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Volume 8 Issue 1 (January, 2020)

Original Articles

Prenatal outcome in low amniotic fluid index at term
Rupinder Kaur, Amritpal Kaur, Surinder Kumar

Background: Antenatal test is done to evaluate fetus health and the risk of adverse outcomes during the course of a pregnancy. Amniotic fluid assessment is an essential part of evaluation of fetus health in terms of fetal distress, meconium aspiration, caesarean and fetal mortality. The assessment of amniotic fluid volume is very crucial for the survival of the fetus and the Amniotic Fluid Index (AFI) is the most common way for the estimation of amniotic fluid volume which is performed by ultrasound method. Aim of the study: To study prenatal outcome in low amniotic fluid index at term. Materials and methods: The present study was conducted at the Government Medical College, Amritsar, Punjab, India from 2016 - 2017. The study was conducted among 120 women recruited from the OPD and Labor ward. The inclusion criteria for the study were pregnancy at 37–40 weeks of gestation with no known obstetric or medical complications. AFI was measured with the four-quadrant technique and those women with AFI < 5th percentile, i.e., AFI of <5 cm at term as described by Phelan as oligohydramnios or an amniotic fluid volume of <500 mL at >37 weeks of gestation, were included in the study group. Follow-up of patients identified with oligohydramnios was done till they presented in our labor room in active labor or were admitted to labor room through the OPD for other indications. On admission NST was done for all the included patients. Results: The number of participants were 60 each in study and control group. The percentage of patients at gestational age >40 weeks in control group was 36 % and in study group was 48 %. Mean AFI in control group was 10.36 cm and in study group was 4.36 cm. We observed that a greater number of neonates were shifted with mother in control group. Conclusion: Within the limitations of the present study, it can be concluded that an AFI of ≤5 cm detected after 37 completed weeks of gestation is an indicator of poor perinatal outcome. Keywords: AFI, Antenatal test, Gestation age, NST.

 
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