Perinatal outcome and amniotic fluid index in the antepartum and intrapartum periods: A meta-analysis

Chauhan, Suneet P.; Sanderson, Maureen; Hendrix, Nancy W.; Magann, Everett F.; Devoe, Lawrence D.

doi:10.1016/s0002-9378(99)70393-5

Cited by 242 publications

(163 citation statements)

References 18 publications

Supporting

Mentioning

132

Contrasting

Unclassified

Order By: Relevance

“…8 It has been observed that antepartum or intrapartum AFI<5cm is associated with significant rise of risk to LSCS for foetal distress and low Apgar at 5 minutes. 9 Apgar score describes cardiorespiratory and neurological depression of new-born.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Study of amniotic fluid and its co-relation with pregnancy outcome in high risk pregnancies

Rashid

Abrol

Jabeen

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Amniotic fluid is an important part of pregnancy sac and helps in fetal development. There is a consistent association between low AFI and conditions like pregnancy induced hypertension, postdated pregnancy and IUGR resulting in poor fetal outcome. In fact, high risk patients with low amniotic fluid index need to deliver quickly. So, an assessment of amniotic fluid volume has become an important component of antenatal testing for the high risk pregnancy. The objective was to study the correlation between Amniotic fluid index less than 5 cm (AFI˂5) and adverse perinatal outcome in high risk pregnancies.Methods: It was a hospital based prospective, comparative study. 150 high risk patients were selected from inpatient department of obstetrics and Gynecology Government Medical College Srinagar, Jammu and Kashmir, India over a period of one and half year. High risk pregnancies belonging to study group with AFI˂5 were demographically matched with high risk pregnancies with AFI >5 serving as comparison group. Perinatal outcome, rate of caesarean section and early intervention need were compared between the two groups.Results: 77.3% women in study group underwent caesarean section as compared to 28% in control group to prevent adverse perinatal outcome. 60% babies in study group had APGAR score less than 6 at 1 minute compared to only 8% in control group. 61.4% babies in study group needed NICU admission compared to 10.7% in study group.Conclusions: AFI is predictor of adverse outcome for high risk pregnancies. The early recognition alerts an obstetrician to prevent perinatal catastrophe if timely intervention is done along with antepartum and intrapartum fetal monitoring.

show abstract

Section: Introductionmentioning

confidence: 99%

“…9 The reduction of amniotic fluid volume is associated with increase in induction of labour, stillbirth, non-reassuring foetal heart rate pattern, meconium aspiration syndrome and neonatal death. 5 Determination of optimal time of delivery is necessary and labour should not be prolonged.…”

Section: Introductionmentioning

confidence: 99%

Study of amniotic fluid and its co-relation with pregnancy outcome in high risk pregnancies

Rashid

Abrol

Jabeen

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Significant recent literature supports the association of an increased incidence of adverse perinatal outcome and oligohydramnios [79][80][81] . Chauhan 79 et al, in a meta-analysis of 18 reports describing 10 551 patients, demonstrated that an antepartum or intrapartum AFI < 5 cm is associated with a significantly increased risk of Cesarean delivery for 'fetal distress' and a low Apgar score at 5 min. Unfortunately this review, like many other such publications regarding the association of oligohydramnios and subsequent perinatal outcome, did not randomize, stratify or control patients according to essential entry criteria which may affect amniotic fluid volume.…”

Section: Amniotic Fluid Volume As a Predictor Of Perinatal Outcomementioning

confidence: 90%

Oligohydramnios: use and misuse in clinical management

Sherer

Langer

2001

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

“…The amniotic fluid is then sampled to determine the dye concentration and hence calculate the fluid volume in which it was diluted. 6 …”

Section: Dye Dilution Methodsmentioning

confidence: 99%

Ultrasound evaluation of pregnancies with oligohydramnios in third trimester and their feto-maternal outcome at tertiary care hospital

2017

View full text Add to dashboard Cite

Background: Oligohydramnios presents a threat to the fetus due to increased risk of the umbilical cord getting compressed and resulting in impaired blood flow to the fetus. The objective of the study was to find out the significance of oligohydramnios during third trimester of pregnancy.Methods: A hospital based prospective study was conducted in the Department of Radiodiagnosis and Obstetrics and Gynaecology, Sir T. Hospital, Bhavnagar. Amniotic fluid index (AFI) estimation was done on 60 pregnant women in third trimester, who were selected after screening for inclusion and exclusion criteria. Women with AFI < 5 cm were taken as cases while women with AFI > 5 cm as controls.Results: Maximum number of the patients were belonging to 20-25-year age group in normal AFI, oligohydramnios and borderline oligohydramnios group. Incidence of malpresentation was significantly higher in oligohydramnios (20%), borderline oligohydramnios (17.5%). In oligohydramnios common, etiological factors were PIH (27.5%), idiopathic factor (27.5%), postdatism (12.5%) and IUGR (7.5%), while borderline oligohydramnios group is commonly associated with idiopathic factors (52.5%) followed by PIH (17.5%). Incidence of caesarean section was significantly higher in oligohydramnios group (67.5%) than normal AFI (18%). In borderline oligohydramnios group rate is significantly higher (45%) than normal AFI, but it is less as compared to oligohydramnios.Conclusions: Identification of oligohydramnios can be done by a good clinical examination and confirmed by measuring AFI on ultrasonography. Poor fetal outcome in the form of preterm, IUD, LBW, low APGAR score at 5 minute and increased chances of still birth, NICU admission and neonatal death are seen with oligohydramnios in third trimester and more so if it is detected in early third trimester. Chances of induction of labour and risk of LSCS also increase. Thus, detection of oligohydramnios helps in proper management of the cases so that maternal and perinatal outcome can be improved.

show abstract

Perinatal outcome and amniotic fluid index in the antepartum and intrapartum periods: A meta-analysis

Cited by 242 publications

References 18 publications

Study of amniotic fluid and its co-relation with pregnancy outcome in high risk pregnancies

Study of amniotic fluid and its co-relation with pregnancy outcome in high risk pregnancies

Oligohydramnios: use and misuse in clinical management

Ultrasound evaluation of pregnancies with oligohydramnios in third trimester and their feto-maternal outcome at tertiary care hospital

Contact Info

Product

Resources

About