Correlation between Amniotic Fluid Volume in Women with Forewater Preterm Premature Rupture of Membranes and Perinatal Outcomes | ||||
| Evidence Based Women's Health Journal | ||||
| Article 40, Volume 15, Issue 15, January 2025, Page 1-7 PDF (373.81 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ebwhj.2024.317395.1356 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Ismail Ghonem  1; Shahinaz Hamdy El-shourbagy2; Mohammed Mohsen Al- Namoury2; Ahmed Mahmoud Awara2
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| 1obstetrics and gynecology, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt. | ||||
| 2Obstetrics and Gynecology Department, Faculty of Medicine, Tanta University, Tanta, Egypt. | ||||
| Abstract | ||||
| Objectives: Preterm premature rupture of membranes (PPROM), which occurs before 37 weeks of gestation, is a significant pregnancy complication. This study aimed to investigate the correlation between the amniotic fluid index (AFI) and neonatal respiratory distress in (PPROM) cases. Patients and Methods: We studied 100 females, aged 19-45, with singleton pregnancies between 24 and 37 weeks, confirmed PPROM via amniotic fluid, and presented within 24 hours before labor began. All patients underwent abdominal ultrasounds. Results: AFI was negatively correlated with total leukocytic count (r=-0.248, P=0.013), neonatal mortality (r=-0.258, P=0.01), occurrence of respiratory distress syndrome (RDS) (r=- 0.309, P=0.002), occurrence of necrotizing enterocolitis (NEC) (r=-0.202, P=0.044) and five minutes of APGAR (appearance, pulse, grimace, activity, and respiration) scores (r=-0.254, P=0.011). AFI had significantly diagnostic accuracy for predicting outcome of pregnancy in patient group at cut off 4.1 for identifying unfavourable results in the patient group with a 51.5% specificity and a 77.6% sensitivity. Compared to AFI≥5, the following outcomes were substantially higher: infant death, birth weight < 2.000 g, neonatal sepsis, hospitalisation to the neonatal intensive care unit for more than two weeks, RDS, 5-minute APGAR score<7, and NEC. Conclusions: Adverse newborn outcomes are a result of low residual amniotic fluid levels in individuals with postpartum haemorrhage. AFI<5 cm was linked to poor newborn outcomes overall and respiratory distress specifically, according to our findings. | ||||
| Keywords | ||||
| Amniotic fluid volume; forewater; preterm premature rupture of membranes; perinatal outcomes; women | ||||
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