Serial amniotic fluid index in severe preeclampsia: A poor predictor of adverse outcome

Schucker, Jodi L.; Mercer, Brian M.; Audibert, François; Lewis, Rani; Friedman, Steven A.; Sibai, Baha M.

doi:10.1016/s0002-9378(96)80045-7

Cited by 33 publications

(13 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An amniotic fluid index (AFI) of 5 cm or less has been used to define oligohydramnios 4 and adverse pregnancy outcomes 5 . However, not all authors agree on the idea that an AFI of 5 cm or lower is associated with an adverse pregnancy outcome 6 , 7 …”

Section: Studies On Borderline Amniotic Fluid Indicesmentioning

confidence: 99%

Borderline or Marginal Amniotic Fluid Index and Peripartum Outcomes

Magann

Chauhan

Hitt

et al. 2011

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

The predictive accuracy of a borderline amniotic fluid index (AFI) for an adverse pregnancy outcome is uncertain. Pregnancy outcomes of a borderline versus normal AFI suggest an increased risk of meconium-stained fluid, intrauterine growth restriction, cesarean delivery for a nonreassuring fetal heart rate, low Apgar scores, and neonatal intensive care unit admission with borderline fluid. These results are inconclusive because of study design variations, the absence of receiver-operating characteristic curves, our inability to calculate likelihood ratios, and a lack of randomized trials. There is currently insufficient evidence to recommend additional antenatal testing delivery based on a borderline AFI. Sonography could be considered for evaluating fetal growth until a definitive association or lack of an association between a borderline AFI and intrauterine growth restriction/small size for gestational age can be determined.

show abstract

Section: Studies On Borderline Amniotic Fluid Indicesmentioning

confidence: 99%

Borderline or Marginal Amniotic Fluid Index and Peripartum Outcomes

Magann

Chauhan

Hitt

et al. 2011

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

show abstract

“…Accordingly, the authors concluded that the AFI was a poor diagnostic test with which to determine whether a patient is at increased risk for an adverse perinatal outcome 82 . Regarding the significance of amniotic fluid volume in patients with pregnancies complicated by severe pre-eclampsia, Schucker et al 83 retrospectively reviewed records of 136 such women managed conservatively for at least 48 h. They reported that for women with severe pre-eclampsia remote from term, an AFI of < 5 cm, although lacking sensitivity, is predictive of fetal growth restriction. However, no association was observed between the AFI status and frequency of Cesarean delivery for fetal distress or non-reassuring fetal testing 83 .…”

Section: Amniotic Fluid Volume As a Predictor Of Perinatal Outcomementioning

confidence: 99%

“…Regarding the significance of amniotic fluid volume in patients with pregnancies complicated by severe pre-eclampsia, Schucker et al 83 retrospectively reviewed records of 136 such women managed conservatively for at least 48 h. They reported that for women with severe pre-eclampsia remote from term, an AFI of < 5 cm, although lacking sensitivity, is predictive of fetal growth restriction. However, no association was observed between the AFI status and frequency of Cesarean delivery for fetal distress or non-reassuring fetal testing 83 . In a study designed to assess the performance of intrapartum AFI for predicting fetal acidemia, Chauhan et al 84 assessed data obtained from 256 patients at ≥ 37 weeks' gestation which indicated that the mean intrapartum AFI among 12 newborns with respiratory acidosis and 26 with metabolic acidosis was significantly lower than the mean index in 218 newborns without fetal acidemia.…”

Section: Amniotic Fluid Volume As a Predictor Of Perinatal Outcomementioning

confidence: 99%

Oligohydramnios: use and misuse in clinical management

Sherer

Langer

2001

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

“…But in contradiction to these, a few studies question the entity isolated oligohydramnios at term as a predictor for Department of Obstetrics and Gynecology, Mahatma Gandhi Medical College and Research Institute, Pilliyarkuppam, Pondicherry, India adverse perinatal outcome. [8][9][10] Hence this study is done to correlate isolated oligohydramnios with adverse perinatal and obstetric outcomes.…”

Section: Introductionmentioning

confidence: 99%

Isolated oligohydramnios: effects on obstetric and perinatal outcome

Vishalakshi

Rani

2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Outcome of oligohydramnios has been studied at a large. Varying results have been projected in each study. This study has been done to establish the obstetric and perinatal outcome in pregnancy associated with oligohydramnios as compared to women with normal liquor.Methods: This was a prospective case controlled study done which included 100 women with oligohydramnios who were compared with 100 women with normal liquor. Maternal and perinatal outcome was compared between the two groups.Results: There was a significant difference in the obstetric and perinatal outcomes among the study and control groups. Significant variation was seen in the obstetric outcome with regards to the incidence of induction of labor and mode of delivery (by caesarean section). Both were increased among the study group as compared to the control group. CTG changes, meconium stained liquor, neonatal admissions and observations were more among the study group as compared to control group.Conclusions: Athough there is an increased rate of caesarean section, NICU admission and observation, thick meconium stained liquor and NST changes there is no significant increase in the perinatal morbidity and mortality.

show abstract

Serial amniotic fluid index in severe preeclampsia: A poor predictor of adverse outcome

Cited by 33 publications

References 13 publications

Borderline or Marginal Amniotic Fluid Index and Peripartum Outcomes

Borderline or Marginal Amniotic Fluid Index and Peripartum Outcomes

Oligohydramnios: use and misuse in clinical management

Isolated oligohydramnios: effects on obstetric and perinatal outcome

Contact Info

Product

Resources

About