羊水指数与围产期结局的相关性。
Correlation of amniotic fluid index with perinatal outcome.
作者信息
Bhagat Megha, Chawla Indu
机构信息
Department of Obstetrics and Gynecology, Dr. Ram Manohar Lohia Hospital, New Delhi, India ; H. NO.-209, Pragati Apartment, Paschim Vihar, New Delhi, 110063 India.
Department of Obstetrics and Gynecology, Dr. Ram Manohar Lohia Hospital, New Delhi, India.
出版信息
J Obstet Gynaecol India. 2014 Feb;64(1):32-5. doi: 10.1007/s13224-013-0467-2. Epub 2013 Oct 20.
OBJECTIVES
We aimed to evaluate the predictive value of amniotic fluid index (AFI) (<5) for adverse perinatal outcome in terms of cesarean section for fetal distress, birth weight, meconium staining, Apgar scores, and cord pH at birth.
METHODS
This was a prospective study of 200 antenatal women booked at Ram Manohar Lohia (RML) Hospital during the years 2009-2011 with gestational age between 34 and 41 weeks. The women's history, clinical examination recorded, and AFI were measured and the perinatal outcome was compared between two groups, i.e., AFI < 5 and >5.
RESULTS
The cesarean section rate for fetal distress and low birth weight babies, <2.5 kg, was higher in patients with oligohydramnios (p = 0.048, 0.001, respectively). There was no significant difference in meconium staining, Apgar score at 5 min <7, and cord pH at birth between the two groups (p = 0.881, 0.884, 0.764, respectively).
CONCLUSIONS
Oligohydramnios has a significant correlation with cesarean section for fetal distress and low birth weight babies.
目的
我们旨在评估羊水指数（AFI）（<5）对围产期不良结局的预测价值，这些不良结局包括因胎儿窘迫行剖宫产、出生体重、胎粪污染、阿氏评分以及出生时脐带血pH值。
方法
这是一项对200例产前妇女进行的前瞻性研究，这些妇女于2009年至2011年在拉姆·马诺哈尔·洛希亚（RML）医院就诊，孕周在34至41周之间。记录妇女的病史、临床检查情况并测量AFI，比较两组（即AFI <5和>5）的围产期结局。
结果
羊水过少患者因胎儿窘迫和低体重儿（<2.5 kg）行剖宫产的比例较高（分别为p = 0.048和0.001）。两组之间在胎粪污染、5分钟时阿氏评分<7以及出生时脐带血pH值方面无显著差异（分别为p = 0.881、0.884、0.764）。
结论
羊水过少与因胎儿窘迫和低体重儿行剖宫产有显著相关性。
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