“STUDY OF MATERNAL AND FETAL OUTCOME IN TERM PRELABOR RUPTURE OF MEMBRANES STRATIFIED WITH AFI SCORE.”

Abstract

Background: Amniotic uid index (AFI), a component of modied Biophysical prole, is commonly used for antepartum fetal surveillance, and can be considered an essential parameter to predict adverse fetal and maternal outcome in patients with PROM. The present study is Objective: undertaken to study the feto-maternal outcome in patients with term PROM by stratifying them into two groups with AFI <5 and AFI ≥5. Methodology: Prospective cross-sectional study was conducted on 151 pregnant term, singleton live gestation with cephalic presentation with PROM admitted to the labor ward in Department of OBG at ESIC & PGIMSR. On admission based on amniotic uid index measured by ultrasonography the study population was grouped as Group A with AFI < 5cm and Group B with AFI ≥5 cm. Patients with AFI <5 cm Results: (Group A) had higher febrile morbidity (p-0.0001). Caesarean delivery was signicantly higher in Group A (50%, p-0.0001), most common indication was fetal distress (60.9 %). Group A also had higher incidence of wound infection (9.8%, p-0.008) and increased duration of hospital stay (p-0.0001). More patients in Group B had successful induced vaginal delivery (82.6%). Higher incidence of perinatal morbidity with APGAR<7 (p-0.032) and prolonged NICU admissions were observed in Group A (p - 0.0001). The present study co Conclusion: ncludes that AFI stratication in patients with term PROM on admission is useful to predict maternal and neonatal outcomes