Correlation between obstetric outcome and amniotic fluid index (AFI) in preterm prelabour rupture of membranes (PPROM)

Authors

  • Anusree Saraswathy Department of Obstetrics and Gynecology, Aster Hospital, Aster DM Healthcare, Dubai, UAE
  • Jayshree V. Vaman Department of Obstetrics and Gynaecology, SATH, Government Medical College, Thiruvananthapuram, Kerala, India
  • Mayadevi Brahmanandan Department of Obstetrics and Gynaecology, SATH, Government Medical College, Thiruvananthapuram, Kerala, India
  • Nirmala C. Department of Obstetrics and Gynaecology, SATH, Government Medical College, Thiruvananthapuram, Kerala, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20184929

Keywords:

Amniotic fluid index (AFI), Obstetric outcome, Preterm prelabour rupture of membranes (PPROM)

Abstract

Background: The purpose was to determine whether AFI<5 cm after preterm premature rupture of the membranes (PPROM) is associated with an increased risk of maternal and perinatal morbidity.

Methods: We performed a prospective case control study of 161 singleton pregnancies complicated by preterm prelabour rupture of the membranes (PPROM) in whom AFI was assessed. Patients were categorized in two groups on the basis of amniotic fluid index- AFI<5 cm or AFI ≥ 5 cm. Categorical data were tested for significance with the χ2 and Fisher exact tests. All 2-sided p values < 0.05 were considered significant.

Results: Both groups were similar with respect to selected demographics, gestational age at

rupture of the membranes, gestational age at the delivery, birth weight. Both groups were similar with respect to maternal chorio-amnionitis, abruption, mode of delivery, early onset neonatal sepsis and NICU stay. Patients with AFI<5 cm demonstrated greater frequency of C/S delivery for non-reassuring fetal tests.

Conclusions: There is no significant difference between obstetric outcome in AFI<5 and AFI> 5 after PPROM between 24- and 37-weeks’ gestation.

References

Vintzileos AM, Cmpbell WA, Nochimson DJ: degree oligohydramnios and pregnancy outcome in patients with prom. Obstet Gynecol. 1985,66(2):162-7.

Vermillion S, Kooba A: Amniotic fluid index value after prom and subsequent perinatal infection. Am J Obstet Gynecol. 2000;183(2):271-6.

Huang S, Qi HB, Li L. Residue amniotic fluid volume after preterm premature rupture of membranes and maternal-fetal outcome. Zhonghua fu chan ke za zhi. 2009;44(10):726-30

Tahir S, Aleem M, Aziz R. Incidence And outcome of Preterm premature rupture of membranes. Pak J Med Sci. 2002;18(1):26-32

Charles PJ, Muriel R, Charles PJ, Rene E, Oliver C, Pascal G, et al. A prospective population-based study of 598 cases of PPROM between 24- and 34-weeks gestation: description, management and mortality (Dominos cohort). Eur J Obstet Gynec. 2005;121(2):164-70.

Borna S, Borna H, Hantoushzadeh S. 'Perinatal outcome in preterm premature rupture of membranes with Amniotic fluid index< 5 (AFI< 5). BMC Preg Childbirth. 2004;4(1):15.

Julien S, Khandelwal M, Olasewere T. randomized Trial Comparing Long-term Versus Short-term Antibiotic Prophylaxis In Preterm Premature Rupture Of Membranes (pprom).: 31. Am J Obstet Gynecol. 2002;187(6):S66.

Ladella S, Leung T, Cortez C. Effects of Amniotic Fluid Index on Perinatal Outcomes in Preterm Premature Rupture of Membranes [37o]. Obstet Gynecol. 2017;129:S162.

Piazze J, Anceschi MM, Cerekja A, Brunelli R, Meloni P, Marzano S, Cosmi E: Validity of amniotic fluid index in preterm rupture of membranes. J Perinat Med. 2007;35(5):394-8

Mousavi AS, Hashemi N, Kashanian M, Sheikhansari N, Bordbar A, Parashi S: Comparison between maternal and neonatal outcome of PPROM in the cases of amniotic fluid index (AFI) of more and less than 5 cm. J Obstet Gynaecol. 2018;38(5):611-5.

Downloads

Published

2018-11-26

Issue

Section

Original Research Articles