Volume 14, Issue 11 (11-2016)                   IJRM 2016, 14(11): 705-708 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Jamal A, Kazemi M, Marsoosi V, Eslamian L. Adverse perinatal outcomes in borderline amniotic fluid index. IJRM. 2016; 14 (11) :705-708
URL: http://journals.ssu.ac.ir/ijrmnew/article-1-705-en.html
1- Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
2- Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran , dr.mkazemi1986@gmail.com
Abstract:   (1623 Views)
Background: Normal amniotic fluid predicts normal placental function, fetal growth and fetal well-being.
Objective: To determine adverse pregnancy outcomes in borderline amniotic fluid index (AFI).
Materials and Methods: Pregnant women (37-40 wks) with diagnosis of borderline AFI between December 2012 and August 2014 were identified. Antepartum, intrapartum and neonatal data were collected and compared with those of pregnant women with normal AFI. An AFI less than 8 and more than 5 cm was defined for borderline AFI. Pregnancy outcomes included Cesarean section for non-reassuring fetal heart rate, meconium stained amniotic fluid, 5-min Apgar score <7, low birth weight, umbilical cord blood pH at term and NICU admission.
Results: Gestational age at delivery in pregnancies with borderline AFI was significantly lower than normal AFI. Cesarean section rate for non-reassuring fetal heart rate in women of borderline AFI was significantly higher and there was an increased incidence of birth weight less than 10PthP percentile for gestation age in borderline AFI group. Incidence of low Apgar score and low umbilical artery pH in pregnancies with borderline AFI was significantly higher than women with normal AFI. There were no significant difference in the rate of NICU admission and meconium staining in both groups.
Conclusion: There are significant differences for adverse pregnancy outcomes , such as Cesarean section due to non-reassuring fetal heart rate, birth weight less than 10PthP percentile for gestation age, low 5 min Apgar score and low umbilical artery pH between pregnancies with borderline and normal AFI
Full-Text [PDF 75 kb]   (584 Downloads) |   |   Full-Text (HTML)  (324 Views)  
Type of Study: Original Article |

References
1. Modena AB, Fieni S. Amniotic fluid dynamics. Acta Biomed 2004; 75 (Suppl.): 11-13.
2. Banks EH, Miller DA. Perinatal risks associated with borderline amniotic fluid index. Am J Obstet Gynecol 1999; 180: 1461-1463. [DOI:10.1016/S0002-9378(99)70037-2]
3. Kreiser D, el-Sayed YY, Sorem KA, Chitkara U, Holbrook RH, Jr., Druzin ML. Decreased amniotic fluid index in low-risk pregnancy. J Reprod Med 2001; 46: 743-746.
4. Magann EF, Chauhan SP, Hitt WC, Dubil EA, Morrison JC. Borderline or marginal amniotic fluid index and peripartum outcomes: a review of the literature. J Ultrasound Med 2011; 30: 523-528. [DOI:10.7863/jum.2011.30.4.523]
5. Baron C, Morgan MA, Garite TJ. The impact of amniotic fluid volume assessed intrapartum on perinatal outcome. Am J Obstet Gynecol 1995; 173: 167-174. [DOI:10.1016/0002-9378(95)90185-X]
6. Petrozella LN, Dashe JS, McIntire DD, Leveno KJ.Clinical significance of borderline amniotic fluid index and oligohydramnios in preterm pregnancy. Obstet Gynecol 2011; 117: 338-342. [DOI:10.1097/AOG.0b013e3182056766]
7. Asgharnia M, faraji R. Perinatal outcomes of pregnancies with borderline versus normal amniotic fluid index. Iran J Reprod Med 2013; 11: 705-710.
8. Choi SR. Borderline amniotic fluid index and perinatal outcomes in the uncomplicated term pregnancy. J Matern Fetal Neonatal Med 2016; 29: 457-460. [DOI:10.3109/14767058.2015.1004051]
9. Gumus, II, Koktener A, Turhan NO. Perinatal outcomes of pregnancies with borderline amniotic fluid index. Arch Gynecol Obstet 2007; 276: 17-19. [DOI:10.1007/s00404-006-0309-x]
10. Wood SL, Newton JM. Borderline amniotic fluid index and its relations to fetal intolerance of labor. J Ultrasound Med 2014; 33: 705-711. [DOI:10.7863/ultra.33.4.705]
11. Phelan JP, Smith CV, Broussard P, Small M. Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks' gestation. J Reprod Med 1987; 32: 540-542.
12. Jeng CJ, Lee JF, Wang KG, Yang YC, Lan CC. Decreased amniotic fluid index in term pregnancy.Clinical significance. J Reprod Med 1992; 37: 789-792.
13. Kwon JY, Kwon HS, Kim YH, Park YW. Abnormal Doppler velocimetry is related to adverse perinatal outcome for borderline amniotic fluid index during third trimester. J Obstet Gynecol Res 2006; 32: 545-549. [DOI:10.1111/j.1447-0756.2006.00459.x]
14. Luo X, Huang Y, Liang R. Analysis of 196 cases of trial of labor with borderline oligohydramnios assessed by ultrasound. Zhonghua Fu Chan Ke Za Zhi 1998; 33: 585-587.

Send email to the article author


© 2021 All Rights Reserved | International Journal of Reproductive BioMedicine

Designed & Developed by : Yektaweb