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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255

Abstract

AMADOR DE VARONA, Caridad Irene; RODRIGUEZ FERNANDEZ, José Manuel; MARI PICHARDO, Antonio  and  VALDES DACAL, Sigfrido. Oligohydramnios: meter of fetal health. AMC [online]. 2013, vol.17, n.6, pp.121-128. ISSN 1025-0255.

Background: oligohydramnios, diagnosis added to the obstetric practice in the last decades, is an important cause of fetal mortality and has increased the indicator of Cesarean section. It is known that the fetal damage is proportional to the time of exposure of the fetus to the causes that provoke it. Objective: to determine the repercussions of the oligohydramnios in women with pregnancies of risk. Methods: a prospective, observational, descriptive study of the behaviour of the oligohydramnios was conducted from 2010 to 2012 at the Ana Betancourt de Mora Provincial Gynecological-Obstetric Teaching Hospital in Camagüey. The universe was composed of the pregnant women diagnosed with oligohydramnios. The data were collected by means of a survey, according to the objectives and purposes of the research; the primary data were obtained from the register of the Imagenology department and from the patients’ charts. In the statistical analysis a variables relation was applied and a statistical provability was found for which Microsoft Word and Microsoft Excell for Windows 98 were used. Results: over the years, the number of inductions increased and normal childbirths prevailed, being 2454 of a total of 4199 inductions. On the other hand, abnormal childbirths, in this type of beginning the labor, were 1745 for a 41, 5 %. The most frequent ages were between 20 and 30 years old, which tallies with the age that most women give birth with in the country. Classical Cesarean section was the most frequent in the study with 293 patients; induction was present as a way to start labor in women that presented severe oligohydramnios. Conclusions: over the years there was an increase of the number of inductions caused by this diagnosis. Oligohydramnios was present in most nulliparous women. The type of childbirth that prevailed was abnormal by classical Cesarean section. The diagnosis of greatest incidence was fetal distress. One of the causes of fetal mortality was low weight at birth, whether because of being born prematurely or because of intrauterine growth restriction.

Keywords : OLIGOHYDRAMNIOS [diagnosis]; QUALITY OF LIFE; FETAL DEVELOPMENT; MORBIDITY; EPIDEMIOLOGY, DESCRIPTIVE.

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