Relation of Intrapartum Amniotic Fluid Index to Perinatal Outcome
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 3
Abstract
Objectives: Our objective was to evaluate the usefulness of intrapartum amniotic fluid index (AFI<5) for prediction of fetal distress during labour and subsequent fetal morbidity. Methods: This Descriptive type of observational study was conducted in Sevayatan Maternity And General Hospital, Jaipur over a period of two years (January 2014 December 2015) on 200 booked antenatal women at term (37-42 weeks),admitted for delivery with labour pain . All eligible patients fulfilling inclusion criteria and exclusion criteria were selected for this study. The women’s history, clinical examination recorded, and AFI were measured. Cases were categorized into different groups depending on the value of AFI. Oligohydramnios-AFI ≤ 5cm (n =39), borderline-AFI 5.1-8 cm (n =43) and normal-AFI 8.1-24 cm (n =118). These three groups were compared with regard to intrapartum and postpartum variable. Results: The cesarean section rate for fetal distress and low birth weight babies, <2.5 kg, was higher in patients with oligohydramnios. Thick meconium stained amniotic fluid was found high (46.15%) among oligohydramnios group of women. Thus, presence & nature of meconium stained liquor was significantly associated with AFI (P value< 0.001). The difference in the value of APGAR scores at 1 min and 5 min was statistically significant between oligohydramnios and normal amniotic fluid volume group .The incidence of NICU admissions was high among oligohydramnios group (48.72%) and borderline group (6.98%). Conclusions: Intrapartum assessment of amniotic fluid index is better than antepartum fetal assessment, as an immediate evaluation of current fetal condition can be done. AFI when used as an “admission test” in intrapartum period can categorise the fetuses into “high risk” and “low risk” depending on their susceptibility to fetal distress. Oligohydramnios has a significant correlation with high incidence of thick meconium stained liquor, fetal distress, operative delivery and cesarean section for fetal distress, poor APGAR score, low birth weight, meconium aspiration and perinatal mortality.
Authors and Affiliations
Garima Gupta, Abhilasha Gupta, Anju Taly
Knowledge and Attitude of HIV/AIDS Infection Among Medical Students At The Faculty of Medicine, Taif University, Taif, Saudi Arabia; 2017
Objectives: To assess the knowledge and attitude of HIV/AIDS infection among the medical students of Taif university. Subjects and Methods: It is a Cross-sectional descriptive study among the medical students at the facu...
Retrospective Evaluation of Imaging Findings in Patients with CNS Lesions: An Observational Study
Background: Central nervous system (CNS) pathologies are a significant cause of mortality and morbidity world-wide. Frequently, structural neuroimaging exams (brain computed tomography (CT) and magnetic resonance imaging...
Assessment of Nutritional Status and Change in Lean Body Weight in Head & Neck Cancer Patients Undergoing Radiotherapy
Introduction: The incidence of malnutrition among cancer patients has been estimated at between 40 and 80%. Malnutrition is a common problem in patients with Head and Neck Cancer. During treatment (Radiotherapy alone or...
Conventional and Autograft Surgery for Pterygium: A Prospective Comparative Study
Background: Pterygium is a wing shaped, thick, fleshy, vascular fold of conjunctival tissue. Various techniques like irradiation, conjunctival autografting, conventional bare sclera technique, amniotic membrane transplan...
Factors Affecting Adherence of Hemodialysis Patients to Treatment in Makkah, Saudi Arabia
Background: Adherence of hemodialysis patients to medical instructions is considered crucial for a longer life expectancy and better quality of life. Despite of its importance, there is remarkable paucity in researches w...