FETOMATERNAL OUTCOME IN PREGNANT WOMEN AT TERM WITH LOW AMNIOTIC LIQUID

N REHMAN; M RAEES; N BIBI; H SHAFI

doi:10.54112/bcsrj.v2023i1.452

Authors

N REHMAN Obstetrics & Gynecology Department, Khyber Teaching Hospital, Peshawar, Pakistan
M RAEES Obstetrics & Gynecology Department, Lady Reading Hospital, Peshawar, Pakistan
N BIBI Obstetrics & Gynecology Department, Lady Reading Hospital, Peshawar, Pakistan
H SHAFI Obstetrics & Gynecology Department, Lady Reading Hospital, Peshawar, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.452

Keywords:

Neonates, Amniotic fluid index, fetomaternal, maternal

Abstract

To determine the fetomaternal outcome in pregnant women at term with low amniotic liquid. A cross-sectional study was carried out on 120 pregnant women aged 18 to 40 years, gestational age 37 to 40 weeks, and low amniotic fluid < 5 cm on ultrasonography. Fetomaternal outcomes were assessed in all women. Chi-Square test was used for association keeping P value < 0.05 as significant. The mean age was 28.71±6.56 years. Caesarean section was carried out on 65% of patients, a low APGAR score was noted in 61.7% of neonates, low birth weight was seen in 64.2% of neonates, while 15% of neonates required NICU admission. Our study observed that caesarean section, low APGAR score at 5 minutes, low birth weight, and NICU admission are the most commonly associated fetomaternal outcome of the low amniotic fluid index in pregnant women at term.

Downloads

Download data is not yet available.

References

Abdallah, M. W., Pearce, B. D., Larsen, N., Greaves‐Lord, K., Nørgaard‐Pedersen, B., Hougaard, D. M., ... & Grove, J. (2012). Amniotic fluid MMP‐9 and neurotrophins in autism spectrum disorders: an exploratory study. Autism Research, 5(6), 428-433.

Akhter, H., Guha, K., & Daisy, K. P. (2010). Amniotic fluid index in high risk pregnancies and pregnancy outcome. Dinajpur Med Col J, 3(1), 1-5.

Bachhav, A. A., & Waikar, M. (2014). Low amniotic fluid index at term as a predictor of adverse perinatal outcome. The Journal of Obstetrics and Gynecology of India, 64, 120-123.

Bakhsh, H., Alenizy, H., Alenazi, S., Alnasser, S., Alanazi, N., Alsowinea, M., ... & Alfaifi, B. (2021). Amniotic fluid disorders and the effects on prenatal outcome: a retrospective cohort study. BMC pregnancy and childbirth, 21, 1-7.

Borna, S., Radi, V., Saleh, M., Ataee, M., Feizmahdavi, H., Salari, Z., & Shariat, M. (2022). Evaluation of the relationship between fetal lung to head ratio and amniotic fluid index in the third trimester of pregnancy. Journal of Obstetrics, Gynecology and Cancer Research, 7(3), 144-150.

Chaudhary, R., Dhama, V., Singh, S., & Singh, M. (2017). Correlation of reduced amniotic fluid index with neonatal outcome. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 6(6), 2401-2407.

Figueroa, L., McClure, E. M., Swanson, J., Nathan, R., Garces, A. L., Moore, J. L., ... & Goldenberg, R. L. (2020). Oligohydramnios: a prospective study of fetal, neonatal and maternal outcomes in low-middle income countries. Reproductive Health, 17(1), 1-7.

Gaikwad, P. R., Oswal, M. S., Gandhewar, M. R., & Bhatiyani, B. R. (2016). Perinatal outcome in oligohydramnios and borderline amniotic fluid index: a comparative study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5(6), 1964-1969.

Graça, G., Goodfellow, B. J., Barros, A. S., Diaz, S., Duarte, I. F., Spagou, K., ... & Gil, A. M. (2012). UPLC-MS metabolic profiling of second trimester amniotic fluid and maternal urine and comparison with NMR spectral profiling for the identification of pregnancy disorder biomarkers. Molecular BioSystems, 8(4), 1243-1254.

Hughes, D. S., Magann, E. F., Whittington, J. R., Wendel, M. P., Sandlin, A. T., & Ounpraseuth, S. T. (2020). Accuracy of the ultrasound estimate of the amniotic fluid volume (amniotic fluid index and single deepest pocket) to identify actual low, normal, and high amniotic fluid volumes as determined by quantile regression. Journal of Ultrasound in Medicine, 39(2), 373-378.

Jamal, A., Kazemi, M., Marsoosi, V., & Eslamian, L. (2016). Adverse perinatal outcomes in borderline amniotic fluid index. International Journal of Reproductive BioMedicine, 14(11), 705.

Levin, G., Rottenstreich, A., Tsur, A., Cahan, T., Shai, D., & Meyer, R. (2022). Isolated oligohydramnios–should induction be offered after 36 weeks?. The Journal of Maternal-Fetal & Neonatal Medicine, 35(23), 4507-4512.

Monir, F., Nazneen, R., Akhter, R., Begum, T., Kayum, A. A., Abedin, M., & Zabin, F. (2015). Low amniotic uid index and the materno-fetal out come in 3rd trimester of pregnancy. Bangladesh Medical Journal, 44(1), 16-20.

Mousavi, A. S., Hashemi, N., Kashanian, M., Sheikhansari, N., Bordbar, A., & Parashi, S. (2018). Comparison between maternal and neonatal outcome of PPROM in the cases of amniotic fluid index (AFI) of more and less than 5 cm. Journal of Obstetrics and Gynaecology, 38(5), 611-615.

Munn, M. B. (2011). Management of oligohydramnios in pregnancy. Obstetrics and Gynecology Clinics, 38(2), 387-395.

Phelan, J. P., Smith, C. V., Broussard, P., & Small, M. (1987). Amniotic fluid volume assessment with the four-quadrant technique at 36-42 weeks' gestation. The Journal of reproductive medicine, 32(7), 540-542.

Rabie, N., Magann, E., Steelman, S., & Ounpraseuth, S. (2017). Oligohydramnios in complicated and uncomplicated pregnancy: a systematic review and meta‐analysis. Ultrasound in Obstetrics & Gynecology, 49(4), 442-449.

Rossi, A. C., & Prefumo, F. (2013). Perinatal outcomes of isolated oligohydramnios at term and post-term pregnancy: a systematic review of literature with meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 169(2), 149-154.

Sharif, N., & Qasim, A. (2021). Perinatal outcome in pregnant females at term having low amniotic fluid index. The Professional Medical Journal, 28(09), 1358-1364.

Vyas, A., Prasanna, G., Dash, S., Rath, S., Vyas Jr, A., & Prasanna, G. (2021). Comparison of Perinatal and Maternal Outcomes in Borderline Versus Normal Amniotic Fluid Index in a Tertiary Care Center in Odisha: An Observational Prospective Study. Cureus, 13(11).:e19876.