Evaluation of AFI (Amniotic fluid) estimation and need to redefine methods of AFI calculations on ultrasounds
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 7
Abstract
Background: An accurate AFI calculation is probably the essence of a good ultrasound examination. All other parameters of the foetus cannot be manipulated by the surgeon, but AFI can be altered by the treating surgeon. A low AFI can be increased with proper intake of fluids, iv drips and rest while high AFI or polyhydramnios can be reduced to normal levels with appropriate treatment. Objective: The objective of the study is to evaluate the prevalent methods of assessing the amount of amniotic fluid during various period of gestational AGBY ultrasound scanning .This article proposes a change in the current standards of AFI evaluation by radiologists and surgeons worldwide and to highlight the dangers in evaluating the AFI by the present popular methods of AFI estimation by ultrasound worldwide. Material and Methods: The studies were performed in 3000 patients, all at JNU Medical college and Hospital Jaipur, over a period of about 2 years, starting from November 2015, after due consent from the ethical committee, JNU. The performed in pregnant mothers randomly in between 15-40 weeks gestational age, irrespective of age of mother. Parameters used to calculate AFI The ultrasound probe (both horizontal and sagittal planes), an angled probe (sagittal, perpendicular, craniocaudal). Results: It was found that when AFI was calculated on both sides of the abdomen using an angled probe to obtain the craniocaudal pockets of AFI on each side best results were obtained rather than calculating four quadrants. Conclusion in term of pregnancies When AFI calculated on both sides of the abdomen using an angled probe was useful. This regime allows the pregnant mother and the treating doctor enough time to correct any abnormal AFI. Indeed if this regime is strictly adhered to the chances of not having a healthy baby are remote, barring instances when inherent foetal or maternal anomalies exist.
Authors and Affiliations
Rajeev Mudkavi, Jaswant Goyal, Prerna Upadhyaya, Dhara Sharma, Purva Sharma
Keywords
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