Oligohydramnios

Question 1

AFI vs AFV

Answer 1

AFI- deepest pocket in each quad.
AFV- deepest pocket free from small parts
Oligohydramnios 25 AFI

Question 2

S/S of Oligo

Answer 2

Easily ballotable
See outlined fetus
Easy to palpate
Low AFI
Negative thrill
Generalized edema
Smaller than expected fundal height
Little fluid with ROM
Easy to auscultate
FHT indicating cord compression

Question 3

Definition of Oligo

Answer 3

Extremely low amniotic fluid level

AFI

Question 4

Causes/risks of Oligo

Answer 4

Fetal abnormality
IU infection
Idiopathic
Perfusion abnormalities
Multiples
Anorexia
Poor nutrition
Dehydration
Hyperemesis
Disordered eating
Rhenal disorders
Poor placental health- drugs, cigarettes, poor nutrition
Severe hypertension
Prom
NSAIDs (chronic) 
Post term pregnancy
TTTS- in multiples, one has poly, one has Oligohydramnios

Question 5

Fetal risks/causes of Oligo

Answer 5

Chromosomal/structural abnormalities
Issues with urinary system
Issues with resp system
Cardiac abnormalities
Prom
IUGR 
Fetal demise
Post dates
Idiopathic