Document Detail


Perinatal risks associated with borderline amniotic fluid index.
MedLine Citation:
PMID:  10368489     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Our purpose was to determine whether a borderline amniotic fluid index observed during antepartum testing confers a significant risk of adverse perinatal outcome. STUDY DESIGN: We conducted a retrospective review of all patients entering antepartum testing at Los Angeles County-University of Southern California Women's and Children's Hospital during a 4-month period beginning January 1, 1996. Women with singleton pregnancies who underwent antepartum testing within 1 week of delivery and who were delivered at our institution were identified for our study. An amniotic fluid index >5 and <10 cm was defined as "borderline" and an amniotic fluid index of 10 to 24 cm was considered normal. Markers of adverse perinatal outcome included intrapartum fetal distress, 5-minute Apgar score <7, meconium-stained amniotic fluid, and intrauterine growth restriction. RESULTS: There was a 2-fold increase in the incidence of adverse perinatal outcome among the women with borderline amniotic fluid index in comparison with control subjects with normal amniotic fluid volume. This difference reflected a 4-fold increase in the incidence of fetal growth restriction among women with a borderline amniotic fluid index. CONCLUSIONS: A borderline amniotic fluid index observed in antepartum testing is associated with an increased risk of intrauterine growth restriction and overall adverse perinatal outcome. These observations suggest that borderline amniotic fluid index merits twice-weekly antepartum testing.
Authors:
E H Banks; D A Miller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  180     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-07-15     Completed Date:  1999-07-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1461-3     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Los Angeles County-University of Southern Calofrnia Woman's and Children's Hospital, USA.
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MeSH Terms
Descriptor/Qualifier:
Amniotic Fluid / ultrasonography*
Female
Fetal Distress / complications
Fetal Growth Retardation / complications
Gestational Age
Heart Rate, Fetal
Humans
Meconium
Oligohydramnios / complications,  ultrasonography*
Pregnancy
Pregnancy Outcome*
Retrospective Studies
Risk Factors
Ultrasonography, Prenatal*
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 2000 Mar;182(3):750-1   [PMID:  10739552 ]

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


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