SUCCESS OF PREGNANCY IN PATIENTS WITH BORDERLINE AMNIOTIC-FLUID-INDEX AT A TERTIARY CARE HOSPITAL IN MADAN.
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Keywords
Oligohydramnios, Perinatal outcome, amniotic-fluid-Index
Abstract
Background: Amniotic fluid is linked to both maternal and fetal morbidity and mortality and signals the health of the fetus.
Objective: Determining the pregnancy outcome in patients with borderline AFI is the study's goal.
Study Design: A Descriptive Cross-Sectional Study
Duration and place of study: From January 1, 2023, to August 1, 2023, research was carried out in the Department of Obs & Gyne MMC, Mardan
Methods: The Mardan Medical Complex Obstetrics & Gynecology Department conducted a descriptive cross-sectional study. At term (37–40 weeks), 179 random subjects were investigated. Patients with normal (amniotic-fluid) AFI of 8–20 cm and borderline of 5-8 cm were tracked until delivery, and pregnancy outcomes such as cesarean section, poor APGAR score, and NICU stay were documented.
Results: Most patients (92, 51.40%) had ages ranging from 18 to 30 years old, with a mean age of 28.99 ± 4.38 years. The average age gestational age was (38.38 ± 1.22) weeks. AFI averaged 18.63 ± 3.65 cm. Patients with dubious (amniotic-fluid) had different perinatal outcomes: 39 (21.7%) had an APGAR score of less than 7 at five minutes, 13 (7.2%) had meconium-stained liquor, and 19 (10.6%) were admitted to the NICU. Cesarean sections and low Apgar scores <7 did not significantly increase in borderline AFI people (P-value = 0.360 and p = 0.102, respectively). The borderline group had more NICU admissions (p = 0.001) and greater meconium stains (p = 0.01) than those with normal (amniotic fluid).
Conclusion: Our study suggests that borderline (amniotic-fluid) patients should get prenatal monitoring and treatment to reduce newborn morbidity and death. Meconium staining of liquor and neonatal problems enhance perinatal morbidity in these individuals.
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Dr. Nabila Khan
Assistant Professor, Gynae B Unit, Mardan Medical Complex, Mardan.
Dr. Hina Iftikhar
Trainee Medical officer, Gynae B unit, MMC, Mardan.