Volume : X, Issue : VII, July - 2020

PERINATAL OUTCOME IN TERM UNCOMPLICATED PREGNANCIES WITH BORDERLINE AMNIOTIC FLUID INDEX

Dr. Amudha S, Dr. Shilpa V

Abstract :

INTRODUCTION: Antenatal test is done to evaluate the fetus health and to know the adverse outcomes during the course of pregnancy. Amniotic fluid is the indicator of normal placental function and is the most important component of fetal well being. Amniotic fluid index (AFI) is the most common practical method of measurement of amniotic fluid. This has been integral component of fetal assessment during antenatal period. Normal Amniotic fluid index is between 5–24cm and value > 24cm is polyhydramnios and the value less than 5cm is oligohydramnios. Different ranges have been suggested for the definition of borderline AFI, the majority of studies have used the range between 5 and 8 cm. In a meta analysis by Magann EF et al, incidence of borderline oligohydramnios in term pregnancy varied from 6% to 44% overall incidence being 12% .It is well established that oligohydramnios is associated with increased pregnancy related complications, congenital anomalies and perinatal morbidity and mortality .In this study we will asses perinatal outcomes in borderline AFI. METHODS: This observational study was carried in 235 women with term singleton pregnancy admitted in hospital attached to BMCRI Bangalore during time period of June 2018 to July 2019 .Among these 141 cases belong to normal AFI group and 94 cases in borderline AFI group. The essential information of patients studied was gathered and recorded in detailed Performa. These groups were compared on pregnancy outcomes such as cesarean section for non reassuring fetal heart rate, meconium stained amniotic fluid, 5–min apgar score<7, low birth weight, umbilical cord blood pH and NICU admission. SUMMARY OF RESULTS: Out of 235 cases Cesarean section rate in normal AFI group was less (40.6%) compared to Borderline AFI group (60.9%).Cesarean section for non–reassuring fetal heart rate in women of borderline AFI was significantly higher (43.6%) in borderline AFI group and 28% in normal AFI group. And frequency of 5–min Apgar score <7 did not have significant differences between normal and borderline AFI groups (6.2% vs. 9.6%; respectively, p=0.14). And mean umbilical artery pH in pregnancies with borderline AFI was low compared to women with normal AFI group (7.21 vs. 7.28 respectively). However no significant difference in meconium staining and NICU admission in both groups. CONCLUSION: Findings indicated that there are statistical differences between adverse outcomes in borderline and normal AFI groups. Based on these facts pregnancies with borderline AFI should be observed carefully by frequent fetal assessment, intra partum monitoring and neonatal care.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

PERINATAL OUTCOME IN TERM UNCOMPLICATED PREGNANCIES WITH BORDERLINE AMNIOTIC FLUID INDEX, Dr. AMUDHA S, Dr. SHILPA V INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-7 | July-2020

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