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Adverse perinatal outcomes in borderline amniotic fluid index
Ashraf Jamal1, Maryam Kazemi1, Vajiheh Marsoosi1
1Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
International Journal of Reproductive Biomedicine
|December 17, 2016
Summary
Borderline amniotic fluid index (AFI) in late pregnancy is linked to increased risks of Cesarean section and poorer neonatal outcomes. Monitoring borderline AFI is crucial for better pregnancy management and fetal well-being.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Neonatology
Background:
- Normal amniotic fluid volume is a key indicator of healthy placental function, fetal growth, and overall fetal well-being.
- Borderline amniotic fluid index (AFI) requires further investigation to understand its impact on pregnancy outcomes.
Purpose of the Study:
- To investigate adverse pregnancy outcomes associated with a borderline amniotic fluid index (AFI).
Main Methods:
- A comparative study of pregnant women at 37-40 weeks gestation with borderline AFI (5-8 cm) and normal AFI.
- Collection and analysis of antepartum, intrapartum, and neonatal data.
- Outcomes assessed included Cesarean section for non-reassuring fetal heart rate, meconium staining, Apgar scores, birth weight, umbilical cord pH, and NICU admission.
Main Results:
- Pregnancies with borderline AFI had a significantly lower gestational age at delivery.
- Higher rates of Cesarean section due to non-reassuring fetal heart rate were observed in the borderline AFI group.
- Increased incidence of low birth weight (<10th percentile), low 5-minute Apgar scores, and low umbilical artery pH were noted in pregnancies with borderline AFI.
Conclusions:
- Borderline amniotic fluid index is associated with significant adverse pregnancy outcomes, including increased Cesarean delivery rates and poorer neonatal health indicators.
- These findings highlight the importance of careful monitoring and management of pregnancies with borderline AFI to mitigate risks.
