AMNIOTIC FLUID INDEX VERSUS MAXIMUM VERTICAL POCKET MEASUREMENT IN PREDICTING OUTCOME AT 40 WEEKS OR BEYOND

Dr. Avinash Gupta; Dr. Reena Mathur; Dr. Deepak Gupta

Volume : IX, Issue : VI, June - 2020

AMNIOTIC FLUID INDEX VERSUS MAXIMUM VERTICAL POCKET MEASUREMENT IN PREDICTING OUTCOME AT 40 WEEKS OR BEYOND

Dr. Avinash Gupta, Dr. Reena Mathur, Dr. Deepak Gupta

Abstract :

Background: Aim to compare the use of amniotic fluid index with maximum vertical pocket for predicting perinatal outcome. Method: The study was a prospective observational study and include 100 normal antenatal women at gestational age 40 weeks or beyond (by last menstrual period/first trimester scan) and between 20 to 40 years of age were enrolled in this study from 2018 to 2019. After taking a detailed history and examination of women, were subjected to ultrasonography for amniotic fluid index (AFI) and maximum vertical pocket (MVP), the women were divided into two Groups: Group I – 62 women having normal AFI and normal MVP : and Group II – 38 women having decreased AFI and normal MVP. Result: In Group I 22 women were induced and in Group II 38 women were induced for oligohydramnios. 45 women had normal vaginal delivery versus 17 women had under gone LSCS in Group I. While in Group II, 24 women versus 14 women had vaginal delivery and LSCS respectively, higher rate of LSCS was observed in Group II. There was no significant difference in rate of LSCS for fetal distress between Group I & II. Conclusion: Amniotic fluid index (AFI) compared with the maximum vertical pocket (MVP) excessively characterizes patient as having oligohydramnios, leading to an increase in obstetric intervention, without any documented improvement in perinatal morbidity and mortality. Thus, there is no reason found to favour AFI over MVP.