Amniotic Fluid Volume (q-AFV) Assessment for Intrauterine Growth Retardation in Hospital Settings
Background of the Study: Low amniotic fluid volume (AFV) observed to be a commonly associated finding with intrauterine
growth retardation (IUGR), so the present study was planned to study the association of low AFV (single deepest pocket [SDP]
<2 cm) and IUGR.
Materials and Methods: The study was conducted in tertiary care hospital of Himachal Pradesh, India, among 100 mothers
with clinically suspected IUGR in 75 and normal growth in 25, which were followed up from 28 weeks of pregnancy till delivery.
Results: There is an insignificant odds ratio (OR: 3.7; 95.0% CI: 0.5–30.4) for insufficient AFV (SDP <2 cm) and clinical IUGR.
There were four perinatal deaths in IUGR and none in normal group. Mean birth weight of baby was significantly more in normal
group (3.0 kg) as compared to IUGR group (2.2 kg) (P = 0.001). Newborn was more active at the time of birth in normal group
with average Apgar score of 7.2 in normal as compared to 5.9 in IUGR group (P = 0.025). In IUGR group, the Apgar score
increased significantly up to 8.8 once the assessment was made at 10 min (P = 0.000).
Conclusion: AFV assessment will help as a facilitating tool for decision-making for the management of pregnancy rather
substantiate itself as a sole tool with high predictive capacity.
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