic fluid index and normal hemoglobin level is crucial for normal fetal development. Their reduction can lead to maternal and fetal morbidity in the form of operative delivery and poor perinatal outcome such as, low birth weight. There is an association between oligohydramnios and anaemia, although there is scarcity on this correlation in literature. Early detection of oligohydramnios can improve maternal and perinatal outcome. This study aimed to investigate the association between oligohydramnios and anaemia during the third trimester of pregnancy.
This retrospective cohort study was conducted at NESCOM Hospital, Pakistan. The study spanned from August 1, 2021, to July 31, 2022.
The study included 109 pregnant individuals with oligohydramnios, resulting in an incidence of 22% among the total of 551 deliveries during the study period. The average age of participants was 29.75 years. The average gestational age was 33.52 weeks, with a range of 28 to 38 weeks. The analysis indicated that 44.03% of cases with oligohydramnios were associated with anaemia, followed by idiopathic causes (41.28%). Pearson's correlation revealed a significant association between oligohydramnios and anaemia (r = 0.307, p = 0.001), supporting the hypothesis of a potential interconnection between these two conditions. Regarding delivery outcomes, 81.6% underwent cesarean section, emphasizing the need for careful management in cases of oligohydramnios and anaemia. Neonatal outcomes indicated that 1.8% and 44.5% of neonates were extremely low birth weight and low birth weight, respectively.
This study provides empirical evidence supporting a significant association between oligohydramnios and anaemia in the third trimester.
维持正常羊水指数和正常血红蛋白水平对胎儿正常发育至关重要。它们的降低会导致以手术分娩形式出现的母婴发病情况以及不良围产期结局，如低出生体重。羊水过少与贫血之间存在关联，尽管文献中关于这种相关性的研究较少。早期发现羊水过少可改善母婴和围产期结局。本研究旨在探讨妊娠晚期羊水过少与贫血之间的关联。
这项回顾性队列研究在巴基斯坦的NESCOM医院进行。研究时间跨度为2021年8月1日至2022年7月31日。
该研究纳入了109例羊水过少的孕妇，在研究期间的551例分娩中，发病率为22%。参与者的平均年龄为29.75岁。平均孕周为33.52周，范围为28至38周。分析表明，44.03%的羊水过少病例与贫血有关，其次是特发性原因（41.28%）。Pearson相关性分析显示羊水过少与贫血之间存在显著关联（r = 0.307，p = 0.001），支持了这两种情况之间可能存在相互联系的假设。关于分娩结局，81.6%的孕妇接受了剖宫产，这强调了在羊水过少和贫血病例中进行仔细管理的必要性。新生儿结局表明，分别有1.8%和44.5%的新生儿为极低出生体重和低出生体重。
本研究提供了实证证据，支持妊娠晚期羊水过少与贫血之间存在显著关联。
