STUDY OF AFI MEASUREMENTS IN HIGH RISK PREGNANCIES AND FETO MATERNAL OUTCOME

Introduction: Amniotic fluid acts as a protective layer which exerts a cushion-like effect for the growing fetus against mechanical and biological injury. Amniotic fluid may be regarded as the largest part of the fetal extracellular space, and it provides a more accessible means than fetal blood for investigation of the fetus and its environment. Amniotic fluid assessment is an integral part of the antenatal evaluation of pregnancies at risk for an adverse pregnancy outcome especially in the third trimester. 1, 2 Detecting the fetus at risk for in utero damage or death, quantifying, and balancing the fetal risk against the risk of neonatal complications from immaturity, and determining the optimal time and mode of intervention are the cornerstone of modern day obstetrics care and perinatal medicine.3

Aim: Study of Amniotic fluid Index Measurements in High- Risk Pregnancies and Outcome

Objectives: To Study the Patterns Of Changes In Amniotic Fluid Index From 32 Weeks Till Delivery In High Risk Pregnancies To Study The Perinatal Outcome In Relation To APGAR Score.

Materials And Methods: A prospective observational study conducted on 100 patients over a period of 18 months at GMC, Kadapa.

Inclusion Criteria:Single ton pregnancy with gestational age > 32 weeks, Hypertensive disorders, Diabetes complicating pregnancy including Gestational diabetes, Intrauterine growth retardation, Past dates, Liquor abnormalities, Bad obstetric history

Exclusion criteria: Pregnant women with GA< 32 weeks or in labour, Antepartum hemorrhage, Eclampsia, Multiple gestation, Ruptured membranes, Congenital anomalies, Intrauterine fetal death