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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 3, March 2023 | Popularity: 5 / 10

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Study of Amniotic Fluid Index and Feto Maternal Outcome in Term Pregnancy at Tertiary Care Centre

Dr. J. Rishitha Priyanka, Dr. D. Rajani Devi, Dr. Kalpana. G

Abstract: Background: Amniotic fluid performs several functions during the intrauterine life. Abnormalities of amniotic fluid volume may provide valuable information to enhance fetal health assessment. Any variation in the amniotic fluid volume warrants antenatal foetal surveillance. Methods: This is a prospective observational comparative study conducted in the Department of Obstetrics and Gynaecology, Santhiram Medical College, Nandyal from October 2021 to April 2022. 150 pregnant women between 37 to 40 weeks of gestation were included in the study. . Pregnant women were divided into 3 groups' i. e. normal liquor, oligohydramios and polyhydramnios. All the women were closely monitored during labour and puerperium. Follow - up was done till 7 days post - delivery, Maternal and neonatal data were collected. Results: Among 150 subjects, 109 had Normal AFI, 30 had Oligohydramnios and 11 had Polyhydramnios, majority of subjects of Oligohydramnios (14%) and normal AFI (73%) hadgestationalagebetween39 - 39.6 weeks and Polyhdramnios (25%) had gestational age 37 - 37.6 weeks. Incidence of Cesarean section (60%), Fetal distress (95.6%), Meconium stained liquor (23.3%), low 1 minutes APGAR, low birth weight (32.8%), IUGR (29.7%) and NICU admission (35.9%) were common in Oligohydramnios group. Incidence of Cesarean section (72.73%), Fetal distress (54.5%), low 1 minutes APGAR, Macrosomia (32.8%), Gestational diabetes mellitus (26.7%) and NICU admission (33.3%) were common in Polyhydramnios group. Conclusion: Liquor assessment at term is necessary, as it indicates fetal well being & Abnormal liquor volumes at term are associated with increased maternal morbidity and adverse perinatal outcome.

Keywords: Amniotic fluid index, AFI, Oligohydramnios, Polyhydramnios, Perinatal outcome, Ultrasonography, Liquor assessment

Edition: Volume 12 Issue 3, March 2023

Pages: 628 - 634

DOI: https://www.doi.org/10.21275/MR23311160156

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