Amniotic fluid index in the uncomplicated term pregnancy: Prediction of outcome

M. Rainford, R. Adair, A. R. Scialli, A. Ghidini, C. Y. Spong

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

OBJECTIVE: To establish whether an association between oligohydramnios and pregnancy outcome is present in the uncomplicated term pregnancy. STUDY DESIGN: Pregnancies with a singleton fetus in cephalic presentation at term (≥ 37 weeks), a reactive non-stress test and an anteparturn amniotic fluid index performed within four days of delivery between January 1994 and September 1998 were identified. Excluded were those with any maternal or fetal complication or unavailable outcome information. The primary outcome measure was rate of operative vaginal or abdominal delivery for a nonreassuring fetal heart rate tracing. Statistical analysis included Fisher's exact test and one-way analysis of variance, with a two-tailed P < .05 considered significant. RESULTS: Two hundred thirty-two women met the inclusion criteria; of them, 44 (19%) had an amniotic fluid index ≤ 5 cm. There was no difference in the operative delivery rate for a nonreassuring fetal heart tracing between those with a normal amniotic fluid index > 5 cm vs. ≤5 cm (39 [21%] vs. 5 [11%], P >.05). In addition, there were no differences between the two groups in rates of neonatal intensive care unit admissions or five-minute Apgar scores < 7. Patients with a normal amniotic fluid index had a significantly lower labor induction rate (96 [51%] vs. 42 [98%], P>.001) and higher rate of meconium-stained amniotic fluid (65 [35%] vs. 7 [16%], P = .01) than those with a low amniotic fluid index. CONCLUSION: In the uncomplicated pregnancy at term, an amniotic fluid index ≤ 5 cm increases the incidence of labor induction but does not appear to affect the rate of operative delivery for abnormal fetal heart rate tracings.

Original languageEnglish (US)
Pages (from-to)589-592
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume46
Issue number6
StatePublished - Jul 10 2001
Externally publishedYes

Fingerprint

Amniotic Fluid
Pregnancy Outcome
Fetal Heart Rate
Pregnancy
Induced Labor
Oligohydramnios
Meconium
Apgar Score
Neonatal Intensive Care Units
Cesarean Section
Analysis of Variance
Fetus
Head
Mothers
Outcome Assessment (Health Care)
Incidence

Keywords

  • Amniotic fluid index
  • Oligohydramnios
  • Pregnancy outcome

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Amniotic fluid index in the uncomplicated term pregnancy : Prediction of outcome. / Rainford, M.; Adair, R.; Scialli, A. R.; Ghidini, A.; Spong, C. Y.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 46, No. 6, 10.07.2001, p. 589-592.

Research output: Contribution to journalArticle

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abstract = "OBJECTIVE: To establish whether an association between oligohydramnios and pregnancy outcome is present in the uncomplicated term pregnancy. STUDY DESIGN: Pregnancies with a singleton fetus in cephalic presentation at term (≥ 37 weeks), a reactive non-stress test and an anteparturn amniotic fluid index performed within four days of delivery between January 1994 and September 1998 were identified. Excluded were those with any maternal or fetal complication or unavailable outcome information. The primary outcome measure was rate of operative vaginal or abdominal delivery for a nonreassuring fetal heart rate tracing. Statistical analysis included Fisher's exact test and one-way analysis of variance, with a two-tailed P < .05 considered significant. RESULTS: Two hundred thirty-two women met the inclusion criteria; of them, 44 (19{\%}) had an amniotic fluid index ≤ 5 cm. There was no difference in the operative delivery rate for a nonreassuring fetal heart tracing between those with a normal amniotic fluid index > 5 cm vs. ≤5 cm (39 [21{\%}] vs. 5 [11{\%}], P >.05). In addition, there were no differences between the two groups in rates of neonatal intensive care unit admissions or five-minute Apgar scores < 7. Patients with a normal amniotic fluid index had a significantly lower labor induction rate (96 [51{\%}] vs. 42 [98{\%}], P>.001) and higher rate of meconium-stained amniotic fluid (65 [35{\%}] vs. 7 [16{\%}], P = .01) than those with a low amniotic fluid index. CONCLUSION: In the uncomplicated pregnancy at term, an amniotic fluid index ≤ 5 cm increases the incidence of labor induction but does not appear to affect the rate of operative delivery for abnormal fetal heart rate tracings.",
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