Low amniotic fluid index as a predictor of adverse perinatal outcome

被引：24

作者：

Voxman E.G. ^{[1
,3
]}

Tran S. ^{[2
]}

Wing D.A. ^{[1
]}

机构：

[1] Department of Obstetrics and Gynecology, Women's and Children's Hospital, Los Angeles, CA

[2] Keck School of Medicine, University of Southern California, Los Angeles, CA

[3] San Gabriel Valley Perinatal Medical Group, West Covina, CA

来源：

Journal of Perinatology | 2002年 / 22卷 / 4期

关键词：

D O I：

10.1038/sj.jp.7210697

中图分类号：

学科分类号：

摘要：

Objective: To determine whether an antepartum amniotic fluid index (AFI) of 5.0 cm or less is a predictor of adverse perinatal outcome. Study design: The antepartum testing records of 779 women seen over a 12-month period were reviewed. Data, including the reasons for testing, the testing results, and pregnancy outcome were abstracted from these records. Inclusion criteria included a nonanomalous fetus and delivery within 7 days of the last antepartum surveillance test (modified biophysical profile). Chi-square analysis, Fisher's exact test, t tests and receiver-operator curves (ROCs) were used for analysis. Results: An AFI of 5.0 cm or less was significantly associated with an abnormal antepartum fetal heart rate (FHR) tracing but not with cesarean delivery, meconium-stained fluid, Apgars less than 7, or NICU admission. Subjects with an AFI of 5.0 cm or less had a higher rate of cesarean for fetal distress, but this did not reach statistical significance. ROCs produced no diagnostic cutoff values for AFI or largest pocket and prediction of any of the chosen parameters. Conclusions: Antepartum oligohydramnios is associated with an increased risk of fetal heart rate abnormalities. Although in our population it is not predictive of adverse perinatal outcome as measured by low Apgars and NICU admissions, this may be reflective of the aggressive antepartum and intrapartum management that these patients received.

引用

页码：282 / 285

页数：3

共 19 条

[1]

Manning F.A., Platt L.D., Sipos L., Antepartum fetal evaluation: Development of a fetal biophysical profile, Am. J. Obstet. Gynecol, 136, pp. 787-795, (1980)

[2]

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, 139, pp. 254-258, (1981)

[3]

Philipson E.H., Sokol R.J., Williams T., Oligohydramnios: Clinical association and predictive value for intrauterine growth retardation, Am. J. Obstet. Gynecol, 146, pp. 271-276, (1983)

[4]

Crowley P., Non-quantitative estimation of amniotic fluid volume in suspected prolonged pregnancy, J. Perinat. Med, 8, pp. 249-251, (1980)

[5]

Phelan J.P., Platt L.D., Yeh S.-Y., Broussard P., Paul R.H., The role of ultrasound assessment of amniotic fluid volume in the management of the postdate pregnancy, Am. J. Obstet. Gynecol, 151, pp. 304-308, (1985)

[6]

Divon M.Y., Marks A.D., Henderson C., Longitudinal measurement of amniotic fluid index in postterm pregnancies and its association with fetal outcome, Am. J. Obstet. Gynecol, 172, pp. 142-146, (1995)

[7]

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, 70, pp. 353-356, (1987)

[8]

Phelan J.P., Smith C.V., Broussard P., Small M., Amniotic fluid volume assessment using the four-quadrant technique in the pregnancy at 36-42 weeks gestation, J. Reprod. Med, 32, pp. 540-542, (1997)

[9]

Grubb D.K., Paul R.H., Amniotic fluid index and prolonged antepartum fetal heart rate decelerations, Obstet. Gynecol, 79, pp. 558-560, (1992)

[10]

Sarno A.P., Ahn M.O., Phelan J.P., Intrapartum amniotic fluid volume at term: Association of ruptured membranes, oligohydramnios, and increased fetal risk, J. Reprod. Med, 35, pp. 719-723, (1990)

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