Bushra Mehmood, Muhammad Usman Baig, Sana Ara.
Perinatal Outcome Predictor in Low Risk Pregnancy at Term is Low Amniotic Fluid Index (AFI).
Pak J Med Health Sci Jan ;12(1):83-4.

Background : Amniotic Fluid Index (AFI) is an estimate of quantity of amniotic fluid. Amniotic fluid index is the score, which express in cm, given to amniotic fluid amount seen during ultrasonography of pregnant womb. Aim : To discover clinical importance of low amniotic fluid index (AFI) on perinatal outcome in low risk pregnancy at term. Methods: A case control perspective study was done at Shahida Islam Teaching Institute, Lodhran from August 2016 to December 2017 in which hundred consecutive females having low AFI of ≤ 5 cm with term pregnancy attended the delivery room without high risk factor match with the same figure of control admitted promptly after index cases with standard amniotic fluid index. The including and excluding criteria was matched in both groups except amniotic fluid index. Cardiotocography changes, delivery type, meconium presence, apgar score at 5 minutes , neonatal unit admission need and perinatal death were the results measures. Results: In this study no any considerable disparity in incidence of cardiotocography changes (CTG), rate of C-section, staining of meconium, apgar score at five minutes among females with ≤ 5 cm amniotic fluid index and females with ≥ 5 cm amniotic fluid index. Further no admission to neonatal unit as well as no any perinatal death. Conclusion: During this study, we observed that there was no any effect of low amniotic fluid index (AFI) on maternal and in pregnant females perinatal outcome with low risk pregnancy at term.

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