Predictive Value of Amniotic Fluid Index in Term Small for Gestational Age with Normal Doppler Studies for Perinatal Outcomes ()
ABSTRACT
Background and Aim: Delivery of a fetus with SGA is associated with
increased risk of perinatal morbidity and mortality. Evidence is limited
for the accuracy of Oligohydramnios to predict substantive perinatal morbidity
and mortality in non–anomalous SGA fetuses monitored with normal Doppler
studies. The aim of this study is to determine the association between amniotic
fluid index and adverse perinatal outcomes in term SGA fetuses with normal
Doppler studies. Method: This is a
prospective observational study carried out by 340 pregnant women who were admitted
to obstetrics unit, Sri Jayewardenepura from January 2019 to January 2023. Singleton
pregnancies at term who were diagnosed with SGA (EFW < 10th centile
or AC < 10th centile) with normal umbilical artery and middle cerebral
artery Doppler studies were included. AFI was assessed predelivery and data
were collected according to demographic details, mode of delivery, time of
delivery, intrapartum events, and neonatal outcomes. Results: A total of 340 term pregnant women were studied. Out of them, 44% were in AFI more than 10 groups and 37%
and 19% were in AFI 5 - 10 and less than 5 groups respectively. More obstetrics interventions were reported in AFI < 5 groupa in terms of induction of labor (P 0.04) and
emergency caesarean sections (P 0.003).
No significant deference in immediate neonatal outcome was detected between each group. (Meconium-stained
liquor (P 0.634), 1 minute APGAR (P 0.575) and 5-minute APGAR P 0.165)). Neonatal unit admission (P < 0.001) and
long-term neonatal complications were
KEYWORDS
Share and Cite:
Rajakaruna, R. , Karunaratne, S. and Thennakoon, B. (2023) Predictive Value of Amniotic Fluid Index in Term Small for Gestational Age with Normal Doppler Studies for Perinatal Outcomes.
Open Journal of Obstetrics and Gynecology,
13, 1339-1349. doi:
10.4236/ojog.2023.138112.
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