Role of Low Amniotic Fluid Index (AFI) on Perinatal Outcome in Women with Term Pregnancy
Fatima Lajber, Huma Habib, Sumayya Khaliq, Rabia Kareem, Sumaira Inayat, Mehreen Lajber
1498
ABSTRACTObjective: To determine the role of low amniotic fluid index (AFI) as a predictor of perinatal outcome in women presented with term pregnancy.Study design: Retrospective/Observational studyPlace & Duration: Department of Gynae & Obs Mardan Medical Complex MTI, Mardan for duration of six months from November 2019 to April 2020.Materials and Methods: Total 96 patients with gestational age >38 weeks were included in this study. Two groups were maintained, group I with 48 patients having AFI <5 cm and group II with 48 patients having AFI >5 cm. Outcomes were compare between both groups in term of NST measure, mode of delivery, Apgar score at 5 minutes, NICU admission, low birth weight, meconium aspiration and respiratory distress.Results: Mean age of patients in group I was 26.52±4.88 years and in group II it was 27.08±3.86 years. Mean gestational age in group I was 38.02±1.86 weeks and in group II it was 38.54±1.42 weeks. No significant difference was observed regarding reactive non-stress test and cesarean section between both groups I and II [(Reactive 38 (79.17%) Vs 34 (70.83%)] and [14 (29.17%) and 11 (22.92%)] with p-value >0.05. A significant difference was found regarding neonatal outcomes between both groups I and II with p-value <0.05.Conclusion: Low amniotic fluid index is associated with poor neonatal outcomes as compared to amniotic fluid index >5 cm.Key words: Amniotic Fluid Index (AFI), Term Pregnancy, Neonatal Outcomes
Objective: To determine the role of low amniotic fluid index (AFI) as a predictor of perinatal outcome in women presented with term pregnancy.
Study design: Retrospective/Observational study
Place & Duration: Department of Gynae & Obs Mardan Medical Complex MTI, Mardan for duration of six months from November 2019 to April 2020.
Materials and Methods: Total 96 patients with gestational age >38 weeks were included in this study. Two groups were maintained, group I with 48 patients having AFI <5 cm and group II with 48 patients having AFI >5 cm. Outcomes were compare between both groups in term of NST measure, mode of delivery, Apgar score at 5 minutes, NICU admission, low birth weight, meconium aspiration and respiratory distress.
Results: Mean age of patients in group I was 26.52±4.88 years and in group II it was 27.08±3.86 years. Mean gestational age in group I was 38.02±1.86 weeks and in group II it was 38.54±1.42 weeks. No significant difference was observed regarding reactive non-stress test and cesarean section between both groups I and II [(Reactive 38 (79.17%) Vs 34 (70.83%)] and [14 (29.17%) and 11 (22.92%)] with p-value >0.05. A significant difference was found regarding neonatal outcomes between both groups I and II with p-value <0.05.
Conclusion: Low amniotic fluid index is associated with poor neonatal outcomes as compared to amniotic fluid index >5 cm.
Key words: Amniotic Fluid Index (AFI), Term Pregnancy, Neonatal Outcomes