Comparison of Perinatal Outcomes between Borderline and Normal Amniotic Fluid Index in Term Singleton Pregnancies

  • Nishma Bajracharya Department of Obstetrics and Gynecology, Kathmandu Model Hospital
  • Ganesh Dangal Department of Obstetrics and Gynecology, Kathmandu Model Hospital
  • Rekha Poudel Department of Obstetrics and Gynecology, Kathmandu Model Hospital
  • Kenusha Devi Tiwari Department of Obstetrics and Gynecology, Kathmandu Model Hospital
  • Sonu Bharati Department of Obstetrics and Gynecology, Kathmandu Model Hospital
  • Ostha Maharjan Department of Obstetrics and Gynecology, Kathmandu Model Hospital
  • Sunita Maharjan Department of Obstetrics and Gynecology, Kathmandu Model Hospital
  • Aruna Karki Department of Obstetrics and Gynecology, Kathmandu Model Hospital
  • Hema Kumari Pradhan Department of Obstetrics and Gynecology, Kathmandu Model Hospital
  • Ranjana Shrestha Department of Obstetrics and Gynecology, Kathmandu Model Hospital
  • Kabin Bhattachan Department of Obstetrics and Gynecology, Kathmandu Model Hospital
DOI: https://doi.org/10.33314/jnhrc.v18i4.3051

Abstract

Background: Amniotic fluid provides necessary fluid and growth factors for normal development of fetal lungs, cushions the umbilical cord from compression and protects the fetus. This study aims to compare the perinatal outcome between pregnancy with borderline and normal Amniotic Fluid Index that provide greatest chance for appropriate safe delivery with least maternal fetal and neonatal risk.
Methods: A total of 94 singleton full term pregnant women were included in the study-at Kathmandu Model Hospital from February to August 2020. Forty Seven women each with Amniotic Fluid Index 5-8 cm was taken as borderline oligohydramnios group and Amniotic Fluid Index 8.1-24 cm was taken as normal group. Ultrasonography was taken as the medium for measuring Amniotic Fluid Index.
Results: The rate of intra-partum fetal distress, meconium-stained amniotic fluid, low birth weight and neonatal intensive care unit admission were not statistically significant between the two groups while rate of cesarean section was noted to be 76.6% in exposed groups as compared to 44.7% among women with non-exposed normal group [RR=1.71; 95%CI: 1.2-2.44 p=0.006].
Conclusions: We concluded that in cases of borderline oligohydramnios there was higher risk of operative delivery.
Keywords: Adverse perinatal outcome; amniotic fluid; borderline oligohydramnios; meconium-stained amniotic fluid

Published
2021-01-21
How to Cite
BajracharyaN., DangalG., PoudelR., TiwariK. D., BharatiS., MaharjanO., MaharjanS., KarkiA., PradhanH. K., ShresthaR., & BhattachanK. (2021). Comparison of Perinatal Outcomes between Borderline and Normal Amniotic Fluid Index in Term Singleton Pregnancies. Journal of Nepal Health Research Council, 18(4), 709-713. https://doi.org/10.33314/jnhrc.v18i4.3051
Issue
Vol. 18 No. 4 (2020): Vol. 18 No. 4 Issue 49 Oct-Dec 2020
Section
Original Article

Copyright (c) 2021 Nishma Bajracharya, Ganesh Dangal, Rekha Poudel, Kenusha Devi Tiwari, Sonu Bharati, Ostha Maharjan, Sunita Maharjan, Aruna Karki, Hema Kumari Pradhan, Ranjana Shrestha, Kabin Bhattachan

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Journal of Nepal Health Research Council JNHRC allows to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. Copyright is retained by author. The JNHRC work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).