Comparison of Perinatal Outcomes between Borderline and Normal Amniotic Fluid Index in Term Singleton Pregnancies

Bajracharya, Nishma; Dangal, Ganesh; Poudel, Rekha; Tiwari, Kenusha Devi; Bharati, Sonu; Maharjan, O; Maharjan, Sailuja; Karki, Aruna; Pradhan, Hema Kumari

doi:10.33314/jnhrc.v18i4.3051

Cited by 4 publications

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“…In contrast to the findings of the present study, based on another study that was conducted with the aim of comparing perinatal outcomes in two groups with borderline and normal AFI, adverse pregnancy outcomes, including fetal distress and hospitalization in the NICU, were not statistically significantly different between the two groups ( 7 ). However, increased NICU admission rates can be associated with fetal distress and low APGAR score ( 18 ).…”

Section: Discussioncontrasting

confidence: 99%

“…The common method used to measure amniotic fluid volume is the use of the amniotic fluid index (AFI) in ultrasound, based on which the largest vertical amniotic fluid pocket in each of the four quadrants of the uterus is selected and then added together ( 7 , 8 ). AFI is one of the parameters used to evaluate fetal well-being, predict adverse perinatal outcomes and perform necessary interventions to improve these outcomes ( 3 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

“…The normal range of AFI is 8–24 cm. AFI in the range of 5.1–8 cm is borderline oligohydramnios, and AFI of 5 cm or less are defined as oligohydramnios ( 3 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

“…According to studies, oligohydramnios can be associated with adverse pregnancy outcomes such as fetal distress, meconium aspiration, preterm labor, cesarean section, low birth weight, low APGAR score, NICU admission, fetal and neonatal death ( 3 , 7 , 14 , 15 ). However, the results of studies are conflicting for both oligohydramnios and borderline oligohydramnios due to differences in inclusion criteria, gestational age, and definition of oligohydramnios ( 3 , 7 , 16 , 17 ). Therefore, the purpose of this study was to determine the relationship between low amniotic fluid level and perinatal outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Perinatal Outcomes in Pregnant Women With Low Amniotic Fluid Index

Milani,

Khosousi,

Sharami

et al. 2023

JFRH

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Objective: The outcomes and management of low amniotic fluid index (AFI) in pregnancy are controversial. The purpose of this study was to determine the relationship between low AFI and perinatal outcomes. Materials and methods: This prospective study was conducted on 420 uncomplicated singleton pregnant women with a gestational age of over 28 weeks who referred to Al-Zahra Hospital in Rasht (Iran) for routine perinatal care. Pregnant women were divided into 3 groups of 140 patients based on the AFI and were followed up until delivery. Three groups included normal (8<AFI≤25 cm(, borderline )5<AFI≤8 cm( and oligohydramnios (AFI≤5cm( AFI. Results: The three adverse outcomes of respiratory distress, hospitalization in NICU, and length of hospitalization were statistically significantly different between the two groups with normal and borderline AFI and in the borderline group was more than the normal group. Adverse outcomes including; low birth weight (LBW), small for gestational age (SGA), respiratory distress, 1- min APGAR scores<7, hospitalization in NICU and its duration were statistically significantly different between the two groups with normal AFI and oligohydramnios, and it was more in the oligohydramnios group than the normal group. The three adverse outcomes of LBW, SGA and1- min APGAR scores<7 in the two borderline and oligohydramnios groups had statistically significant differences and were more in the oligohydramnios group than the borderline group. Conclusion: Consideration to the AFI in perinatal care to predict adverse perinatal outcomes and perform necessary interventions to improve these outcomes is necessary.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The normal range of AFI is 8–24 cm. AFI in the range of 5.1–8 cm is borderline oligohydramnios, and AFI of 5 cm or less are defined as oligohydramnios ( 3 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of Perinatal Outcomes in Pregnant Women With Low Amniotic Fluid Index

Milani,

Khosousi,

Sharami

et al. 2023

JFRH

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“…The proportion of housewife was the highest in all groups: oligohydramnios 88.7%, normal AF 91.3%, and polyhydramnios 82.0%. A Study by Bajracharya et al, (2020) disagreed with the current study and found that occupation status and education were not statistically significant with AFV. Bauserman et al,.…”

Section: Discussioncontrasting

confidence: 99%

The Effect of Amniotic Fluid Changes in Late Pregnancy on Maternal And Fetus Outcomes

Saido

Hasan²

2022

UOD

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The amniotic sac contains a protective liquid known as amniotic fluid. Two different types of amniotic fluid changes have been identified. The first is oligohydramnios, and the second is polyhydramnios. This study aimed to examine the effect of amniotic fluid changes on pregnancy outcomes and the fetus. A cross-sectional study was conducted by simple random sampling for, Four hundred fifty women from November 1st, 2021, until February28th 2022, in Duhok hospital for Obstetrics and Gynecology. The study revealed that the greatest rates of polyhydramnios were associated with gestational hypertension (22.7%) and gestational diabetes (19.3%). The most prevalent mode of delivery in all groups was cesarean section. Hypoglycemia had the greats incidence in polyhydramnios at (11.3%). There was a statistically significant association between amniotic fluid volume and baby gender, with males being more prevalent in oligohydramnios (58.7%) and polyhydramnios (57.3%) compared to normal amniotic fluid volume. Moreover, polyhydramnios had more effects on maternal and baby poor outcomes than oligohydramnios. Thyroid disease, diabetes mellitus, and hypertension were the most common types of chronic illnesses in polyhydramnios group compared with oligohydramnios group and normal amniotic fluid group. Apgar score, birth weight, congenital anomalies, hypoglycemia, asphyxia, and respiratory distress syndrome were statistically significant with oligohydramnios, polyhydramnios and normal amniotic fluid volum

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Comparison Of Maternal And Perinatal Outcome Of Isolated Borderline Amniotic Fluid Index Versus Normal Amniotic Fluid In Low-Risk Pregnancies At Term

Kalsoom,

Majeed,

Riaz

et al. 2023

JRMC

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Objective: The objective of the study was to compare the maternal and perinatal outcomes in low-risk pregnancies having borderline Amniotic fluid index with normal amniotic fluid index at term. Methods: This prospective observational study, included 540 low-risk pregnant women admitted at POF Hospital Wah Cantt between 1st June 2020-31st Dec 2022. Group A had 180 women with borderline AFI having normal umbilical artery Doppler and group B had 360 women with normal AFI between 37-40 weeks, who fulfilled the inclusion criteria. The data regarding baseline characteristics and fetomaternal outcome was collected on an already designed proforma and analysis was done by using SPSS version 23. Results: The difference in overall cesarean section rate (p=0.071) and cesarean section for fetal distress (p=0.076) was not statistically significant between the two groups. The borderline AFI did not increase the risk of meconium-stained liquor (p=0.116), 5minute APGAR score <7 (p=0.218), admission to NICU (p=0.064) and low birth weight (mean birth weights p=0.278) compared to normal AFI. Conclusion: Borderline oligohydramnios does not increase the risk of cesarean section and cesarean section for fetal distress. There is no increase in the risk of meconium-stained liquor, 5-minute APGAR score<7, admission to NICU and low birth weight. Keywords: Amniotic fluid index, borderline oligohydramnios, cesarean section, fetal distress, meconium-stained liquor.

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Comparison of Perinatal Outcomes between Borderline and Normal Amniotic Fluid Index in Term Singleton Pregnancies

Cited by 4 publications

References 0 publications

Evaluation of Perinatal Outcomes in Pregnant Women With Low Amniotic Fluid Index

Evaluation of Perinatal Outcomes in Pregnant Women With Low Amniotic Fluid Index

The Effect of Amniotic Fluid Changes in Late Pregnancy on Maternal And Fetus Outcomes

Comparison Of Maternal And Perinatal Outcome Of Isolated Borderline Amniotic Fluid Index Versus Normal Amniotic Fluid In Low-Risk Pregnancies At Term

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