Correlation of Amniotic Fluid Index with Perinatal Outcome

Bhagat, Megha; Chawla, Indu

doi:10.1007/s13224-013-0467-2

Cited by 31 publications

(62 citation statements)

References 10 publications

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“…Bhagat, Indu in his study found NICU admission was present in 92% of AFI ≤5 group as compared to 71.4% in other group while 36% of AFI ≤5cm needed stay of more than 2 days versus 24% in other group. 20 In present study there was 10.7% of perinatal mortality overall. 21.03% among of AFI ≤5 group had perinatal mortality while as 0% in other group.…”

Section: Discussionsupporting

confidence: 45%

Study of amniotic fluid and its co-relation with pregnancy outcome in high risk pregnancies

Rashid

Abrol

Jabeen

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Amniotic fluid is an important part of pregnancy sac and helps in fetal development. There is a consistent association between low AFI and conditions like pregnancy induced hypertension, postdated pregnancy and IUGR resulting in poor fetal outcome. In fact, high risk patients with low amniotic fluid index need to deliver quickly. So, an assessment of amniotic fluid volume has become an important component of antenatal testing for the high risk pregnancy. The objective was to study the correlation between Amniotic fluid index less than 5 cm (AFI˂5) and adverse perinatal outcome in high risk pregnancies.Methods: It was a hospital based prospective, comparative study. 150 high risk patients were selected from inpatient department of obstetrics and Gynecology Government Medical College Srinagar, Jammu and Kashmir, India over a period of one and half year. High risk pregnancies belonging to study group with AFI˂5 were demographically matched with high risk pregnancies with AFI >5 serving as comparison group. Perinatal outcome, rate of caesarean section and early intervention need were compared between the two groups.Results: 77.3% women in study group underwent caesarean section as compared to 28% in control group to prevent adverse perinatal outcome. 60% babies in study group had APGAR score less than 6 at 1 minute compared to only 8% in control group. 61.4% babies in study group needed NICU admission compared to 10.7% in study group.Conclusions: AFI is predictor of adverse outcome for high risk pregnancies. The early recognition alerts an obstetrician to prevent perinatal catastrophe if timely intervention is done along with antepartum and intrapartum fetal monitoring.

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Section: Discussionsupporting

confidence: 45%

Study of amniotic fluid and its co-relation with pregnancy outcome in high risk pregnancies

Rashid

Abrol

Jabeen

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…14 In the study by Bhagat M et al, 12.5% had AFI <5.00 cm, while 87.5% had AFI >5.00 cm, similarly in the study by Alchalabi HA et al, 37% patients had AFI <5.00 cm while 63% had AFI >5.00 cm. 15,16 Our findings regarding NST has been found to be similar to the study by Lohana RU et al, where 85% had reactive and 15% had non-reactive NST at admission. 17 In the study by Shreshtha P et al Cat.-I is 77%, Cat.-II 9%) and Cat.-III 20% while in the study by Rahman H et al; Cat.-I is 77.0%, Cat.-II 14%) and Cat.-III 9%.…”

Section: Discussionsupporting

confidence: 91%

Amniotic fluid index, non-stress test and color of liquor: as a predictor of perinatal outcome

Anand

Singh

Sangal

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…The occurrence of low birth weight was 35% which is comparable with that of other studies as Bhagat et al, Biradar KD et al in which the percentage of low birth rate was 56% and 38.6% respectively. 7,10 Apgar score <7 at 5 minutes of birth was found in 7% patients in those with oligohydramnios and 4% in normal AFI group which is not statistically significant. The results are comparable with that of other studies such as in Umber et al, Padmini CP et al, Bhagat Chawla et al the percentage of babies with Apgar score <7 at 5 minutes of birth was 6%, 8% and 4% respectively.…”

Section: Discussionmentioning

confidence: 69%

“…The results are comparable with that of other studies such as in Umber et al, Padmini CP et al, Bhagat Chawla et al the percentage of babies with Apgar score <7 at 5 minutes of birth was 6%, 8% and 4% respectively. 8,13,7 Admissions to neonatal intensive care unit were similar in both oligohydramnios and those with normal AFI. NICU admissions were 15% in oligohydramnios group due to various morbidities like birth asphyxia and meconium aspiration.…”

Section: Discussionmentioning

confidence: 94%

“…6 The sonographic diagnosis of oligohydramnios is usually based on an AFI ≤5 cm or on a single deepest pocket of amnionic fluid ≤2 cm. 7 Phelan defined oligohydramnios as amniotic fluid index (AFI) ≤5 cm and borderline oligohydramnios as AFI between 5 and 8 cm between 36-42 weeks of gestation. 4 It complicates approximately 1 to 5 percent of pregnancies at term.…”

Section: Introductionmentioning

confidence: 99%

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Correlation of reduced amniotic fluid index with neonatal outcome

Chaudhary

Dhama

Singh

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Amniotic fluid assessment is an essential part of evaluation of fetus health in terms of fetal distress, meconium aspiration, IUGR, Non-reassuring fetal heart rate patterns, birth asphyxia, low birth weight, low Apgar-scores and NICU Admissions.Methods: This prospective observational study included 200 antenatal patients of term gestation of which 100 cases with AFI<8 and 100 controls with AFI ≥8 but ≤ 15 were included in study. Ultrasonography and NST were done and results of both groups compared for the presence of meconium passage, non-reactive NST, birth asphyxia, low Apgar-scores, low birth weight, NICU admissions and neonatal deaths.Results: There was increased incidence of non-reactive NST (40% vs 12%), meconium stained (33% vs 10%) in oligohydramnios group. In cases 49% of patients had vaginal delivery while in controls 78%. 51% underwent LSCS in cases while in controls 22%. Apgar score <7 was found in 7% vs 4%. Birth weight was <2.5 kg in 35% vs 13%. NICU admissions in study group was 15% vs 11%. The neonatal death was similar in both cases groups.Conclusions: Oligohydramnios affect the neonatal outcome in terms of meconium stained liquor, non-reassuring fetal heart rate, low birth weight, birth asphyxia, low Apgar-scores and NICU Admissions and neonatal death but the difference was not statistically significant. Early detection of oligohydramnios and its management may help in reduction of perinatal morbidity and decreased caesarean deliveries.

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Correlation of Amniotic Fluid Index with Perinatal Outcome

Cited by 31 publications

References 10 publications

Study of amniotic fluid and its co-relation with pregnancy outcome in high risk pregnancies

Study of amniotic fluid and its co-relation with pregnancy outcome in high risk pregnancies

Amniotic fluid index, non-stress test and color of liquor: as a predictor of perinatal outcome

Correlation of reduced amniotic fluid index with neonatal outcome

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