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Indian Journal of Maternal-Fetal & Neonatal Medicine

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Evaluation of Amniotic Fluid Index - Correlation with Maternal and Fetal Outcome

Kalki Hymavathi , Kalki Hymavathi1 , Sreeteja2 , Neha Shukla3 , P. Vineela4

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Indian Journal of Maternal-Fetal & Neonatal Medicine 6(1):p 61-68, Jan-June 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.6119.12

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Abstract

Aim: The present study was undertaken to know the incidence of polyhydramnios and oligohydramnios in our hospital. Method: This prospective study conducted on 150 antenatal women between 28 to 42 weeks of gestation. 50 pregnant women with oligohydramnios, 50 women with normal amniotic fluid index (AFI) and 50 women with polyhydramnios were studied. Results: The incidence of oligohydramnios was 4% and polyhydramnios was 1%. In oligohydramnios group, 56% were primi gravida and 44% women were multigravida. In polyhydramnios group, 64% were multigravida and 36% were primigravida. Induction of labour was done in 66% of oligohydramnios women. In polyhydramnios group, 60% had vaginal delivery and 40% women underwent caesarean section. Meconium staining of liquor was seen in 16% of oligohydramnios, 14% of polyhydramnios and 14% of normal AFI women. In oligohydramnios, 8.16% of the babies had APGAR < 7 at 5 min, 26% had birth weight <2.5 kg, newborn intensive care unit (NICU) admission was seen in 20.4% and PNM was 2%. In polyhydramnios, 10.8% of the babies had APGAR < 7 at 5 min, 14% had birth weight <2.5 kg, NICU admission was seen in 21.7% and perinatal death was 16%. Congenital anomalies were seen in 2% of oligohydramnios babies, 13% of polyhydramnios and 2% of normal AFI group babies. Conclusion: Amniotic fluid assessment has become an important part of ante-partum fetal surveillance and also it has a prognostic value for fetal and new born outcome.

Keywords: Amniotic Fluid Index; Maternal outcome; sonography.

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DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.6119.12

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