Role of amniotic fluid index in prediction of fetal distress during labor in uncomplicated pregnancies at 40 weeks and beyond

• Nikolay N. Rukhlyada
• Olga A. Klitsenko
• Elvira R. Semenova

Abstract

The aim of our data is reveal correlation between amniotic fluid index and fetal decompensation during Labor in uncomplicated pregnancies at ≥40 weeks. 260 uncomplicated pregnant women at ≥40 weeks were examined by Ultrasound examination 48 hours before delivery. According these dates all women were divided into 3 groups after amniotic fluid index. We analyzed fetus's condition during labor and just after delivery. In results we found out the following data: low amniotic fluid index does not associate with an increased risk of caesarean delivery for fetal distress. Did not confirm that low amniotic fluid index can use as perinatal morbidity prognosis. So for evaluation of fetus's condition we need another methods, such as apparate cardiotocography and Doppler of fetus arteries.

Keywords:amniotic fluid index, fetal distress, oligohydramnios

References

1. Obstetrics. National leadership. Edit by E.K. Aylamazyan, V.I. Kulakov, V.E. Radzinsky, G.M. Savelyeva. Moscow, 2009. (in Russian)

2. Phelan J.P., Ahm M.O., Smith C.V. Amniotic fluid index measurements during pregnancy. J Reprod Med. 1987; 32: 627.

3. Rutherford S.E., Phelan J.P., Smith C.V., Jacobs N. The four-quadrant assessment of amniotic fluid volume: an adjunct to antepartum fetal heart rate testing. Obstet Gynecol. 1987; 70 (3 Pt 1): 353-6.

4. Chamberlain P.F., Manning F.A., Morrison I., et al. Ultrasoundevalu-ation of amniotic fluid volume. Am J Obstet Gynecol. 1984; 150: 245-9.

5. Chamberlain P.F., Manning F.A., Morrison I., et al. Ultrasound evaluation of amniotic fluid volume II the relationship of increased amniotic fluid volume to perinatal outcome. Am J Obstet Gynecol. 1984; 150: 250-4.

6. Banks E.H., Miller D.A. Perinatal risks associated with borderline AFI. Am J Obstet Gynecol. 1999; 18: 1461-3.

7. Casey B.M. Pregnancy outcomes after antepartum diagnosis of oligohydramnios at or beyond 34 weeks' gestation. Am J Obstet Gynecol. 2000; 182: 909-912.

8. Locatelli A., Zaqarella A., Toso L., Assi F, Ghidini A., Biffi A. Serial assessment of AFI in uncomplicated term pregnancies: Prognostic value of amniotic fluid reduction. J Matern Fetal Neonatal Med. 2004; 15: 233-6.

9. Chauhan S.P., Hendrix N.W., Morrison J.C, Magann E.F., Devoe L.D. Intrapartum oligohydramnios does not predict adverse peripartum outcome among high risk parturient. Am J Obstet Gynaecol. 1997; 176: 1130-8.

10. Rainford M., Adair R., Scialli A.R., Ghidini A., Spongy C.Y. Amniotic fluid index in the uncomplicated term pregnancy. Prediction of outcome. J Reprod Med. 2001; 46 (6): 589-92.

11. Ott W.J. Re-evaluation of the relationship between amniotic fluid volume and perinatal outcome. Am J Obstet Gynecol. 2005; 192: 1803-9.

12. Veille J.C., Penry M., Mueller-Heubach E. Fetal renal pulsed Doppler waveform in prolonged pregnancies. Am J Obstet Gynecol. 1993; 169: 882-4.

13. Selam B., Koksal R., Ozcan T. Fetal arterial and venous Doppler parameters in the interpretation of oligohydramnios in postterm pregnancies. Ultrasound Obstet Gynecol. 2000; 15: 403-6.

14. Bar-Hava I., Divon M.Y., Sardo M., Barnhard Y. Is oligohydramnios in postterm pregnancy associated with redistribution of fetal blood flow? Am J Obstet Gynecol. 1995; 173: 519-522.

15. Chamberlain P.F., Manning F.A., Morrison I., Harman C.R., Lange I.R. Ultrasound evaluation of amniotic fluid volume. I. The relationship of marginal and decreased amniotic fluid volumes to perinatal outcome. Am J Obstet Gynecol. 1984; 150: 245-9.

16. Manning F.A., Hill L.M., Platt L.D. Qualitative amniotic fluid volume determination by ultrasound: antepartum detection of intrauterine growth retardation. Am J Obstet Gynecol. 1981; 139: 254-8.

17. Chauhan S.P., Sanderson M., Hendrix N.W., Magann E.F., Devoe L.D. Perinatal outcomes and amniotic fluid index in the antepartum and intrapartum periods: a meta-analysis. Am J Obstet Gynecol. 1999; 181: 1473-8.

18. Chauhan S.P., Washburne J.F., Magann E.F., Perry K.G., Martin J.N., Morrison J.C. A randomized study to assess the efficacy of the amniotic fluid index as a fetal admission test. Obstet Gynecol. 1995; 86: 9-13.

19. Casey B.M., McIntire D.D., Bloom S.L. Pregnancy outcomes after antepartum diagnosis at or beyond 34 weeks gestation. Am J Obstet Gynecol. 2000; 182: 909-12.

20. Lyubchich O.A Obstetric and perinatal aspects of oligohydramnios. Sibirskiy meditsinskiy zhurnal [Siberian Medical Journal]. 2007; 72 (5): 78-81. (in Russian)

21. Magann E.F., Chauhan S.P., Kinsella M.J., McNamara M.F., Whitworth N.S., Morrison J.C. Antenatal testing among 1001 patients at high risk: the role of ultrasonographic estimates of amniotic fluid volume. Am J Obstet Gynecol. 1999; 180: 1330-6.

22. Rainford M., Adair R., Scialli A.R., Ghidini A., Spong C.Y. Amniotic fluid index in the uncomplicated term pregnancy: prediction of outcome. J Reprod Med. 2001; 46: 589-92.

23. Conway D.L., Adkins W.B., Schroeder B., Langer O. Isolated oligohydramnios in the term pregnancy: is it a clinical entity? J Matern Fetal Med. 1998; 7: 197-200.

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