A Clinical Study on Amniotic Fluid Index and Perinatal Outcome
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2018, Vol 6, Issue 5
Abstract
Background and Aim: The aim of antepartum fetal surveillance is to identify fetus at increased risk of harm. Amniotic fluid volume has been proved an indirect measure of fetoplacental function and hence the estimation of amniotic fluid volume assists in risk assessment by application of dynamic ultrasonographic methods. Of the various semiquantitative methods the four quadrant technique provides a fetal convenient method for evaluating amniotic fluid volume. Materials and Methods: This was a comparative, non-randomized study done over a period of 18 monthson 100 women with the gestational age of 34 to 42 weeks. They are divided on amniotic fluid index done with study of umbilical artery Doppler. Results: 100 cases of complicated and uncomplicated pregnancy of term gestation are included in the study. 70 cases are booked and 30 cases are unbooked. 37cases are primigravidae, 63 cases are multigravidae. Low AFI values are most commonly associated with primigravidae and high AFI volume are associated with multigravidae. Out of 14 cases with vey low AFI 35.71% had PIH, 35.71% of post dates, 28.57% cases are IUGR. This indicates low AFI values are more commonly associated with complications like post dates, PIH, IUGR. 64.28% of cases are associated with meconium staining of liquor in low AFI values. Cesarean section rate and forceps delivery is significantly higher in patients with low AFI values. Out of 14 cases with low AFI 71.42% of cases underwent cesarean section and fetal distress is commonly associated with low AFI and is the leading indication of LSCS. Conclusion: The risks of meconium staining of liquor, intrapartum fetal distress, operative delivery and perinatal mortality significantly higher in patients with amniotic fluid values of less that 5 compared to those with amniotic fluid index ranging between 8 and 18.
Authors and Affiliations
D. V. K. Durga .
Keywords
Related Articles
- EP ID EP550154
- DOI 10.21088/ijog.2321.1636.6518.16
- Views 82
- Downloads 0
Comparative Evaluation of 25 Microgram and 50 Microgram Intravaginal Misoprostol for Induction of Labour
Background: Misoprostol is being in use as an agent for preinduction cervical ripening. But still the ideal dosage, route of administration of this agent is not exactly known. Aim: To evaluate the efficacy and safety of...
Ovarian Volume an Indicator of Ovarian Response following Ovulation Induction
Background: Technological improvements in ultrasound machines and the use of high frequency vaginal probes allow investigators much closer access to the ovaries. The transvaginal ultrasound determinations of either the n...
Role of Foetal Doppler in High Risk Pregnancy with Relation to Perinatal Outcome
Introduction: Doppler ultrasound would be a useful in antenatal fetal well-being and timely intervention. On the basis of abnormal Doppler results, obstetrical decision makingmay improve and prevent intrauterine death be...
Interstitial Pregnancy: A Case Report and Review of Literature
Background: Interstitial pregnancy is one of the most dangerous ectopic pregnancies and the diagnosis is challenging even in expert hands. Rupture of interstitial pregnancy can occur from 8-16weeks of gestation and is as...
Association of Serum Uric Acid Level and Perinatal Outcome in Pregnancy Induced Hypertension
Introduction: Preeclampsia is a multisystem disorder that associated with significant maternal and neonatal morbidity and mortality. Hyperuricemia has been linked with preeclampsia hemce having a predictive role in perin...