Single deepest vertical pocket or amniotic fluid index as evaluation test for predicting adverse pregnancy outcome (SAFE trial): a multicenter, open‐label, randomized controlled trial

Kehl, Sven; Schelkle, Anika; Thomas, Anke; Puhl, Alexander; Meqdad, Katja; Tuschy, Benjamin; Berlit, Sebastian; Weiß, Christel; Bayer, Christian; Heimrich, Jutta; Dammer, Ulf; Raabe, E; Winkler, Mathias; Faschingbauer, Florian; Beckmann, Matthias W.; Sütterlin, Marc

doi:10.1002/uog.14924

“…2 Oligohydramnios was defined as Amniotic fluid index (AFI) ≤5 (or less than the 5th percentile) or the absence of a pocket measuring at least 2 × 1 cm. 3 With the help of method of amniotic fluid estimation by AFI using four quadrant techniques during transabdominal USG, as per described by Phelan et al in 1997, better identification of fetus at high risk can be done. 4 Oligohydramnios is a common complication of pregnancy and the incidence of this is reported to be around 1 to 5 % of total pregnancies.…”

Section: Introductionmentioning

confidence: 99%

Neonatal and maternal outcome in oligohydramnios: a prospective study

Ahmar

¹

,

Parween

²

,

Kumari

³

et al. 2018

Int J Contemp Pediatr

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Background: Oligohydramnios presents a threat to the fetus and has been correlated with increased risk of intrauterine growth retardation, meconium aspiration syndrome, severe birth asphyxia, low APGAR scores and congenital abnormities. It is associated with perinatal morbidity and mortality and maternal morbidity in a significant number of cases. Therefore, early detection of oligohydramnios and its management is important. Aim of this study was to know the fetal and maternal outcome in oligohydramnios.Methods: 90 patients in third trimester of pregnancy with Oligohydramnios were selected after satisfying inclusion and exclusion criteria. A detailed history and examination were done. All required investigation done. Oligohydramnios confirmed by measuring Amniotic fluid index (AFI).Results: Mean maternal age-26.1 years. Incidence of oligohydramnios was more in primipara (64.4%) in our study. And operative morbidity was also more in primipara (51.7%). Most common cause of Oligohydramnios was idiopathic (44.44%). Operative morbidity was significantly higher in Non-reassuring FHR (80%) than reassuring FHR (32%). 7 patients (7.78%) were found with fetoplacental insufficiency on Doppler study.Conclusions: Oligohydramnios is frequent occurrence and demands intensive fetal surveillance and proper antepartum and intrapartum care so that perinatal morbidity and mortality and maternal morbidity can be reduced.

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“…Low residual amniotic fluid after PPROM has been associated with complications such as short latency period, chorioamnionitis, neonatal sepsis, respiratory distress syndrome, low Apgar scores, cesarean deliveries, and neonatal death [1][2][3][4][5][6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…Ultrasound assessment of amniotic fluid estimation is performed by either the four quadrant amniotic fluid index (AFI) or the single deepest vertical pocket (SDP) technique [4]. The majority of studies in the current literature use AFI to determine the perinatal outcomes of oligohydramnios secondary to PPROM [1][2][3][4][5][6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Maternal and Perinatal Outcomes in Pregnancies after Preterm Premature Rupture of Membranes Determined by Single Deepest Vertical Pocket

Martins¹

2017

OGIJ

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Objective: To evaluate maternal and perinatal outcomes in cases with oligohydramnios after preterm premature rupture of membranes (PPROM) using single deepest pocket (SDP) at the time of diagnosis Methods: We performed a retrospective cohort study of perinatal outcomes based on SDP measurement at the time of PPROM during the study period 2011 to 2015 at a single institution. The SDP was determined by reviewing archived ultrasound images and reports at the time PPROM was diagnosed. Patients were subsequently divided into two groups, SDP <2cm (n=24) and SDP ≥ 2cm (n=54). Maternal and perinatal outcomes were subsequently compared according to single deepest vertical pocket. The Student's t-test and Chi-squared test were used to compare variables. All p values were expressed as exact values against the null hypothesis. Results:We identified 78 patients with PPROM between 24 and 34 weeks of pregnancy. A SDP <2cm in the setting of PPROM was associated with earlier gestational age at time of membrane rupture, earlier delivery, increased respiratory distress syndrome (RDS), lower Apgar score at one minute, and decreased birth weight. We believe that this association is the result of gestational age itself rather than a smaller single deepest vertical pocket. Conclusion:The presence of a SDP <2cm in the setting of PPROM is not associated with adverse maternal and perinatal outcomes. SDP was not shown to be a good predictive marker of composite perinatal morbidity. Larger prospective studies, however, should be performed to allow for a multivariate analysis.

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“…Amniotic fluid volume is an essential component in the assessment of overall fetal well being [4]. Low residual amniotic fluid after PPROM has been associated with complications such as short latency period, chorioamnionitis, neonatal sepsis, respiratory distress syndrome, low Apgar scores, cesarean deliveries, and neonatal death [1][2][3][4][5][6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2017

OGIJ

0

View full text Add to dashboard Cite

Objective: To evaluate maternal and perinatal outcomes in cases with oligohydramnios after preterm premature rupture of membranes (PPROM) using single deepest pocket (SDP) at the time of diagnosis Methods: We performed a retrospective cohort study of perinatal outcomes based on SDP measurement at the time of PPROM during the study period 2011 to 2015 at a single institution. The SDP was determined by reviewing archived ultrasound images and reports at the time PPROM was diagnosed. Patients were subsequently divided into two groups, SDP <2cm (n=24) and SDP ≥ 2cm (n=54). Maternal and perinatal outcomes were subsequently compared according to single deepest vertical pocket. The Student's t-test and Chi-squared test were used to compare variables. All p values were expressed as exact values against the null hypothesis. Results:We identified 78 patients with PPROM between 24 and 34 weeks of pregnancy. A SDP <2cm in the setting of PPROM was associated with earlier gestational age at time of membrane rupture, earlier delivery, increased respiratory distress syndrome (RDS), lower Apgar score at one minute, and decreased birth weight. We believe that this association is the result of gestational age itself rather than a smaller single deepest vertical pocket. Conclusion:The presence of a SDP <2cm in the setting of PPROM is not associated with adverse maternal and perinatal outcomes. SDP was not shown to be a good predictive marker of composite perinatal morbidity. Larger prospective studies, however, should be performed to allow for a multivariate analysis.

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Single deepest vertical pocket or amniotic fluid index as evaluation test for predicting adverse pregnancy outcome (SAFE trial): a multicenter, open‐label, randomized controlled trial

Abstract: Objective To determine whether the amniotic fluid index (AFI) or the single deepest vertical pocket (SDP) technique for estimating amniotic fluid volume is superior for predicting adverse pregnancy outcome. Methods

Cited by 111 publications

References 19 publications

Neonatal and maternal outcome in oligohydramnios: a prospective study

Neonatal and maternal outcome in oligohydramnios: a prospective study

Maternal and Perinatal Outcomes in Pregnancies after Preterm Premature Rupture of Membranes Determined by Single Deepest Vertical Pocket

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