Fatima Lajber, Huma Habib, Sumayya Khaliq, Rabia Kareem, Sumaira Inayat, Mehreen Lajber

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



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ABSTRACT
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


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