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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 14, Issue 3, April 2015 pp 567-570
A study of effect of aminotic fluid index on mode of delivery
Alka B Patil1, Sarika Metkar2, Shruti Singh3
1Professor and HOD, 3Resident, Department of OBGY, ACPM Medical College, Dhule, Maharashtra, INDIA.
2Junior Consultant, Yashvantrao Chavan Memorial Hospital ,Pune, Maharashtra, INDIA.
Introduction: Amniotic fluid (AF) is a marvelously complex and dynamic milieu that changes as pregnancy progresses. AF contains nutrients and growth factors that facilitate fetal growth, provides mechanical cushioning and antimicrobial effectors that protect the fetus, and allows assessment of fetal maturity and disease. Amniotic fluid is an important factor in the prediction of fetal survival. Aims and objectives: To study the effect of amniotic fluid index on mode of delivery. Materials and method: The present study was conducted in the department of Obstetrics and Gynaecology, ACPM medical college, Dhule. Total 200 antenatal women were registered in the study. In each case detailed history was taken as per proforma at the time of admission. The General, systemic and obstetric Examination was performed in all patients. Amniotic fluid measurements were performed in all the study mothers by ultrasound on targeted patients and were divided in three groups (oligohydramnios, borderline and normal). All the mothers were followed up to the delivery and mode of delivery complication if any in neonates were recorded and were compared in the group. Results: 50.9% mothers of Group I delivered by cesarean delivery. In present study total 40 mothers delivered by cesarean section out of these majority of the mothers were of group I (27). In group I, Out of 27 mothers 23(85.2%) had fetal distress, 2 (7.4%) had CPD and 1(3.7%) each had postdated or prolonged labour as indication of cesarean section. Out of total 53 mothers from AFI group I, 2(3.8%) neonates developed RDS, 6(11.3%) had jaundice while VSD, infection, septicemia and VLBW was diagnosed in 1(1.9%) neonate each. One neonate from each group I and Group II of AFI index had died while rest all had survived. Conclusion: Thus we conclude that oligohydramnios is associated with increased rate of cesarean section with fetal distress as most common indication. And also associated with increased incidence of compilation in neonates. Thus Amniotic fluid index measurement can be used as a useful indicator for fetal surveillance to identify those neonates at risk for poor perinatal outcome.