Intrapartum amniotic fluid index and its relationship to some parameters of fetal distress

ABSTRACT

Amniotic fluid index was measured in 100 primigravidae women, in labour, medically free end having single viable cephalic fetus. They are classified into two groups. Group 1 included 30 women with intact membranes and group 2 included 70 women with ruptured membranes.The mean AFI was 12.3 +/- 1.2 in group 1 and 5.1 +/- 1.3 in group 2. There was highly significant difference between AFI and meconium grading Apgar scores at one and five minutes and PH values of the cord blood in both groups [P< 0.001]. The AFI values were classified into 4 groups [group A, B, C and D]. There was highly significant difference as regards AFI values between group 1 and group 2. The AFI value has no significant relationship to the gestational ages in both groups [1 and 2], but had a significant relationship to meconium grading. Apgar scores at one and five minutes and PH value of the cord blood. The intrapartum AFI value below which neoborn is at increased risk of fetal distress, is 9 cms in women with ruptured membranes during labour. So the assessment of intrapartum AFI is a comprehensive admission test with the other fetal distress tests