The Relation of Intrapartum Amniotic Fluid Index to Perinatal Outcomes
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 5
Abstract
Objective: The objective of this cross-sectional study is to evaluate the relation of intrapartum Amniotic Fluid Index to adverse perinatal outcomes. Methods: The study included 120 patients with singleton pregnancy at term presented with early labour pain in Sir Salimullah Medical College Mitford Hospital, Dhaka from February 2014 to July 2014. Informed consent was taken from each patient. Data was collected by using a standard set of questionnaire to analyze the patient profile and management pattern of patients. Results: In this study, more common age group was 15-19 years (46.7%) and most of them were house wives (95%) & came from below average income group (58.3%).Three fourth (75%) of the patients underwent caesarian section who had AFI <5cm, where as 60.0% needed LSCS who had AFI 5-7 cm & 22.6 % had AFI >7 cm. Meconium stained liquor was found 56.3% of patients who had AFI <5 cm,25.0% had 5-7 cm AFI & 14.3% had >7cm AFI. 1st min Apgar score <7 was more (84.6%) in babies of the patients with AFI <5cm & 65.0% mothers having 5-7 cm AFI, 23.8% mothers having >7cm AFI. At 5th min Apgar score <7 in 23.0% babies whose mothers had an AFI <5cm,15.0% babies of mothers having AFI 5-7cm & 2.4% babies of mothers having AFI >7cm. More babies born to mothers having AFI <5 cm were found to be asphyxiated both at 1st min & 5th min Apgar score. Conclusions: The current study was done to find out the relation of intrapartum Amniotic Fluid Index to perinatal morbidity and mortality. Fetal complications such as meconium aspiration, birth asphyxia, admission to neonatal ICU, neonatal death & still born were more common in oligohydramnios. Less intrapartum AFI is related with adverse delivery & perinatal outcomes.
Authors and Affiliations
Khadija Mannan, Dr. Munirunnesa, Nasrin Rosy, Chandana Saha, KBM Hadiuzzaman, Mohammad Monirul Islam
Keywords
Related Articles
- EP ID EP536997
- DOI 10.21276/ijmrp.2018.4.5.038
- Views 109
- Downloads 0
Gluten Free Diet Adherence and Impact on Patients with Celiac Disease in Aseer Region
Background: We sought to evaluate the impact of the gluten-free diet on the patients with celiac disease because its complaints are anemia, chronic diarrhea, bloating, flatulence, abdominal pain and altered bowel habits....
Comparative Evaluation of Central Corneal Thickness Among Diabetic And Non-Diabetic Patients Using Pachymeter
Background: The corneal changes in diabetic patients, while perhaps less recognized than retinal complications, are equally important. Diabetes mellitus has a significant effect on morphological, metabolic, physiological...
Comparison of Haemodynamic and Analgesic Effects of 0.5% Hyperbaric Bupivacaine and 0.5% Hyperbaric Bupivacaine with Different Doses of Clonidine under Spinal Anaesthesia
Background: Alpha 2 agonists such as clonidine have been used neuroaxially as local anaesthetic adjuvant to enhance perioperative analgesia. This study compared three different combinations of the clonidine with bupivaca...
Study of Haemoglobinopathies and Hb Variants in Ajmer Region, Using HPLC
Introduction: Haemoglobinopathies are the most common hereditary disorders, characterized by abnormalities both quantitative and qualitative in the synthesis of haemoglobin and pose a major health problem in India. Aims...
Evaluation of Microbial Air Contamination in Dental Surgery Clinics
Background: In dental surgery clinic (DSC) environment the dentistry professionals and patients are daily exposed to a great variety of infectious agents which transported by aerosols and droplets or settle on environmen...