Causes of Oligohydramnios
IUGR
· Fetal causes
Infection
Chromosomal abnormalities
Fetal syndromes
· Maternal causes (systemic)
Pre-eclampsia
Hypertension
Chronic cardiac, renal, GIT disease
Connective tissue disorders, e.g. SLE
Hemoglobinopathy
· Maternal causes (placental)
Placental insufficiency
Failure of development
Multiple infarcts
Partial abruption
· Post-term pregnancy
· Preterm rupture of membranes
· Fetal demise
Fetal abnormalities
· Obstructive uropathy- All causes extrinsic/intrinsic, e.g. purne belly syndrome, PUJ obstruction, caudal regression, absent urethra, etc.
Renal agenesis
Multicystic kidney; Bilateral
Polycystic disease; Infantile
· Cardiovascular
· Impending fetal death.