Evaluation of Amniot Ic Fluid Volume and Its Relation to Perinatal Outcome

Tripathi, Urmila; Khatod, Neha; Agrawal, Vishal

doi:10.14260/jemds/2015/937

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…The studies done by Tripathi et al, Bhagat et al and Casey et al, the AFI <5 cm was taken as oligohydroamnios at GA >34 weeks. 1,4,5 Regarding Non-stress test (NST), our study was similar to a study conducted by Bhagat et al in which they found that 32% women had non-reactive NST in oligohydramnios group compared to 9.7 % women in normal AFI group (AFI>5) with a p value of 0.002 which was statistically significant. 1 Similarly, in studies done by Sriya et al and Umber et al they found that 41.55% and 52.7% women had non-reactive NST respectively.…”

Section: Resultssupporting

confidence: 88%

Relationship of decreased amniotic fluid and perinatal outcome: a comparative study

et al. 2016

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Background: A decreased amniotic fluid volume is frequently one of the first clues to an underlying fetal abnormality or maternal diseased state. Isolated oligohydramnios may occur in late pregnancy in patients with no other high risk factors and diagnosed on routine ultrasound. This study was conducted to assess the effect of oligohydramnios on perinatal outcome at or beyond 34 weeks of gestation with amniotic fluid index (AFI) ≤ 5. Methods: 50 cases and equal controls were taken in the study which fulfilled the inclusion criteria. A written and informed consent was taken from all the subjects entering into the study. An ultrasound examination was performed on all the subjects entering the study. Phelan method was used for measurement of AFI. Measurement of the deepest pool in each quadrant was summated and AFI was recorded in centimeters. Results: Anthropometric variables were comparable in both the groups. The distribution of non-stress test (NST) and onset of labor was significantly different in both the groups. The presence of meconium stained liquor was non significantly same in both groups. Regarding neonatal outcome, birth weight less than 2.5 kg and APGAR score less than 7 was significantly higher in cases as compared to controls. Conclusions: Oligohydramnios (AFI< 5) was associated with more number of preterm deliveries, non-reactive NST, fetal distress and more NICU admissions. More studies are needed for defining threshold levels for measuring AFI.

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Section: Resultssupporting

confidence: 88%

Relationship of decreased amniotic fluid and perinatal outcome: a comparative study

et al. 2016

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“…Alterations in AFI have classically been considered as an indicator of fetal compromise. 6 So, the present study was conducted with the objective to study the association between amniotic fluid volume and perinatal outcome.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of amniotic fluid volume and its relation to perinatal outcome

Dwivedi

Depan

Yadav

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background:In pregnancy amniotic fluid surrounds the foetus and plays an important role in the development of fetus. From the very beginning of the formation of the extracoelomic cavity amniotic fluid can be detected. To evaluate the predictive value of amniotic fluid index (AFI) (<5) for adverse perinatal outcome in terms of cesarean section for fetal distress, birth weight, meconium staining, Apgar scores, and NICU admission at birth. Methods: This was a prospective study of 100 antenatal women visited RMC, Ajmer, Rajasthan, India during the year 2018 with gestational age >34 weeks. The women's history, clinical examination recorded, and AFI were measured and the perinatal outcome was compared between two groups, i.e., AFI <5 and >5. Results: The cesarean section rate for fetal distress, low birth weight babies, <2.5 kg and meconium staining was higher in patients with oligohydramnios (p=0.012, 0.001, 0.00015 respectively). There was no significant difference in Apgar score at 5 min <7 (p=0.087) and NICU at birth between the two groups. Conclusions: Oligohydramnios has a significant correlation with cesarean section for fetal distress, low birth weight babies and NICU admission.

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“…12 The drug hemodialysate (solcoseryl) effectiveness on liquor volume in intra uterine growth restriction (IUGR) babies and its outcome in form of APGAR score and health Damor J et al Int J Reprod Contracept Obstet Gynecol. 2023 Jul;12 (7): [2223][2224][2225][2226][2227][2228] status studies concludes that solcoseryl remains as a drug of choice in pregnancy with IUGR, after 28 weeks of gestation. 13 Current study aimed to determine whether an amniotic fluid level of 5cm or less can be predictor of adverse perinatal outcome in terms of fetal distress, birth weight, Apgar score and neonatal morbidity and mortality.…”

Section: Newer Drugsmentioning

confidence: 99%

“…Alterations in AFI have classically been considered as an indicator of fetal compromise. 7 Amniotic fluid is a clear, mildly yellowish coloured fluid contained in amniotic sac which is in circulation around the fetus. It has ennumerous functions which are important for the fetus and its development inutero.…”

Section: Introductionmentioning

confidence: 99%

Study of predicting perinatal outcome in patients with oligohydraminos at term pregnancy

Damor,

Meena,

Thakkar

2023

Int J Reprod Contracept Obstet Gynecol

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Background: Amniotic fluid plays a major role in the fetal growth and development. It provides the fetus with a protective low resistance environment suitable for growth and development, a cushion against the constricting confines of the gravid uterus, allowing the fetus room for the movement and growth and protecting it from external trauma. The abnormalities of the fluid volume can interfere directly with the fetal development or may be an indirect sign of underlying disorder such as fetal hypoxia, neural tube defect or gastrointestinal obstruction. Aim of this study was to determine whether an amniotic fluid level of 5cm or less can be predictor of adverse perinatal outcome in terms of fetal distress, birth weight, APGAR score and neonatal morbidity and mortality. Methods: Amniotic fluid index (AFI) was determined with a b-mode real time scanner with linear transducer operated at 3.5 MHz. AFI estimation done by four quadrant technique in supine position. The summation of measurement from each quadrant represented the amniotic fluid index in centimeters of each patient. Fetal outcome was assessed with respect to birth weight and gestational age; Apgar score at one and five minutes; any other neonatal complications intrapartum or postpartum during stay in hospital and maturity of baby - condition at the time of discharge of mother and baby. Results: The labor was induced in 28% women with AFI <5cm, out of which 19 women delivered vaginally and 9 women underwent LSCS for failure of induction. The mean birth weight was 2.61 kg in our study. Maximum number of babies i.e. 57% were with birth weight between 2.1-2.5 kg. The APGR score at 5 min was 9 in 71% cases and 8 in 21% cases. The mean APGR score at 5 min was 8.63. Conclusions: AFI can be used as an adjunct for fetal surveillance along with other methods to identify high risks foetuses to improve the perinatal outcome.

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Evaluation of Amniot Ic Fluid Volume and Its Relation to Perinatal Outcome

Cited by 3 publications

References 4 publications

Relationship of decreased amniotic fluid and perinatal outcome: a comparative study

Relationship of decreased amniotic fluid and perinatal outcome: a comparative study

Evaluation of amniotic fluid volume and its relation to perinatal outcome

Study of predicting perinatal outcome in patients with oligohydraminos at term pregnancy

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