Magnitude and associated factors of adverse perinatal outcomes among women with oligohydramnios at 3rd trimester at University of Gondar comprehensive specialized hospital, North West Ethiopia

Abstract

Background: Oligohydramnios is a pregnancy condition characterized by low volume of amniotic fluid. Based on ultrasound measurement, it is defined as a single maximum vertical pocket of liquor less than 2 cm or summation of four quadrants vertical pockets of liquor measurement less than 5 cm. It is associated with multiple adverse perinatal outcomes (APO) and complicates 0.5%–5% of pregnancies. Objective: To assess magnitude and associated factors of adverse perinatal outcome among women with oligohydramnios at 3rd trimester at University of Gondar Comprehensive Specialized Hospital, North West Ethiopia Methods: Institution based cross-sectional study was employed from April 1 to September 30, 2021 in which 264 participants were involved. All women with oligohydramnios at 3rd trimester who meet the inclusion criteria were included. Semi- structured questionnaire was used for data collection after Pre-tested. Collected data was checked for completeness; clarity then coded and entered using Epi data version 4.6.0.2 then exported to STATA version 14.1 for analysis. Result: The magnitude of APO was 46.6% (95%CI: 40.5–52.7%). Null parity [AOR = 2.2, 95%CI (1.2–4.2)], presence of hypertensive disorders of pregnancy (HDP) [AOR = 4.9, 95%CI (2.0–12.1)] and presence of intrauterine growth restriction (IUGR) [AOR = 8.4, 95%CI (3.5–20.2)] were found to be predictors of APO. Conclusion: Third trimester oligohydramnios is associated with APO. The presence of HDP, IUGR and being nulliparous were predictors of APO.