JOMPAC

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
Is borderline oligohydramnios a problem at term pregnancy? a prospective study of a tertiary hospital
Aims: The objective of this study is to conduct a comparative analysis and ascertain the perinatal and early postnatal outcomes in term pregnant women who have a borderline amniotic fluid index (AFI) in comparison to those with a normal AFI.
Methods: This prospective study was conducted on 376 pregnant women of 37-42 weeks gestational age. Ultrasound evaluation was performed, and the AFI was calculated. Borderline and normal AFI were defined as 5.1 < AFI < 8 cm and 8.1 < AFI < 24 cm, respectively. Age, body mass index, gestational age at delivery, gravida, and parity were compared between the borderline and normal AFI groups, patient demographics, obstetric data, and information on delivery complications data were recorded. Newly born babies received a thorough physical evaluation and were followed up for two months by a neonatologist. Umbilical artery pH, birth weight, admission to neonatal intensive care unit (NICU), neonatal complications were also reported.
Results: There were 202 patients in the borderline AFI group and 174 patients in the normal AFI group. There was no statistically significant difference between groups in terms of normal delivery, operative vaginal delivery, elective cesarean delivery, or emergency cesarean delivery (p=0.088). Apgar score at 5 minutes, umbilical artery pH value, birth weight, admission to the NICU, small for gestational age, and cesarean delivery for non-reassuring fetal heart rate testing were not statistically different between the groups (p=0.139, p=0.644, p=0.790, p=0.317, and p=0.16, respectively)
Conclusion: Our study indicates that borderline oligohydramnios does not have an adverse effect on perinatal or early postnatal outcomes in term pregnancy.


1. Khan IU, Aslam N, Anis FM, et al. Amniotic fluid classificationand artificial intelligence: challenges and opportunities. Sensors(Basel). 2022;22(12). doi:10.3390/s22124570
2. Fitzsimmons ED, Bajaj T. Embryology, Amniotic Fluid.StatPearls. 2023.
3. Figueroa L, McClure EM, Swanson J, et al. Oligohydramnios: aprospective study of fetal, neonatal and maternal outcomes inlow-middle income countries. Reprod Health. 2020;17(1):19.doi:10.1186/s12978-020-0854-y
4. Sahin E, Madendag Y, Tayyar AT, et al. Perinatal outcomesin uncomplicated late preterm pregnancies with borderlineoligohydramnios. J Matern Fetal Neonatal Med. 2018;31(23):3085-3088. doi:10.1080/14767058.2017.1364722
5. Vahid Dastjerdi M, Ghahghaei-Nezamabadi A, Tehranian A,Mesgaran M. The effect of sildenafil on pregnancy outcomes inpregnant women with idiopathic borderline oligohydramnios:a randomized controlled trial. J Family Reprod Health.2022;16(2):124-131. doi:10.18502/jfrh.v16i2.9482
6. Gumus, II, Koktener A, Turhan NO. Perinatal outcomes ofpregnancies with borderline amniotic fluid index. Arch GynecolObstet. 2007;276(1):17-19. doi:10.1007/s00404-006-0309-x
7. Banks EH, Miller DA. Perinatal risks associated with borderlineamniotic fluid index. Am J Obstet Gynecol. 1999;180(6 Pt 1):1461-1463. doi:10.1016/s0002-9378(99)70037-2
8. Wood SL, Newton JM, Wang L, Lesser K. Borderline amnioticfluid index and its relation to fetal intolerance of labor: a 2-centerretrospective cohort study. J Ultrasound Med. 2014;33(4):705-711. doi:10.7863/ultra.33.4.705
9. Bajracharya N, Dangal G, Poudel R, et al. Comparison ofperinatal outcomes between borderline and normal amnioticfluid index in term singleton pregnancies. J Nepal Health ResCounc. 2021;18(4):709-713. doi:10.33314/jnhrc.v18i4.3051
10. Rathod S, Samal SK. Evaluation of maternal and perinataloutcomes of induction in borderline oligohydramnios atterm. J Clin Diagn Res. 2017;11(9):QC05-QC07. doi:10.7860/JCDR/2017/26313.10612
11. Phelan JP, Smith CV, Broussard P, Small M. Amniotic fluidvolume assessment with the four-quadrant technique at 36-42weeks&rsquo; gestation. J Reprod Med. 1987;32(7):540-542.
12. Choi AY, Lee JY, Sohn IS, et al. Does the summer season affect theamniotic fluid volume during pregnancy? Int J Environ Res PublicHealth. 2021;18(18):9483. doi:10.3390/ijerph18189483
13. Vennila M, Deepika S. Borderline oligohydramnios in termpregnancy and it&rsquo;s relation with pregnancy outcome. Int J ReprodContracept Obstet Gynecol. 2021;10(2):505-511.
14. Petrozella LN, Dashe JS, McIntire DD, Leveno KJ. Clinicalsignificance of borderline amniotic fluid index andoligohydramnios in preterm pregnancy. Obstet Gynecol.2011;117(2 Pt 1):338-342. doi:10.1097/AOG.0b013e3182056766
15. Lekkala S, Ramarao V, Bonela S, Devi R. Maternal and perinataloutcomes in pregnancies with borderline oligohydramnios versusuncomplicated normal amniotic fluid index. J Med Sci Clin Res.2020;8:932-938.
16. Jamal A, Kazemi M, Marsoosi V, Eslamian L. Adverse perinataloutcomes in borderline amniotic fluid index. Int J Reprod Biomed.2016;14(11):705-708.
17. Choi SR. Borderline amniotic fluid index and perinatal outcomesin the uncomplicated term pregnancy. J Matern Fetal NeonatalMed. 2016;29(3):457-460. doi:10.3109/14767058.2015.1004051
18. Martinez Medel J, Campillos Maza JM, Lapresta Moros C,Villacampa Pueyo A, Tobajas Homs J. [Cervical preinductionand oligoamnios]. Ginecol Obstet Mex. 2008;76(9):499-506.Preinduccion cervical y oligoamnios.
19. Luo X, Huang Y, Liang R. [Analysis of 196 cases of trial of laborwith borderline oligohydramnios assessed by ultrasound].Zhonghua Fu Chan Ke Za Zhi. 1998;33(10):585-587.
20. Magann EF, Lang P, Morrison JC. Clinical significance ofborderline amniotic fluid index and oligohydramnios in pretermpregnancy. Obstet Gynecol. 2011;117(6):1435. doi:10.1097/AOG.0b013e31821d455a
21. Zilberman Sharon N, Pekar-Zlotin M, Kugler N, et al.Oligohydramnios: how severe is severe? J Matern Fetal NeonatalMed. 2022;35(25):5754-5760. doi:10.1080/14767058.2021.1892068
Volume 4, Issue 4, 2023
Page : 336-340
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