DECREASED AMNIOTIC FLUID INDEX AND ADVERSE PREGNANCY OUTCOME AT TERM
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Amniotic fluid index of <5cm was associated with adverse pregnancy outcomes in the form
of meconium stained liquor, induction of labour, cesarean section for fetal distress, low Apgar score and
neonatal intensive care unit admission.
Labour induction was significantly higher in patients having AFI<5cm as compared to the
control group (p-value=0.009). Meconium stained liquor (p-value=0.023) and cesarean section rate for
fetal distress (p-value=0.000) were higher in patients having AFI<5cm. Neonatal complications were found
to be more frequent in the patients having AFI<5cm and these include, low Apgar score <7 (p=0.001) and
neonatal intensive care unit admission (p=0.078). There was no perinatal mortality in both the groups.
This experimental study was conducted at Gynae "B" unit Lady Reading Hospital
Peshawar from September 2004 to August 2005. A total of 100 pregnant women admitted in labour ward
were included in the study. Fifty cases with an amniotic fluid index of <5cm comprised the patient group.
Fifty controls having AFI>5cm were matched with the cases regarding age (±3years), parity and antenatal
complication (hypertension, diabetes). Apart from demographic details, maternal outcome measures such
as induction of labour; mode of delivery; meconium stained liquor; and fetal outcome measures such as
Apgar score and admission to neonatal intensive care unit were recorded on a semi structured proforma
for both the groups and analyzed by Chi square test using SPSS v.11.
To find out the effect of decreased amniotic fluid index (AFI) on adverse pregnancy outcome at
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