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
Keywords
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- EP ID EP547814
- DOI 10.21276/ijmrp.2017.3.3.028
- Views 69
- Downloads 0
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