Document Detail


Amniotic fluid index and perinatal morbidity.
MedLine Citation:
PMID:  8724725     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our purpose was: (1) to determine whether assessment of amniotic fluid index in high risk patients with a reactive nonstress test (NST) allowed improved recognition of the fetus at risk for perinatal morbidity than a reactive NST alone; and (2) to determine the optimal low amniotic fluid index (AFI) which should prompt clinical concern. The last NST performed within a week of delivery and amniotic fluid index were retro-spectively compared with various indices of perinatal morbidity. In fetuses with a reactive NST, decreasing AFI was directly correlated with a risk of 5-minute Apgar score of less than 7 and delivery for fetal distress. When various subgroupings of AFI were compared, 7 cm or greater appeared to have a better inverse correlation with the indices of morbidity than lower cut-off values. The addition of AFI assessment to the standard NST allows better prediction of perinatal morbidity than the NSTs alone. Seven centimeters appears to be a reasonable cut-off for clinical concern.
Authors:
D Dizon-Townson; K A Kennedy; G A Dildy; J Wu; M Egger; S L Clark
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  13     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  1996 May 
Date Detail:
Created Date:  1996-10-16     Completed Date:  1996-10-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  231-4     Citation Subset:  IM    
Affiliation:
Bess Kaiser Hospital, Portland, Oregon, USA.
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MeSH Terms
Descriptor/Qualifier:
Amniotic Fluid*
Apgar Score
Cesarean Section
False Positive Reactions
Female
Fetal Distress / diagnosis
Fetal Monitoring
Humans
Infant, Newborn
Infant, Newborn, Diseases / diagnosis*
Intensive Care Units, Neonatal
Meconium
Predictive Value of Tests
Pregnancy
Pregnancy Outcome
Pregnancy, High-Risk*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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