Document Detail


Reappraisal of normal amniotic fluid index in an Asian population: analysis of 27,088 records.
MedLine Citation:
PMID:  17962106     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Amniotic fluid index (AFI) is a very useful index for assessing fetal well-being. In 1998, a study of AFI in mainland China showed that AFI values in normal pregnancies were less than those in Western populations. Therefore, we attempt to investigate whether fetal AFI in our population is less than that in Western populations. MATERIALS AND METHODS: We reviewed our computerized ultrasound database for fetal AFI from January 1991 to December 2002. For the 12-year study period, only the fetuses that fit the following criteria were included: (1) gestational age ranging from 14 to 41 weeks; (2) singletons, and (3) average-for-gestational-age as evaluated by ultrasound examination. Eventually, 27,088 records were included for the final analysis. RESULTS: The gestation-specific AFI showed patterns that were similar to those previously reported for the Western populations, with the mean being 10.6 cm at 14 weeks, increasing to 16.2 cm at 22 weeks, and then gradually declining to 12.7 cm at 40 weeks. In addition, the mean AFI in our population was greater than that in a Chinese population from mainland China. The best-fit regression line was a second-order polynomial regression line. CONCLUSION: To the best of our knowledge, our series is the largest sample of AFI reported in the medical literature. Our AFI data in Taiwan were closer to those in Western populations and greater than those in a Chinese population from mainland China. The underlying causes are still unknown. Further international collaborative studies are warranted.
Authors:
Szu-Ching Lu; Chiung-Hsin Chang; Chen-Hsiang Yu; Fong-Ming Chang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  46     ISSN:  1875-6263     ISO Abbreviation:  -     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-26     Completed Date:  2007-12-18     Revised Date:  2007-12-28    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  260-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, National Cheng Kung University Medical College and Hospital, Tainan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Amniotic Fluid / ultrasonography*
Asian Continental Ancestry Group*
Female
Fetal Weight
Gestational Age
Humans
Pregnancy*
Reference Values
Retrospective Studies
Taiwan
Ultrasonography, Prenatal*

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