Clinical and Sonological Evaluation of Borderline Amniotic Fluid Index and Oligohydramnios-Its Correlation with Perinatal Outcomes

Life and Science Pub Date : 2024-01-15 DOI:10.37185/lns.1.1.378

Saira Jamsheed, Khadijah Abid

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Abstract

Objective: To evaluate the correlation of low borderline amniotic fluid index and oligohydramnios with perinatal outcomes among pregnant females presenting at the tertiary care hospital of Karachi. Study Design: Cross-sectional study.Place and Duration of Study: The study was conducted at the Department of Obstetrics and Gynecology, Hamdard University, Karachi, Pakistan, from March 2021 to March 2022.Methods: Females aged 18-45 years, with a gestational age of 20-42 weeks assessed on the last menstrual period and a single fetus on ultrasound were enrolled. The final sample size for the study was determined to be 260 with 130 participants in each group, i.e., the females with Amniotic Fluid Value (AFI) value of ≤5 cm considered as oligohydramnios (group-1) and AFI value of 5.1 to 8 cm considered as borderline AFI (group-2)The amniotic fluid index value was determined in all the females using ultrasonographic reports by the consultant physicians. Females were classified as having oligohydramnios if their amniotic fluid index value was less than 5 cm and borderline amniotic fluid index between 5.1 and 8 cm. To evaluate the maternal and perinatal outcomes, all females were monitored up to birth. Data was analyzed using SPSS version 23.Results: The mean maternal age was 29.85±5.45 years, and the mean BMI was 29.78±5.62 kg/m . Most of the females had gravida ≥1. Females with oligohydramnios had higher rates of low birth weight (84.6% vs. 51.5%, p=0.001), IUGR (68.5% vs. 22.3%, p=0.001), meconium staining (42.3% vs 7.7%, p=0.001), low APGAR score (50.8% vs. 13.8%, p=0.001), respiratory distress syndrome (72.3% vs 27.7%, p=0.001), birth asphyxia (65.4% vs 23.1%, p=0.001), NICU admission (73.8% vs. 43.1%, p=0.001), and neonatal death (21.5% vs. 5.4%, p=0.001) than women with borderline amniotic fluid index.Conclusion: This observational study demonstrates a significant correlation between oligohydramnios and adverse perinatal outcomes, emphasizing the importance of vigilant monitoring and intervention in pregnancies with low amniotic fluid. How to cite this: Jamsheed S, Abid K. Clinical and Sonological Evaluation of Borderline Amniotic Fluid Index and Oligohydramnios-Its Correlation with Perinatal Outcomes. Life and Science. 2024; 5(1): 16-21. doi: http://doi.org/10.37185/LnS.1.1.378

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边界羊水指数和少羊水的临床和超声评估--与围产期结果的相关性

目的评估在卡拉奇三级医院就诊的孕妇中，低边界羊水指数和少水羊膜症与围产期结局的相关性。研究设计横断面研究：研究于 2021 年 3 月至 2022 年 3 月在巴基斯坦卡拉奇哈姆达德大学妇产科进行：研究对象为年龄在 18-45 岁之间、孕龄为 20-42 周（根据末次月经评估）、超声检查显示为单胎的女性。研究的最终样本量确定为 260 人，每组 130 人，即羊水指数（AFI）值≤5 厘米的女性为少羊水（第 1 组），羊水指数值为 5.1 至 8 厘米的女性为边缘羊水（第 2 组）。所有女性的羊水指数值均由顾问医生通过超声波报告确定。如果羊水指数值小于 5 厘米，则被归类为少水羊膜症；如果羊水指数值在 5.1 厘米至 8 厘米之间，则被归类为边缘羊水指数症。为了评估产妇和围产期的结果，所有女性都接受了直至分娩的监测。数据使用 SPSS 23 版进行分析：产妇的平均年龄为（29.85±5.45）岁，平均体重指数为（29.78±5.62）kg/m。低血钙产妇的低出生体重率（84.6% vs. 51.5%，P=0.001）、IUGR（68.5% vs. 22.3%，P=0.001）、胎粪染色（42.3% vs. 7.7%，P=0.001）、低 APGAR 评分（50.8% vs. 13.8%，P=0.001）、呼吸窘迫综合征（72.3% vs. 27.7%，p=0.001）、出生窒息（65.4% vs. 23.1%，p=0.001）、入住新生儿重症监护室（73.8% vs. 43.1%，p=0.001）和新生儿死亡（21.5% vs. 5.4%，p=0.001）：这项观察性研究表明，羊水过少与围产期不良结局之间存在显著相关性，强调了对羊水过少孕妇进行警惕性监测和干预的重要性。如何引用：Jamsheed S, Abid K. 边界羊水指数和羊水过少的临床和声学评估--与围产期结局的相关性。生命与科学》。2024; 5(1):16-21. DOI: http://doi.org/10.37185/LnS.1.1.378

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