Document Type
Original Article
Abstract
Background: Amniotic fluid surrounds the fetus during pregnancy and serves a crucial role in the fetus' development. Amniotic fluid could be observed from the very start of the extra-celomic cavity's formation. Amniotic fluid represents an ultrafiltrate of maternal plasma in early pregnancy. During the start of the second trimester, it primarily consists of extracellular fluid, which diffuses into the skin of the fetus and so reflects the composition of fetal plasma. Following 20 weeks, the fetal skin cornification, which is mostly made up of fetal urine, prevents this diffusion.
Method: The aim of the study was to evaluate whether oligohydramnios or polyhydramnios (amniotic fluid index) may be employed as a predictor of negative perinatal outcomes in non-complicated pregnancies at term and its correlation with BPP and Doppler velocimetry of UA and MCA. This study included 400 pregnant women who attended the Clinic of Obstetrics and Gynecology Outpatient Clinic at Al-Azhar University Hospitals and Damanhour Teaching Hospital.
Result: Our results showed that the AFI was less than 5 in 63 cases (15.8%) and more than 5 in 337 cases (84.3%). On comparing the two groups (5AFI) it's been discovered that there wasn't a significant difference between the two groups in terms of age, CA,. There was a significant increase in gravidity, parity and abortion in group with AFI
Conclusion: The current study's findings show that perinatal results could be adverse in pregnancies with borderline AFI. These pregnancies ought to be closely monitored by regular fetal evaluation, intrapartum surveillance, and neonatal care. Given the lack of agreement on fetal testing, prompt intervention, and intrapartum fetal surveillance, more research is required. In this category of pregnancies, studies using color Doppler evaluation of the cerebroplacental ratio are useful.
Keywords
Amniotic Fluid; Perinatal Outcome; Doppler.
Subject Area
Obstetrics and Gynecology
How to Cite This Article
Mosly, Reda Hussin Talat; El-Garhy, Ismaeil Talat; and Wafa, Yahia Abd El-Salam
(2023)
"The predictive value of amniotic fluid index for adverse perinatal outcome and its correlation to the biophysical profile and doppler velocimetery of umbilical artery and middle cerebral artery,"
Al-Azhar International Medical Journal: Vol. 4:
Iss.
10, Article 25.
DOI: https://doi.org/10.58675/2682-339X.1984
