羊水过少与围产期结局
Oligoamnios and Perinatal Outcome.
作者信息
Panda Sandhyasri, Jayalakshmi M, Shashi Kumari G, Mahalakshmi G, Srujan Y, Anusha V
机构信息
Department of OBGYN, MIMS, Vizianagaram, A.P 535217 India.
出版信息
J Obstet Gynaecol India. 2017 Apr;67(2):104-108. doi: 10.1007/s13224-016-0938-3. Epub 2016 Sep 6.
OBJECTIVES
We aimed at evaluating the predictive value of amniotic fluid index ≤5 on perinatal outcome in terms of effect on cardiotocography, mode of delivery, meconium in liquor, birth weight, fetal distress, APGAR score at birth and neonatal admission to ICU.
METHODS
This is a prospective study of 308 antenatal women admitted to labor ward of MIMS during February 2014-December 2015 with gestational ages between 34 and 41 weeks. All women enrolled were subjected to history taking, examination, AFI estimation and compared between those with AFI ≤5 from rest.
RESULTS
The non-reactive CTG, cesarean section rate due to fetal distress, low birth weight, APGAR score <7 and NICU admission were significantly high among those with oligoamnios than the control group.
CONCLUSION
Oligoamnios has a significant correlation with adverse perinatal outcome.
目的
我们旨在评估羊水指数≤5对围产期结局的预测价值，包括对胎心监护、分娩方式、羊水胎粪、出生体重、胎儿窘迫、出生时阿氏评分及新生儿入住重症监护病房的影响。
方法
这是一项前瞻性研究，对2014年2月至2015年12月期间入住MIMS产科病房、孕周在34至41周之间的308名产前妇女进行研究。所有纳入研究的妇女均进行病史采集、检查、羊水指数评估，并将羊水指数≤5的妇女与其余妇女进行比较。
结果
羊水过少组的无反应型胎心监护、因胎儿窘迫行剖宫产的比率、低出生体重、阿氏评分<7及入住新生儿重症监护病房的比例均显著高于对照组。
结论
羊水过少与不良围产期结局显著相关。
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