Comparison of Maternal and Foetal Outcome between Normal and Abnormal Amniotic Fluid Index in the Third Trimester of Pregnancy - A Longitudinal Analytical Study in A Tertiary Level Medical College of Suburban West Bengal, India

Journal of Medical Sciences and Health Pub Date : 2023-10-31 DOI:10.46347/jmsh.v9i2.22.518

Gairik Bera, Sougata Kumar Burman, Mousumi Maji, Jayeeta Mukherjee, Anirban Talukder, Manidip Pal

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Abstract

Background: Amniotic fluid (AF) is the protective liquid present in the amniotic sac of a gravid uterus. Amniotic fluid has nutritive, protective and diagnostic functions. Amniotic Fluid Index (AFI) is most popular and reliable method for quantifying amniotic fluid, till date. AFI is one of the major parameters of foetal biophysical profile (BPP) that can predict perinatal and maternal outcomes. Periodical scanning of foetus is utmost essential during antenatal visits, especially in high-risk pregnancies, but there is no definite standard protocol regarding its frequency.Methods: This study was conducted in the department of Obstetrics & Gynaecology, College of Medicine & JNM Hospital, Kalyani, Nadia, India. This longitudinal analytical study included 356 patients, among whom 151 (42.4%) were in oligohydramnios group, 174 (48.9%) in normal group and 31 (8.7%) in polyhydramnios group.Results: The data revealed oligohydramnios was strongly associated with caesarean section (p = 0.0010). In oligohydramnios group, IUGR was found in 37 (24.5%) patients (p = 0.0297). Meconium-stained liquor was almost similar in all three categories i.e. 15 (10.0%) in oligohydramnios group, 18 (10.3%) in normal group and 5 (16.1%) in polyhydramnios group, respectively. There was higher SNCU admission among babies delivered by mothers with oligohydramnios (p = 0.0369). There was no statistically significant difference in 1 and 5 minutes APGAR scores among normal and abnormal AFI groups. Conclusions: It was inferred that LSCS, IUGR baby and SNCU admission rates were more in oligohydramnios group compared to other categories. The perinatal death was 3.3% with oligohydramnios compared to 1.7% with normal liqour. The results from this study emphasize on the importance of AFI among the various means of antepartum surveillance and predictors of foetal outcome. Keywords: Oligohydramnios, Polyhydramnios, Foetal Outcome, IUGR, AFI

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妊娠晚期羊水指数正常与异常的母婴结局比较——印度西孟加拉邦郊区一所高等医学院的纵向分析研究

背景:羊水(AF)是存在于妊娠子宫羊膜囊中的保护性液体。羊水具有营养、保护和诊断功能。羊水指数(AFI)是迄今为止最流行、最可靠的羊水定量方法。AFI是胎儿生物物理特征(BPP)的主要参数之一，可以预测围产期和产妇结局。在产前检查中，对胎儿进行定期扫描是至关重要的，特别是在高危妊娠中，但对其频率没有明确的标准方案。方法:本研究在妇产科进行;医学院妇科;JNM医院，印度纳迪亚卡利亚尼。本研究共纳入356例患者，其中羊水过少组151例(42.4%)，正常组174例(48.9%)，羊水过多组31例(8.7%)。结果:羊水过少与剖宫产密切相关(p = 0.0010)。羊水过少组发生IUGR 37例(24.5%)，差异有统计学意义(p = 0.0297)。羊水过少组15只(10.0%)，正常组18只(10.3%)，羊水过多组5只(16.1%)。羊水过少母亲分娩的婴儿SNCU入院率较高(p = 0.0369)。AFI正常组与异常组1、5分钟APGAR评分差异无统计学意义。结论:推断羊水过少组LSCS、IUGR婴儿和SNCU住院率高于其他类别。羊水过少的围产期死亡率为3.3%，而正常饮酒的围产期死亡率为1.7%。本研究的结果强调了AFI在各种产前监测手段和胎儿结局预测指标中的重要性。关键词:羊水过少，羊水过多，胎儿结局，IUGR, AFI

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Journal of Medical Sciences and Health

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12 weeks