Ipswich Hospital, East Suffolk and North Essex NHS, Foundation Trust, Suffolk, UK; Department of Obstetrics and Gynaecology, Delta State University Teaching Hospital, Delta State, Nigeria.
Department of Obstetrics and Gynaecology, Delta State University Teaching Hospital, Warri, Delta State, Nigeria.
Niger J Clin Pract. 2022 Jun;25(6):938-943. doi: 10.4103/njcp.njcp_1973_21.
The amniotic fluid index (AFI) is one of the parameters used to assess fetal well-being and predict perinatal outcomes. There is, however, a dearth of studies on the pregnancy outcomes of women with borderline AFI in Nigerian and African women.
To compare the pregnancy outcomes of Nigerian women with borderline and normal amniotic fluid index.
This was a prospective cohort study conducted at two health facilities in Delta State, Southern Nigeria. A total of 114 pregnant women attending the antenatal clinics with singleton pregnancies at gestational age 37 to 41 + 6 weeks were recruited over a 5-month period. Fifty-seven subjects with borderline amniotic fluid index were matched with an equal number of subjects with the normal amniotic fluid index for gestational age, age of the parturient, and parity. These women were followed up till delivery, and pregnancy outcomes were determined. The data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 22 software.
The results showed that borderline amniotic fluid index was associated with increased risk of adverse pregnancy outcomes including intrapartum fetal distress, Appearance, Pulse, Grimace, Activity, and Respiration (Apgar) score <7 in 5 min, and birthweight <2.5 kg, and these were statistically significant (P = 0.04, 0.01, and 0.04, respectively).
Borderline AFI is associated with an increased risk of adverse pregnancy outcomes in low-risk Nigerian women.
羊水指数（AFI）是评估胎儿健康状况和预测围产期结局的参数之一。然而，在尼日利亚和非洲妇女中，关于羊水指数边缘值的妊娠结局的研究很少。
比较尼日利亚羊水指数边缘值与正常孕妇的妊娠结局。
这是一项在尼日利亚南部三角洲州的两家医疗机构进行的前瞻性队列研究。在 5 个月的时间里，共招募了 114 名在妊娠 37 至 41+6 周时在产前诊所就诊的单胎妊娠的孕妇。57 名羊水指数边缘值的受试者与相同数量的羊水指数正常、孕龄、产妇年龄和产次相匹配。这些妇女被随访至分娩，并确定妊娠结局。使用社会科学统计软件包（SPSS）第 22 版对数据进行分析。
结果表明，羊水指数边缘值与不良妊娠结局的风险增加有关，包括产时胎儿窘迫、阿普加评分（Appearance, Pulse, Grimace, Activity, and Respiration，APGAR）<7 分钟、出生体重<2.5 公斤，这些差异具有统计学意义（分别为 P = 0.04、0.01 和 0.04）。
在低危的尼日利亚妇女中，羊水指数边缘值与不良妊娠结局的风险增加有关。
