Relationship between Amniotic Fluid Index and Perinatal Outcome

Aims: This study was done to evaluate the predictive value of low amniotic fluid index (AFI) of 5 cm.  Results: The caesarean section (C/S) rate for fetal distress and low birth weight babies (<2.5 kg) was higher in patients with low AFI (p=0.048, 0.001 respectively). There was no significant difference in meconium staining, APGAR score at 5 minutes between the two groups (p=0.881, 0.884 respectively).  Conclusions: Caesarean section for fetal distress and low birth weight babies was significantly associated with low amniotic fluid index. There was no significant difference in meconium staining liquor, APGAR score at 5 minutes between the two groups.

[1]  K. Blakemore,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 , 2004, Journal of Perinatology.

[2]  D. Altman,et al.  The usefulness of ultrasound assessment of amniotic fluid in predicting adverse outcome in prolonged pregnancy: a prospective blinded observational study , 2003, BJOG : an international journal of obstetrics and gynaecology.

[3]  S. Chauhan,et al.  Perinatal outcome and amniotic fluid index in the antepartum and intrapartum periods: A meta-analysis. , 1999, American journal of obstetrics and gynecology.

[4]  M. Morgan,et al.  The impact of amniotic fluid volume assessed intrapartum on perinatal outcome. , 1995, American journal of obstetrics and gynecology.

[5]  S. Chauhan,et al.  A Randomized Study to Assess the Efficacy of the Amniotic Fluid Index as a Fetal Admission Test , 1995, Obstetrics and gynecology.

[6]  M. Nageotte,et al.  Perinatal outcome with the modified biophysical profile , 1994 .

[7]  R. Paul,et al.  Amniotic Fluid Index and Prolonged Antepartum Fetal Heart Rate Decelerations , 1992, Obstetrics and gynecology.

[8]  T. Moore,et al.  The amniotic fluid index in normal human pregnancy. , 1990, American journal of obstetrics and gynecology.

[9]  J. Phelan,et al.  The Four-Quadrant Assessment of Amniotic Fluid Volume: An Adjunct to Antepartum Fetal Heart Rate Testing , 1987, Obstetrics and gynecology.

[10]  M. Ahn,et al.  Four-quadrant assessment of amniotic fluid volume. Interobserver and intraobserver variation. , 1987, The Journal of reproductive medicine.

[11]  P. Chamberlain,et al.  Ultrasound evaluation of amniotic fluid volume. I. The relationship of marginal and decreased amniotic fluid volumes to perinatal outcome. , 1984, American journal of obstetrics and gynecology.

[12]  P. Callen.  AMNIOTIC FLUID VOLUME: ITS ROLE IN FETAL HEALTH AND DISEASE , 2008 .

[13]  J. Pezzullo,et al.  Perinatal outcome associated with oligohydramnios in uncomplicated term pregnancies , 2003, Archives of Gynecology and Obstetrics.

[14]  D. Wing,et al.  Low Amniotic Fluid Index as a Predictor of Adverse Perinatal Outcome , 2002, Journal of Perinatology.

[15]  A. C. Primavesi.  ▪ Perinatal Outcome and Amniotic Fluid Index in the Antepartum and Intrapartum Periods: A Meta-Analysis: , 2000 .

[16]  M. Nageotte,et al.  Perinatal outcome with the modified biophysical profile. , 1994, American journal of obstetrics and gynecology.

[17]  P. Broussard,et al.  Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks' gestation. , 1987, The Journal of reproductive medicine.