Relationship between the amniotic fluid index at term and the perinatal outcome

dc.contributor.authorDobariya, Bhumika H.en_US
dc.contributor.authorJani, Shree A.en_US
dc.contributor.authorDesai, Ajesh N.en_US
dc.date.accessioned2020-10-16T08:05:35Z
dc.date.available2020-10-16T08:05:35Z
dc.date.issued2020-07
dc.description.abstractBackground: Amniotic fluid index (AFI) is commonly used to estimate amniotic fluid volume. A proper AFI is between 10 and 24 centimetres. If it is below 5 cm, it is can represent oligohydramnios, and in case AFI is above 24 cm, it can represent polyhydramnios. This study was undertaken to determine whether measuring AFI at term is useful in the prediction of perinatal outcome.Methods: A prospective study of 250 pregnant women with gestational age between 37 and 42 weeks was conducted at Sola Civil Hospital. AFI was measured in each patient using the Phelan’s technique and the perinatal outcome was studied. The results were analysed and presented in the form of tables and graphs.Results: Total 250 patients were studied. Out of them, 33 patients (13.2%) had AFI <=5, 215 (86%) had AFI between 6 and 24; and 2 patients (0.8%) had AFI >=25.19 out of 33 (57.57%) patients with AFI <= 5, had to undergo caesarean section, out of which, 12 caesarean sections (63.15%) were taken for non-reassuring foetal status. 36.27% (78/215) of patients with AFI between 6 and 24 underwent caesarean section, out of which 38.46% (30/78) underwent caesarean section for non-reassuring foetal status.Conclusions: In the presence of oligohydramnios, the rates of LSCS due to foetal distress, the occurrence of low Apgar score and of low birth weight are higher than in patients with normal liquor at term. Thus, measuring the amniotic fluid index at term can be helpful in the prediction of perinatal outcome.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, GMERS Medical College, Sola, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.citationDobariya Bhumika H., Jani Shree A., Desai Ajesh N.. Relationship between the amniotic fluid index at term and the perinatal outcome. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Jul; 9(7): 2788-2791en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/207834
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber7en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20202709en_US
dc.subjectAmniotic fluid indexen_US
dc.subjectCaesarean sectionen_US
dc.subjectPerinatal outcomeen_US
dc.subjectPhelan's techniqueen_US
dc.subjectTerm pregnancyen_US
dc.titleRelationship between the amniotic fluid index at term and the perinatal outcomeen_US
dc.typeJournal Articleen_US
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