Abstract Introduction: Amniotic fluid provides a protective cushion effect for growing fetus. It maintains the temperature and provides a thermally stable environment for fetus. It acts as shock absorber, protecting fetus from possible external injury. Amount of amniotic fluid is good indicator of baby’s wellbeing in advanced gestational age. It constitutes the important part of fetal wellbeing test called as biophysical profile. This biophysical profile is ultrasound test along with NST. Method and Materials: It is a retrospective study conducted in Srinivas institute of Medical Sciences and Research Centre, and other centers. In which records were studied by follow up from February 2017 to January 2018. Amniotic fluid volume was noted within 7 days of
delivery or at the time of admission to hospital. The patients were divided into2 groups with reduced amniotic fluid volume (AFI <5) and normal amniotic fluid volume (AFI >5cm). Results: Out of 1928 records studied. In that 612 patients were recruited for the study. Out of them 25 (28.41%) women in reduced amniotic fluid volume and 104 (19.85%) women in normal amniotic fluid volume, had meconium passage. Labor pain was induced in 61 (69.32%) in reduced amniotic fluid volume and 132 (25.19%) in normal amniotic fluid volume, Total 67 (76.14%) patients in reduced amniotic fluid volume and 126 (24.05%) in normal amniotic fluid volume, had LSCS in that 36 (40.90%) women in reduced amniotic fluid volume and 41 (7.82%) women in normal amniotic fluid volume has non reassuring fetal heart rate pattern as indication of LSCS. Conclusion: Present study showed that reduced amniotic fluid volume good indicator of poor pregnancy outcome.
Keywords: Induction of Labor; AFI; Ante Partum Surveillance; Non Reassuring Fetal Heart Rate Pattern; LSCS.