A pregnant woman comes at 40 weeks gestation , her fundal height measures 34 cm. USG was done which shows the maximum veical pocket of liquor < 2cm and AFI of 3 cm. Which of the following is false regarding this case scenario ?
The above given case scenario is of pregnant female at term with Oligohydramnios. The patients with oligohydramnios at term should be delivered. Induction of labour is done if vaginal delivery is not contraindicated. The patient with an unorable cervix should undergo cervical ripening after assessment of fetal well-being. If fetal testing is reassuring, the unorable cervix can be ripened and vaginal delivery is done after that. Oligohydramnios can cause fetal and maternal complications : Fetal Complications : Intra-Uterine death Cord compression Deformities (Like deformed shape of skull, wry neck, etc) Fetalpulmonary hypoplasia Maternal complications : Prolonged labour Increased operative interference due to malpresentation
Do induction if vaginal delivery is not contraindicated
During labour, cord compression is common in these patients
If cervix is unourable, immediate LSCS needs to be done
Strict intrapaum fetal surveillance
Obstetrics