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Background: Adequate amniotic fluid is vital for fetal growth, with reduced levels, especially borderline oligohydramnios posing potential risks despite often being asymptomatic. Borderline oligohydramnios, defined as an AFI of 5.1–8 cm, lacks clear management guidelines and is frequently idiopathic. Objective: To study maternal morbidity in the form of operative delivery & fetal morbidity in terms of APGAR score at 5 min, birth weight of neonate, admission in NICU, in patients with borderline oligohydramnios. Study type, settings & duration: This descriptive study was done at Islamabad Medical Complex Hospital, Islamabad from August 2021 to July 2022. Methodology: A total of 551 Patients delivered in obstetrical unit during the study period were included in this study detailed history and examination were done. All standardized investigations were performed. Borderline oligohydramnios was confirmed by measuring AFI (amniotic fluid index) by radiologist. Results: Out of total 551 cases incidence of borderline oligohydramnios was 121 (22%). Mean maternal age borderline oligohydramnios was 29.65 years and average gestational age was 33.45 weeks. The most common cause of oligohydramnios was idiopathic 50 (45.5%) patients, followed by anaemia 48 (43.6%) patients. Operative morbidity was significant 80 (80.9%) patients delivered by lower segment caesarean section. Borderline oligohydramnios was associated with low birth weight and extremely low birth weight in 49 (44.5%) patients and 2 (1.8%) cases respectively. Low APGAR at 5 minutes was in 15 (13.6%) patients and 34 (30.9%) had admission in NICU. No significant difference was found between mode of delivery and gestational age ...  

Background: Adequate amniotic fluid is vital for fetal growth, with reduced levels, especially borderline oligohydramnios posing potential risks despite often being asymptomatic. Borderline oligohydramnios, defined as an AFI of 5.1-8 cm, lacks clear management guidelines and is frequently idiopathic. Objective: To study maternal morbidity in the form of operative delivery and fetal morbidity in terms of APGAR score at 5 min, birth weight of neonate, admission in NICU, in patients with borderline oligohydramnios. Study type, settings and duration: This descriptive study was done at Islamabad Medical Complex Hospital, Islamabad from August 2021 to July 2022. Methodology: A total of 551 Patients delivered in obstetrical unit during the study period were included in this study detailed history and examination were done. All standardized investigations were performed. Borderline oligohydramnios was confirmed by measuring AFI (amniotic fluid index) by radiologist. Results: Out of total 551 cases incidence of borderline oligohydramnios was 121 (22%). Mean maternal age borderline oligohydramnios was 29.65 years and average gestational age was 33.45 weeks. The most common cause of oligohydramnios was idiopathic 50 (45.5%) patients, followed by anaemia 48 (43.6%) patients. Operative morbidity was significant 80 (80.9%) patients delivered by lower segment caesarean section. Borderline oligohydramnios was associated with low birth weight and extremely low birth weight in 49 (44.5%) patients and 2 (1.8%) cases respectively. Low APGAR at 5 minutes was in 15 (13.6%) patients and 34 (30.9%) had admission in NICU. No significant difference was found between mode of delivery and gestational age of the patient (p-value is 0.660). Conclusion: Oligohydramnios is quite common in our population. Timely detection and appropriate management can decrease maternal and perinatal morbidity.