Magann Everett F, Chauhan Suneet P, Doherty Dorota A, Barrilleaux P Scott, Martin James N, Morrison John C
Departments of Obstetrics and Gynecology, University of Western Australia, Perth, Australia.
Am J Obstet Gynecol. 2003 Jun;188(6):1523-7; discussion 1527-8. doi: 10.1067/mob.2003.381.
The purpose of this study was to establish whether ultrasound-estimated or dye-determined amniotic fluid distribution (upper compared with lower quadrant) is predictive of perinatal outcome.
Amniotic fluid distribution as measured by the amniotic fluid index, single deepest pocket, and dye-determined volumes was ascertained and correlated with intrapartum and neonatal outcomes.
Between January 1997 and January 2001, 135 women (70 upper-greater and 65 lower-greater) participated in this prospective observational study. The sum of the amniotic fluid index (P =.309), single deepest pocket (P =.168), and dye-determined amniotic fluid volume (P =.368) for the upper-greater compared with the lower-greater groups were similar. Decelerations in labor (P =.597), late decelerations (P =.999), cesarean deliveries for fetal distress (P =.413), and umbilical cord pH < 7.2 were similar (P =.647)
Ultrasound-estimated and dye-determined amniotic fluid volumes are similar between upper-greater and lower-greater groups, and intrapartum/neonatal outcomes are not affected by the amniotic fluid distribution.
本研究旨在确定超声估计或染料测定的羊水分布（上象限与下象限相比）是否可预测围产期结局。
通过羊水指数、单个最深羊水池和染料测定体积来确定羊水分布，并将其与产时及新生儿结局相关联。
1997年1月至2001年1月期间，135名女性（70名上象限羊水较多者和65名下象限羊水较多者）参与了这项前瞻性观察性研究。上象限羊水较多组与下象限羊水较多组相比，羊水指数总和（P = 0.309）、单个最深羊水池（P = 0.168）及染料测定的羊水量（P = 0.368）相似。产时减速（P = 0.597）、晚期减速（P = 0.999）、因胎儿窘迫行剖宫产（P = 0.413）以及脐动脉血pH < 7.2的情况均相似（P = 0.647）。
上象限羊水较多组与下象限羊水较多组之间，超声估计和染料测定的羊水量相似，且羊水分布不影响产时/新生儿结局。
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