Document Type
Original Article
Abstract
Background: Amniotic fluid (AF) is a multifaceted biofluid that indicates the fetal condition throughout evolution. Indirectly, the turbidity of AF is reflected in the echogenicity, which is determined by the particulate size, number, and distribution within the AF.
Aim and objectives: To find the relation among amniotic fluid turbidity before 34 weeks of pregnancy detected via ultrasound and neonatal outcomes.
Subjects and methods: This cross-sectional research was carried out on 100 pregnant women with gestational age before 34 weeks without any medical and obstetric complications at the Department of Gynecology and Obstetrics, El-Sayed Galal Hospital, Al-Azhar University, during the period from January 2022 to June 2023.
Results: There was a significantly lower AF brightness, BPD, FL, HC, AC, and BPP in the group who developed RD and needed NICU admission than the group without RD. No significant variation was found among groups regarding maternal age, BMI, GA at assessment, maternal EBW, birth weight, AFI, and APGAR score at 1stand 5th min. ROC curve analysis revealed that at cutoff point 16.5, AF brightness levels have a sensitivity of 91.4% and specificity of 93.3% for predicting NICU admission/RD in neonates.
Conclusion: Measuring the brightness of the amniotic fluid using ultrasonography may be a simple and objective way to determine whether or not a newborn has neonatal RDS. Gestational age was substantially associated with AF brightness and neonatal outcome in the present analysis.
Keywords
Amniotic Fluid Turbidity, Ultrasound, Pregnancy, Neonatal Outcomes
Subject Area
Obstetrics and Gynecology
How to Cite This Article
Taha, Wael Soliman; Galal, Samir Khamis; and Moghazy, Sameh Mohammed Alshawaf
(2024)
"Amniotic Fluid Turbidity via Ultrasound before 34 Weeks of Pregnancy and Neonatal Outcomes,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
4, Article 14.
DOI: https://doi.org/10.58675/2682-339X.2358
