Vol. 4, Issue 3 (2018)
Assessment of perinatal outcome using amniotic fluid index and color of liquor: A prospective study
Author(s): Dr. Swati Bhargava, Dr. Sujata Bhargava, Dr. Jyoti Bindal
Abstract: Background: It is well recognized that consequence of labour even in patients with low risk can lead to foetal morbidity and mortality. Oligohydramnios during antepartum period has been associated with intrauterine growth restriction. With the advancing gestational age amniotic fluid volume is known to reduce. Aims and Objective: To assess perinatal outcome using amniotic fluid index (AFI) and color of liquor in antenatal women. Materials and Method: Two hundred and fifty antenatal women were studied having gestational age between 37 to 42 weeks. Detailed history including age, gestational age, parity and mode of delivery was recorded. After thorough clinical examination, AFI was recorded. Patients were divided based on AFI as Group 1 (<5), Group 2 (5-8) and Group 3 (>8). Presence of meconium stained liquor was also recorded in all patients. Result: Most common age group was 21-25 years (48%). Most of the patients had gestational age between 40-42 weeks (56%). Maximum patients had AFI >8 (80%) and were multipara (54%). Meconium stained liquor was found in 32% patients. Out of 62 babies who had birth weight ≤2.5, most of them had AFI >8 (n=39) also, out of 188 babies delivered with birth weight of >2.5 kg, most of them had AFI >8 (n=160). Babies with Apgar score ≤7, 30 had AFI >8 similarly babies with Apgar score <7, 165 had AFI >8. Conclusion: AFI and presence of meconium in the liquor significantly determine the fetal health.