Sonography Assessment of Amniotic Fluid Volume as a Predictor of Fetal Outcome in Low-Risk Pregnancy
Elsadek, A., Atef, A., Salama, D., Abdallah, L., Saada, S. (2022). Sonography Assessment of Amniotic Fluid Volume as a Predictor of Fetal Outcome in Low-Risk Pregnancy. EKB Journal Management System, 88(1), 3022-3028. doi: 10.21608/ejhm.2022.244531
Alaa Hassieb Elsadek; Ahmed Mohamed Atef; Diana Nageeb Salama; Loay Mohamed Abdallah; Sabah Mohamed Saada. "Sonography Assessment of Amniotic Fluid Volume as a Predictor of Fetal Outcome in Low-Risk Pregnancy". EKB Journal Management System, 88, 1, 2022, 3022-3028. doi: 10.21608/ejhm.2022.244531
Elsadek, A., Atef, A., Salama, D., Abdallah, L., Saada, S. (2022). 'Sonography Assessment of Amniotic Fluid Volume as a Predictor of Fetal Outcome in Low-Risk Pregnancy', EKB Journal Management System, 88(1), pp. 3022-3028. doi: 10.21608/ejhm.2022.244531
Elsadek, A., Atef, A., Salama, D., Abdallah, L., Saada, S. Sonography Assessment of Amniotic Fluid Volume as a Predictor of Fetal Outcome in Low-Risk Pregnancy. EKB Journal Management System, 2022; 88(1): 3022-3028. doi: 10.21608/ejhm.2022.244531

Sonography Assessment of Amniotic Fluid Volume as a Predictor of Fetal Outcome in Low-Risk Pregnancy

The Egyptian Journal of Hospital Medicine
Article 117, Volume 88, Issue 1, July 2022, Page 3022-3028  XML PDF (500.29 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.244531
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Authors
Alaa Hassieb Elsadek email ; Ahmed Mohamed Atef; Diana Nageeb Salama; Loay Mohamed Abdallah; Sabah Mohamed Saada
Abstract
Background: An essential component of the amniotic sac, amniotic fluid (AF) aids in the growth of the developing fetus. The volume of amniotic fluid (AFV) can be measured using a variety of methods. Objective: To determine which is better in assessment of amniotic fluid volume, amniotic fluid index technique (AFI) or single deepest vertical pocket technique (SDVP) for prediction of fetal outcome in low-risk pregnancies.
Patients and Methods: This work is a randomized comparative trial done at Zagazig University Hospitals on 240 pregnant women. Group (A): (Amniotic fluid index group); 120 women. Group (B): (Single deepest pocket group); 120 women. Ultrasound was used to measure amniotic fluid either by AFI or SDP methods. Cardiotocography (CTG) was used to observe fetus intrapartum and Apgar score was used to assess infant post-partum.
Results: mean AFI was 8.8 cm in group A, mean SDP was 3.8 in group B. There was high statistically significant difference between study groups in amniotic fluid assessment. A group had significantly more oligohydramnios than B group. There was high statistically significant difference between study groups in CTG assessment of oligohydramnios cases. Oligohydramnios cases in A group had significantly more reassuring CTG than oligohydramnios cases in B group. In the A group, the difference between normal and abnormal AF was highly statistically significant.
Conclusion: Oligohydramnios and labour inductions for oligohydramnios were increased by using the AFI method, however perinatal outcomes did not improve. Therefore, the SDP approach is the best way for determining amniotic fluid volume.
 
 
Keywords
Amniotic Fluid Volume; Low risk pregnancy; Ultrasonography
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