scholarly journals A prospective study of effect of amniotic fluid index less than 5 at term on perinatal outcome

2016 ◽  
pp. 1732-1735
Author(s):  
Padmini P. ◽  
Chaitra R ◽  
Indra N ◽  
Sriram M
Keyword(s):  
Prospective Study ◽  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Amniotic Fluid Index ◽  
A Prospective Study

scholarly journals Perinatal outcome associated with oligohydramnios at term

2020 ◽  
Vol 9 (9) ◽  
pp. 3576
Author(s):  
Nikita Gandotra ◽  
Neha Mahajan ◽  
Aakriti Manhas
Keyword(s):  
Birth Weight ◽  
Prospective Study ◽  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Common Complication ◽  
Amniotic Fluid Index ◽  
Fetal Surveillance ◽  
A Prospective Study ◽  
In Pregnancy

Background: Oligohydramnios is a severe and common complication of pregnancy and its incidence is reported to be around 1 to 5% of total pregnancies. The aim of this study was to perinatal outcome of oligohydramnios (AFI <5) at term.Methods: A prospective study was conducted in which 200 patients at term with oligohydramnios AFI <5 cm with intact membranes were analyzed for perinatal outcome.Results: There were increased chances of FHR decelerations, thick meconium, increased LSCS, low Apgar score at 5 minutes, birth weight <2.5 kg, admission to NICU in pregnancy with oligohydramnios.Conclusions: An amniotic fluid index (AFI) of <5 cm detected after 37 completed weeks of gestation is an indicator of poor perinatal outcome. Determination of AFI can be used as an adjunct to other fetal surveillance methods that helps to identify those infants at risk of poor perinatal outcome.

scholarly journals Relationship between the amniotic fluid index at term and the perinatal outcome

2020 ◽  
Vol 9 (7) ◽  
pp. 2788
Author(s):  
Bhumika H. Dobariya ◽  
Shree A. Jani ◽  
Ajesh N. Desai
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Prospective Study ◽  
Amniotic Fluid ◽  
Gestational Age ◽  
Perinatal Outcome ◽  
Foetal Distress ◽  
Amniotic Fluid Index ◽  
Amniotic Fluid Volume ◽  
A Prospective Study

Background: Amniotic fluid index (AFI) is commonly used to estimate amniotic fluid volume. A proper AFI is between 10 and 24 centimetres. If it is below 5 cm, it is can represent oligohydramnios, and in case AFI is above 24 cm, it can represent polyhydramnios. This study was undertaken to determine whether measuring AFI at term is useful in the prediction of perinatal outcome.Methods: A prospective study of 250 pregnant women with gestational age between 37 and 42 weeks was conducted at Sola Civil Hospital. AFI was measured in each patient using the Phelan’s technique and the perinatal outcome was studied. The results were analysed and presented in the form of tables and graphs.Results: Total 250 patients were studied. Out of them, 33 patients (13.2%) had AFI <=5, 215 (86%) had AFI between 6 and 24; and 2 patients (0.8%) had AFI >=25.19 out of 33 (57.57%) patients with AFI <= 5, had to undergo caesarean section, out of which, 12 caesarean sections (63.15%) were taken for non-reassuring foetal status. 36.27% (78/215) of patients with AFI between 6 and 24 underwent caesarean section, out of which 38.46% (30/78) underwent caesarean section for non-reassuring foetal status.Conclusions: In the presence of oligohydramnios, the rates of LSCS due to foetal distress, the occurrence of low Apgar score and of low birth weight are higher than in patients with normal liquor at term. Thus, measuring the amniotic fluid index at term can be helpful in the prediction of perinatal outcome.

scholarly journals Fetomaternal outcome in pregnancy with oligohydramnios: a prospective study

2021 ◽  
Vol 10 (2) ◽  
pp. 571
Author(s):  
Heena Talesara ◽  
Vidhi C. C. Shah ◽  
Dipti A. Modi ◽  
Rahi S. Modi
Keyword(s):  
Risk Factor ◽  
Prospective Study ◽  
Amniotic Fluid ◽  
Congenital Anomalies ◽  
Mode Of Delivery ◽  
Favourable Outcome ◽  
Hypertensive Disorder ◽  
Amniotic Fluid Index ◽  
Health Care Centre ◽  
A Prospective Study

Background: Oligohydramnios is defined as amniotic fluid index <5th percentile or 2 standard deviation below the normal amniotic fluid volume. It affects 4% of all the pregnancy. The aim of this study is to evaluate the etiological risk factor of oligohydramnios and to assess their clinical significance and mode of delivery and maternal and perinatal outcome.Methods: This study was conducted at a tertiary health care centre, SSG Hospital, Baroda, from 1st September 2019 to 30th August 2020. It is a prospective study of 200 cases of oligohydramnios with gestational age > 30 weeks.Results: The most common risk factor associated with oligohydramnios was hypertensive disorder of pregnancy (35%) followed by intra uterine growth restriction (31%), preterm rupture of membranes (17%), post-datism (5%) and about 12% were due to idiopathic causes. Among cases majority were primigravida (43%). Lower segment caesarean section was done in 86 cases (43%), and main indication was fetal distress. There was no maternal mortality in the study. NICU admission for low birth weight (26%), pre-maturity (20%), meconium aspiration syndrome (8%), congenital anomalies (8%). Among congenital anomalies, posterior urethral valve had highest incidence (50%) followed by renal agenesis (25%). The neonatal mortality was 5%.Conclusions: Oligohydramnios adversely affects the perinatal outcome. Therefore, it requires meticulous assessment, prompt detection, timely management and treating underlying condition. However, a favourable outcome can be expected by good antenatal and intrapartum surveillance and neonatal care.

scholarly journals A prospective study of critical methods of amniotic fluid volume assessment

2017 ◽  
Vol 6 (7) ◽  
pp. 3021
Author(s):  
Mayur Rajendra Gandhi
Keyword(s):  
Prospective Study ◽  
Amniotic Fluid ◽  
Standard Technique ◽  
Well Being ◽  
Fluid Volume ◽  
Amniotic Fluid Index ◽  
Amniotic Fluid Volume ◽  
Abdominal Palpation ◽  
Volume Assessment ◽  
A Prospective Study

Background: Adequate amniotic fluid volume (AFV) is required for fetal well-being and its assessment is taken as the single most important variable in fetal biophysical scoring system. I have critically evaluated various methods of amniotic fluid volume assessment keeping Amniotic Fluid Index (AFI) as the standard technique of Amniotic Fluid Volume (AFV) assessment.Methods: This was a prospective study where all patients were assessed for amniotic fluid volume at one sitting first by abdominal palpation followed by ultrasonographic assessment by various methods. Critical analysis of each individual method of amniotic fluid volume assessment was carried out for its sensitivity and specificity with regard to oligohydramnios, polyhydramnios and euamnios keeping AFI as the standard technique of AFV assessment. Effort was made to find out the best possible method of AFV assessment.Results: Almost all methods are reasonably effective in assessment of normal AFV. For assessment of oligohydraamnios 2cm x 2cm pocket and Maximum Vertical Pocket (MVP) depth (of 2 cm rule) methods are most suitable whereas other methods were found to be inappropriate. For assessment of polyhydramnios with regard to specificity MVP depth (>8cm) is reliable but with regard to sensitivity, subjective assessment and abdominal palpation are more reliable.Conclusions: When we compare all methods of AFV assessment, AFI and MVP depth (of 2 cm rule) have better correlation. Hence these methods are suggested for AFV studies in current clinical settings.

scholarly journals The predictive value of amniotic fluid index for adverse perinatal outcome and suggested plan of action

2017 ◽  
Vol 6 (7) ◽  
pp. 2952
Author(s):  
Ritu Bawa ◽  
. Neerja
Keyword(s):  
Cesarean Section ◽  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Fetal Distress ◽  
Optimal Time ◽  
Amniotic Fluid Index ◽  
Perinatal Medicine ◽  
Medical College ◽  
Significant Difference ◽  
A Prospective Study

Background: Modern obstetrics and perinatal medicine is concerned with recognition of a fetus at risk for death or damage in utero: quantifying the risk and determining the optimal time and mode of intervention. Objective of present study was to determine whether an antepartum amniotic fluid index (AFI) of 5.0cm or less is a predictor of adverse perinatal outcome.Methods: This was a prospective study of 400 antenatal women booked at Muzaffarnagar Medical College during the year 2015-16 with gestational age between 36 and 41 weeks AFI was determined using the Phelan’s technique within 7 days of delivery or at the onset of labour. Perinatal outcome was compared between two groups i.e. AFI ≤5 and >5.Results: An AFI of 5.0cm or less was significantly associated with higher cesarean section rate for fetal distress and low birth weight babies. There was no significant difference in APGAR score at 5 min. <7 between the two groups.Conclusions: Determination of AFI is valuable for predicting fetal distress in labour requiring cesarean section. It can be used as an adjacent to other fetal surveillance methods. An AFI <5 detected after 36 weeks of gestation is an indicator of poor perinatal outcome.

scholarly journals Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios

2015 ◽  
Vol 7 (2) ◽  
pp. 64-67
Author(s):  
Rajani Rawat ◽  
Amit Kaushik ◽  
Ravi Sachan
Keyword(s):  
Amniotic Fluid ◽  
South Asian ◽  
Perinatal Outcome ◽  
Lateral Position ◽  
Amniotic Fluid Index ◽  
Oral Hydration ◽  
Left Lateral Position ◽  
The Mean ◽  
A Prospective Study ◽  
Hydration Therapy

ABSTRACT Objective To evaluate the effect of maternal oral hydration therapy in 3rd trimester pregnancies with isolated oligohydramnios on amniotic fluid index (AFI) and maternal and perinatal outcome. Materials and methods A prospective study was conducted on 100 pregnant women in 3rd trimester with isolated oligohydramnios. Women were advised to drink 2 liters of fluids orally over 1 hour per day in the form of water, fruit juices, coconut water and to take rest in left lateral position. Amniotic fluid index was re-evaluated by ultrasonography done at 24 hours and then repeated at 48 hours of oral hydration therapy. Difference in prehydration and posthydration AFI was calculated for each selected cases at different intervals. Women were asked to continue the therapy of 2 liters per day orally in addition to routine fluid intake till delivery. All the women were followed till delivery and maternal and perinatal outcome was analyzed. Results The mean AFI increased from 6.23 ± 1.06 cm (pretreatment) to 7.47 ± 0.58 cm at 24 hours (p < 0.001) and to 7.80 ± 1.47 cm at 48 hours of oral hydration therapy (p < 0.001). In women with low AFI, there was increased rate of operative delivery and low Apgar score at birth. There were no perinatal deaths. Conclusion Maternal oral hydration therapy is simple to perform, noninvasive, nonexpensive, east to accept and an effective way of increasing AFI and results in improvement of perinatal outcome and decrease in operative interferences. How to cite this article Rawat R, Garg R, Kaushik A, Sachan R. Effect of Maternal Oral Hydration Therapy on Maternal and Perinatal Outcome in Isolated Oligohydramnios. J South Asian Feder Obst Gynae 2015;7(2):64-67.

scholarly journals AMNIOTIC FLUID INFECTIONS, A PROSPECTIVE STUDY

1977 ◽  
Vol 11 (4) ◽  
pp. 438-438
Author(s):  
Richard L Naeye ◽  
M S Hershey
Keyword(s):  
Prospective Study ◽  
Amniotic Fluid ◽  
A Prospective Study
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