Amniotic Fluid Volume (q-AFV) Assessment for Intrauterine Growth Retardation in Hospital Settings

  • Arti Chauhan Dr. Radhakrishnan Government Medical College, Hamirpur, Himachal Pradesh, India
Keywords: Amniotic fluid volume, Intrauterine growth retardation, Pre-eclampsia


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.

Author Biography

Arti Chauhan, Dr. Radhakrishnan Government Medical College, Hamirpur, Himachal Pradesh, India

Assistant Professor, Department of Obstetric and Gynaecology, 


1. Jones MD, Battaglia FC. Intrauterine growth retardation. Am J Obstet
Gynecol 1977;127:540.
2. Manning FA, Platt LD, Sipos L. Ante-partum fetal evaluation: Development
of a fetal biophysical profile scores. Am J Obstet Gynecol 1980;136:787-95.
3. Philipson EH, Sokol RH, Williams T. Oligohyrdaminos: Clinical
associations and predictive value for intrauterine growth retardation. Am J
Obstet Gynecol 1983;146:271.
4. Chamberlain PF, Manning FA, Morrison I, Harman CR, Lange IR.
Ultrasound evaluatin of amniotic fluid volume: The relationship of
marginal and descreased volume to perintal outcome. Am J Obstet Gynecol
5. Hibbard BM. The fetal membranes and amniotic fluid. In Principals of
Obstertrics. 4th ed. London: Butterworth and Co., Butterworth International;
1998. p. 90-106.
6. Magann EF, Sandlin AT, Ounpraseuth ST. Amniotic fluid and the clinical
relevance of the sonographically estimated amniotic fluid volume:
Oligohydramnios. J Ultrasound Med 2011;30:1573-85.
7. Chauhan SP, Magann EF, Dohrety DA, Ennen CS, Niederhauser A,
Morrison JC. Prediction of small for gestational age newborns using
ultrasound estimated and actual amniotic fluidvolume: Published data
revisited. Aust N Z J Obstet Gynaecol 2008;48:160-4.
8. Hendrix NW, Chauhan SP, Magann EF, Martin JN Jr, Morrison JC,
Devoe LD. Intrapartum amniotic fluid index: A poor predictor of abnormal
fetal size. Obstet Gynecol 1998;92:823-7.
9. Locatelli A, Vergani P, Toso L, Verderio M, Pezzullo JC, Ghidini A.
Perinatal outcome associated with oligohydramnios in uncomplicated term
pregnancies. Arch Gynecol Obstet 2004;269:130-3.
10. Wadnere N, Kosta S, Kumar R. Association between fetal weight and
amniotic fluid index in women of Central India. Adv Biomed Res
11. Moore TR. The role of amniotic fluid assessment in indicated preterm
delivery. Semin Perinatol 2011;35:286-91.
12. Ott WJ. Reevaluation of the relationship between amniotic fluid volume and
perinatal outcome. Am J Obstet Gynecol 2005;192:1803-9.
13. Locatelli A, Zagarella A, Toso L, Assi F, Ghidini A, Biffi A. Serial
assessment of amniotic fluid index in uncomplicated term pregnancies:
Prognostic value of amniotic fluid reduction. J Matern Fetal Neonatal Med
14. Magann EF, Chauhan SP, Doherty DA, Magann MI, Morrison JC. The
evidence for abandoning the amniotic fluid index in favor of the single
deepest pocket. Am J Perinatol 2007;24:549-55.
15. Dasari P, Niveditta G, Raghavan S. The maximal vertical pocket and
amniotic fluid index in predicting fetal distress in prolonged pregnancy. Int
J Gynaecol Obstet 2007;96:89-93.