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The Journal of Obstetrics and Gynecology of India
Published in: The Journal of Obstetrics and Gynecology of India 2/2014

01-04-2014 | Original Article

Low Amniotic Fluid Index at Term as a Predictor of Adverse Perinatal Outcome

Authors: Asavari Ashok Bachhav, Manjushri Waikar

Published in: The Journal of Obstetrics and Gynecology of India | Issue 2/2014

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Abstract

Aim

To determine whether an antepartum low amniotic fluid index (AFI) is a predictor of adverse perinatal outcome in normal pregnancy and to determine a threshold level of AFI that could predict an adverse outcome.

Methods

This was a prospective study conducted among 180 pregnant women at 37–40 weeks of gestation with no known obstetric or medical complications with an AFI ≤ 5th percentile. The results were statistically analyzed and compared.

Results

In the control group, the mean AFI was 10.14 cm and in the study group, it was 4.14 cm. 65 % patients in the study group and 24 % in the control group had a non-reactive non-stress Test. In the control group, 53 % of patients were induced for reasons other than oligohydramnios, while in the study group, 86 % of patients were induced for oligohydramnios. Among the control group, 33 % had a LSCS, while 67 % delivered vaginally; and in the study group, 34 % delivered vaginally and 66 % had a LSCS. In our study, a 5-min APGAR < 7 was seen in 34 % in the study group and 11 % in the control group. 33 % neonates in the control group and 64 % in the study group had birth weights <2.5 kg.

Conclusions

In the presence of oligohydramnios, perinatal morbidity and mortality are high. Determination of AFI is a valuable screening test for predicting fetal distress.
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Metadata
Title
Low Amniotic Fluid Index at Term as a Predictor of Adverse Perinatal Outcome
Authors
Asavari Ashok Bachhav
Manjushri Waikar
Publication date
01-04-2014
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue 2/2014
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-013-0489-9

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