The study of Labor Induction in cases of Severe Reduction of Amniotic Fluid in the Obstetrics and Gynecology Department of Abu Ali Sina Regional Educational Hospital in Balkh

Abstract

Severe reduction of amniotic fluid is a high-risk condition during pregnancy that can directly threaten the health of both mother and fetus. It is associated with outcomes such as intrauterine growth restriction, fetal hypoxia, mechanical pressure on the fetus, and an increased risk of intrauterine death. Labor induction in such cases, particularly with the use of oxytocin and careful monitoring of the mother and fetus, is considered one of the most important clinical interventions to reduce maternal and fetal complications.

This study was conducted in a library-analytical manner, reviewing data from 40 patients visiting the obstetrics and gynecology department of Abu Ali Sina Regional Educational Hospital in Balkh to evaluate the effects of labor induction in cases of severe oligohydramnios. The results indicated that from the 40 patients, 26 (65%) experienced severe reduction, while 14 (35%) had very severe reduction of amniotic fluid. All patients underwent labor induction with oxytocin, with an average induction timing of 37 weeks reported. In terms of birth outcomes, 28 patients (70%) had successful vaginal deliveries, while 12 (30%) required cesarean sections. Additionally, 4 newborns (10%) were born with low Apgar scores (<7). Analysis of the relationship between the severity of amniotic fluid reduction and type of delivery and low Apgar scores showed no statistically significant correlation, indicating the possibility of effective management even in very severe cases. The findings suggest that the success of labor induction depends on various factors, including appropriate timing, selection of clinical methods, and careful monitoring of both mother and fetus, with non-compliance potentially increasing maternal and fetal complications. This study highlights the importance of formulating standard clinical protocols, training healthcare staff, and continuous monitoring of mothers and fetuses, which can play a vital role in improving birth outcomes and reducing complications in cases of severe oligohydramnios