Correlation of Amniotic Fluid Index with Perinatal Outcome
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
We aimed to evaluate the predictive value of amniotic fluid index (AFI) (<5) for adverse perinatal outcome in terms of cesarean section for fetal distress, birth weight, meconium staining, Apgar scores, and cord pH at birth.
This was a prospective study of 200 antenatal women booked at Ram Manohar Lohia (RML) Hospital during the years 2009–2011 with gestational age between 34 and 41 weeks. The women’s history, clinical examination recorded, and AFI were measured and the perinatal outcome was compared between two groups, i.e., AFI < 5 and >5.
The cesarean section rate for fetal distress and low birth weight babies, <2.5 kg, was higher in patients with oligohydramnios (p = 0.048, 0.001, respectively). There was no significant difference in meconium staining, Apgar score at 5 min <7, and cord pH at birth between the two groups (p = 0.881, 0.884, 0.764, respectively).
Oligohydramnios has a significant correlation with cesarean section for fetal distress and low birth weight babies.
- Manning FA. Antepartum fetal testing: a critical appraisal. Curr Opin Obstet Gynecol. 2009;21(4):348–52. CrossRef
- Chamberlain PF, Manning FA, Morrison I, et al. The relationship of marginal and decreased amniotic fluid volumes to perinatal outcome. Am J Obstet Gynecol. 1984;150(3):245–9. CrossRef
- Nageotte MP, Towers CV, Asrat T, et al. Perinatal outcome with the modified biophysical profile. Am J Obstet Gynecol. 1994;170(6):1672–6. CrossRef
- Kofinas A, Kofinas G. Differences in amniotic fluid patterns and fetal biometric parameters in third trimester pregnancies with and without diabetes. J Matern Fetal Neonatal Med. 2006;19(10):633–8. CrossRef
- Phelan JP, Ahn MO, Smith CV, et al. Amniotic fluid index measurements during pregnancy. J Reprod Med. 1987;32:601–4.
- Baron C, Morgan MA, Garite TJ. The impact of amniotic fluid volume assessed intrapartum on perinatal outcome. Am J Obstet Gynecol. 1995;173(1):167–74. CrossRef
- Voxman EG, Tran S, Wing DA. Low amniotic fluid index as a predictor of adverse perinatal outcome. J Perinatol. 2002;22(4):282–5. CrossRef
- Chauhan SP, Sanderson M, Hendrix NW, et al. Perinatal outcome and amniotic fluid index in the antepartum and intrapartum periods: a meta-analysis. Am J Obstet Gynecol. 1999;181(6):1473–8. CrossRef
- Rutherford SE, Phelan JP, Smith CV, et al. The four quadrant assessment of amniotic fluid volume: an adjunct to antepartum fetal heart rate testing. Obstet Gynecol. 1987;70(3):353–6.
- Locatelli A, Vergani P, Toso L, et al. Perinatal outcome associated with oligohydramnios in uncomplicated term pregnancies. Arch Gynecol Obstet. 2004;269(2):130–3. CrossRef
- Morris JM, Thompson K, Smithey J, et al. The usefulness of ultrasound assessment of amniotic fluid in predicting adverse outcome in prolonged pregnancy: a prospective blinded observational study. Br J Obstet Gynaecol. 2003;110(11):989–94. CrossRef
- Driggers RW, Holcroft CJ, Blakemore KJ, et al. An amniotic fluid index ≤5 cm within 7 days of delivery in the third trimester is not associated with decreasing umbilical arterial pH and base excess. J Perinatol. 2004;24(2):72–6. CrossRef
- Grubb DK, Paul RH. Amniotic fluid index and prolonged antepartum fetal heart rate decelerations. Obstet Gynecol. 1992;79(4):558–60.
- Correlation of Amniotic Fluid Index with Perinatal Outcome
The Journal of Obstetrics and Gynecology of India
Volume 64, Issue 1 , pp 32-35
- Cover Date
- Print ISSN
- Online ISSN
- Springer India
- Additional Links
- Meconium staining
- Cesarean delivery
- Apgar scores
- Birth weight
- Cord pH