International Journal of Clinical Obstetrics and Gynaecology
2018, Vol. 2, Issue 3, Part B
Amniotic fluid index for prediction of fetal outcome
Author(s): Dr. Omvati Gupta, Dr. Deepa Masand and Dr. Swati Gill
Abstract: Introduction: Quantification of amniotic fluid is an important component in biophysical profile, especially in third trimester. Ultrasound being a noninvasive test is ideal for application on a large scale and can be used frequently for repeat AFV determination. Fluid provides a protective cushion effect for growing fetus.it maintains the temperature and provide a thermally stable environment. It acts as shock absorber, protecting fetus from possible external injury. Method and Materials: The study was done for 1 year from feb.2015 to July 2016. We took 100 singleton booked antenatal women with period of gestation between 34 to 41 weeks admitted in labor room for delivery at National institute of medical sciences and research hospital. Amniotic fluid index was determined by using Phelan’s technique within 7 days of delivery or at the onset of labor. The patients were divided into2 groups with AFI >5 and <5cm.equipment used was real time imaging ultrasound machine. Results & Conclusion: out of total 100 patients, 4 (28.6%) women in group I and 18 (20.9%) women in group II had meconium stained liquor. Induction of labor was done in 10 (71.4%) in group I and 28 (32.6%) in group II, Total 9 (64.3%) patients in group I and 22 (25.6%) in group II, had cesarean section out of which 5 (35.5%) women in group I and 8 (9.3%) women in group II has fetal distress as indication of LSCS. Present study concluded that low AFI index is excellent predictor of adverse fetal effects which can be prevented if low AFI is detected timely and enhanced antepartum and intra partum surveillance is provided.
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How to cite this article:
Dr. Omvati Gupta, Dr. Deepa Masand, Dr. Swati Gill. Amniotic fluid index for prediction of fetal outcome. Int J Clin Obstet Gynaecol 2018;2(3):99-101.