Borderline low amniotic fluid12/25/2023 Pregnancies with decreased AFI between 24 and 34 weeks, including borderline AFI as well as oligohydramnios, were significantly more likely to be associated with major fetal malformations, and in the absence of malformations, to be complicated by fetal growth restriction and preterm birth. Among nonanomalous fetuses, complications that occurred more often in pregnancies with oligohydramnios and borderline AFI than in those with normal fluid included preterm birth (62%, 37%, 8%), either indicated (20%, 13%, 2%) or resulting from spontaneous preterm labor (42%, 24%, 6%) cesarean delivery for nonreassuring fetal status (9%, 9%, 4%), and birth weight below the third percentile (37%, 21%, 4%), all P<.001. Major malformations were more common in pregnancies with oligohydramnios and borderline AFI than in those with normal fluid-25%, 10%, and 2%, respectively, P<.001. Ultrasound examination had been performed to estimate gestational age or evaluate fetal growth in 78%. Women with hydramnios or ruptured membranes at time of ultrasound examination were excluded.Ī total of 28,555 pregnancies met inclusion criteria. In the present study, 68 of women had AFI >8 which was considered normal and 32 of women had AFI <8 which was considered to be abnormal. The AFI was the most commonly used method of measuring amniotic fluid. The predictive accuracy of a borderline amniotic fluid index (AFI) for an adverse pregnancy outcome is uncertain. An AFI 5 cm or less was considered oligohydramnios, 5-8 cm was considered borderline, and more than 8 cm to 24 cm was considered normal. Amniotic fluid volume remains an important component of any obstetric ultrasonographic examination. Statistically significant difference for. It can happen when mom has high blood pressure that narrows. This is when a baby has poor growth in the womb. If more than one ultrasound examination was performed, the lowest AFI was used for analysis. We found that preterm pregnancies with either borderline amniotic fluid index (AFI) (5.18 cm) or oligohydramnios (AFI less than 5 cm) were at significantly. Adverse perinatal outcome is seen in higher percentage of patients having oligohydramnios than that of borderline AFI. Intrauterine growth restriction (also called IUGR). On applying statistical test analysis chi square test, it was found that borderline amniotic fluid index in relation to presence of meconium stained amniotic fluid and low birth weight, p value. This is a review of singleton pregnancies that received ultrasound examinations at 24-34 weeks from 1997 to 2008. To estimate pregnancy and neonatal outcomes in women with decreased amniotic fluid index (AFI) between 24 and 34 weeks of gestation, compared with outcomes in those with normal AFI. To be confirmed, suspected Triple I should be accompanied by evidence of amniotic fluid infection (e.g., positive gram stain for bacteria, low amniotic fluid glucose, high WBC count in the absence of a bloody tap, and/or positive amniotic fluid culture results) or histopathological infection/inflammation in the placenta, fetal membranes.
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