Amniotic Fluid Index and Its Relationship with Poor Apgar Score in Term Pregnancy

Abstract

Amniotic fluid bathes the fetus and works as cushion, permits fetal lung growth and prevents fetus from infection. It peaks with gestational age and peaks at 32 -34 weeks of pregnancy. Amniotic fluid index is important and shares important relationship with APGAR (appearance, pulse, grimace, activity and respiration) for fetal wellbeing. Objectives: To determine the amniotic fluid index and its relationship with poor APGAR score in term pregnancy. Methods: This Descriptive study was done in department of Obstetrics and Gynecology, Holy family hospital, Rawalpindi from 2nd October 2017 to 1st April 2018. We enrolled 222 patients meeting the criteria. Informed consent was taken. Results: Mean age was 30.53 ± 4.66 years. Mean gestational age was 38.95 ± 1.38 weeks. Mean parity was 2.28 ± 0.70. Mean gravidity was 2.43 ± 0.89. Amniotic fluid index was found ≤50 mm in 76 (34.23%) and >50 mm in 146 (65.77%). The babies with Apgar score <6 at 1 minute were 43 (56.58%) having mothers with AFI <50mm and 05 (3.42%) with AFI >50mm. Conclusion: This study concluded that frequency of Amniotic fluid index < 50mm in term pregnancy is quite high with higher frequency of poor APGAR score in term pregnancy with AFI < 50 mm