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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6118.13

Abstract

Aim: The aim of the study is to study AFI <5 cm is an appropriate threshold for pregnancy intervention to prevent adverse outcome of pregnancy, and it is a determining factor in perinatal outcome in high risk pregnancies. To compare caesarean rates between patients with AFI <5 cm and AFI >5 cm in high risk pregnancies. Methodology: This study was a prospective, comparative study conducted over a period of two years total of 100 patients were selected in study group 50 high risk patients of >35 weeks pregnancy with an AFI <5cm. In the control group, 50 high risk patients of >35 weeks pregnancy with an AFI >5cm with the same complications of pregnancy. Results: The patients showed the mean age of this study population was 28.69±3.51 years and mean marriage duration was 2.89±3.12 years. In study group the highest was in IUGR (asymmetrical) and in which frequency was 18 (36%), and the highest in control group was PD in which frequency was 17 (34%). In group with AFI <5, there was high rate of non-reactive NST compared to group with AFI>5 (p<0.001). The most common indication of LSCS was acute foetal distress followed by oligohydramnios and IUGR. the characteristics of AFI<5 cm was highest for normal Apgar score at 5 mins >6 which was 22 (44%), AFI >5cm was highest for normal Apgar score at 5 mins>6 which was 46 (92%). Conclusion: From the present study, it was concluded that predictor of adverse outcome for high risk antepartum or intrapartum ladies is AFI, timely intervention is done along with antepartum and intrapartum fetal monitoring if early recognition alerts an obstetrician to prevent perinatal catastrophe and in neonatal care, there is need for improvement.

Keywords: Amniotic Fluid; Antepartum. 

Corresponding Author : V. Ramadevi, Associate Professor, Department of Obstetrics and Gyneacology, Fathima Institute of Medical Sciences, Nagarajpalli, Pulivenduma Road, Kadapa, Andhra Pradesh 516003, India.