Is low amniotic fluid index an indicator of fetal distress and hence delivery?

Pai, Muralidhar; Roopa, PS

doi:10.18203/2320-1770.ijrcog20160561

Cited by 1 publication

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Oligohydramnios is associated with several adverse perinatal outcomes, including fetal intolerance of labor, caesarean delivery for fetal intolerance, neonatal intensive care unit (NICU) admission, intrauterine growth restriction (IUGR), 5-minutes APGAR score less than 7, and fetal or neonatal death [3,4] . Low AFI is considered to be one of the indications for delivery as it may be associated with fetal asphyxia, fetal growth restriction, non-reassuring fetal heart rate (FHR) tracing and/or stillbirth [5] . As etiology, management and the outcome are different in late onset oligohydramnios compared to early onset oligohydramnios.…”

Section: Introductionmentioning

confidence: 99%

Impact of Low Amniotic Fluid Index at Term Pregnancy on Perinatal Outcome

Khatun,

Siddika,

Khatun

et al. 2024

Int. J. Clin. Obstet. Gynaecol.

View full text Add to dashboard Cite

Introduction:The amniotic fluid volume is an indicator of fetal wellbeing. Low Amniotic fluid index (AFI) is associated with several adverse perinatal outcomes. Its assessment is an essential component of antenatal fetal surveillance. Aim:The study is carried out to evaluate perinatal outcome in low AFI patients as oligohydramnios can reflect fetal jeopardy. It can also guide an obstetrician whether further evaluation needed or not as well as timing of delivery. Methodology: A prospective cohort study was done on 200 pregnant patients admitted in Obstetrics & Gynaecology, Dhaka Medical College & Hospital meeting the inclusion & exclusion criteria included in this study. Among them 100 patients belong to group-A had low AFI (≤5) and group B comprises 100 patients with normal AFI (>5). Assessment of perinatal outcome done by APGAR score at 1 and 5 minutes, birth weight, admission into NICU, still birth & early neonatal death and mode of delivery. Result: In this study, significance difference observed between two group in APGAR score at 1 min, low birth weight and mode of delivery. 36% from Group-A and 21% of Group-B neonates were found having low APGAR score (<7) at 1 minute which was improved after 5 min. Analyzing the birth weight data, 35% newborn from Group-A and 14% from Group-B were found low birth weight. Caesarean section higher (84%) in Group-A and vaginal delivery higher (64%) in Group-B. No significant difference observed between both group in APGAR score at 5 min, NICU admission & perinatal death. Conclusion: It has been observed that low APGAR score at 1 min, low birth weight and mode of delivery have statistically significant relationship with low amniotic fluid index (AFI≤5).

show abstract

Section: Introductionmentioning

confidence: 99%