A prospective study on the feto-maternal outcome in cases of borderline amniotic fluid index at term in a rural hospital

• Author Details:   
• Payel Ray
• Chandra Mouli A.
• Ratna Bulusu
• Chandrachur Konar

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Background: to evaluate the fetomaternal risks and outcome associated with borderline AFI at term. To study the mode of delivery among these patients.
Methods: 107 pregnant subjects who were at 37-42 weeks period of gestation and ultrasonically diagnosed to have AFI between 5- 8cms were included in the study. They were monitored throughout labour and fetomaternal outcome was studied.
Results: out of the 107 subjects maternal morbidity observed in 7.4% pregnant women. Neonatal morbidity was significantly higher at the rate of 66.3%. IUGR (21.4%), non-reassuring NST(31.7%), apgar score less than 7 at 5 minutes(3.7%), respiratory distress(6.5%), meconium aspiration(0.9%) were observed. 50% pregnant women underwent caesarean section for fetal distress which was observed as the most common indication accounting for 41% of cases. Incidence of meconium stained liquor was found in 75% of cases which is significantly high.
Conclusion: That there is a high risk of adverse perinatal outcome and higher rate of operative delivery in cases of borderline AFI at term. Providing intensive intrapartum monitoring and good NICU facilities for such cases is necessary to optimise the fetomaternal outcome.

Keywords: Border line AFI, Oligohydramnios, IUGR, Meconium, Perinatal, Caesarean