Abstract

Background: Alcohol amniotic, a protecting fluid that surround the embryo. It protects from concussion, pressure, desiccation, reminiscent of the aquatic origin of life. Adequate amount of amniotic fluid is essential requirement for the normal development and it acts like a cushion against trauma, agitation and accidental impulsions. It has also bacteriostatic properties and prevents the infection of many bacterial infections.
 Aim: To assess the maternal and fetal outcome in cases with normal and abnormal Amniotic Fluid Index levels.
 Results: The mode of delivery was spontaneous vaginal delivery followed by Assisted VD, Elective CS, Emergency CS respectively. It was affected by amount of liquor since, low AFI group 35 (75%) patients ended up in cesarean section for fetal distress. While in control group 63(18.3%) patients had caesarean section.
 Conclusion: Early neonatal death was seen in 0.2%, 4.5% and 70.5% newborns were born to pregnant women with normal AFI, oligohydramnios respectively. 70.5% neonates born to pregnant women with oligohydramnios had NICU admission. All cases were admitted in NICU because of respiratory distress.

Highlights

  • Amniotic fluidis a dynamic fluid that gives a protection during the pregnancy and its composition is similar with the fetal plasma on its first trimester

  • Mode of delivery in pregnant women with normal AFI is as follows- spontaneous vaginal delivery

  • The following are the intrapartum finding in baby born to pregnant women with normal AFI- early deaccelaration (0.5%), late deaccelaration (1.6%) and Variable deaccelaration (3.7%) The following are the intrapartum finding in baby born to pregnant women with oligohydramniosearly deaccelaration (2.3%), late deaccelaration (56.8%) and Variable deaccelaration (34.1%)

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Summary

Introduction

Amniotic fluidis a dynamic fluid that gives a protection during the pregnancy and its composition is similar with the fetal plasma on its first trimester. Adequate amount of amniotic fluid is essential requirement for the normal development and it acts like a cushion against trauma, agitation and accidental impulsions. It has bacteriostatic properties and prevents the infection of many bacterial infections. Results: The mode of delivery was spontaneous vaginal delivery followed by Assisted VD, Elective CS, Emergency CS respectively. It was affected by amount of liquor since, low AFI group 35 (75%) patients ended up in cesarean section for fetal distress. Conclusion: Early neonatal death was seen in 0.2%, 4.5% and 70.5% newborns were born to pregnant women with normal AFI, oligohydramnios respectively. All cases were admitted in NICU because of respiratory distress

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