Low amniotic fluid index and intranatal and perinatal outcome in term pregnancy
Dr. Mangal Puri, Dr. Kanika Sharma
Objective: Here we studied and compared perinatal outcome and mode of delivery in women with low AFI.
Methods: 105 singleton pregnancies with gestational age between 37 to 42 weeks with low AFI. The amniotic fluid index was determined in all cases using four quadrant technique. The cases were divided in two groups We studied the cases in terms of mode of delivery, abnormal fetal heart rate, meconium staining of liquor, APGAR score at 1 min and 5 min, birth weight, NICU admissions. We also studied the antenatal risk factors associated with low AFI.
Results: The group with oligohydramnios had more number of caesarean sections which was statistically significant (p=0.000).
Conclusion: Oligohydramnios with AFI less than or equal to 5 is associated with statistically significant high caesarean delivery rate. Adverse perinatal outcome in terms of meconium stained liquour, abnormal FHR, low birth weight, poor APGAR score at 1 and 5 minute are the complications of low AFI.