Study of labour admission test and amniotic fluid index in term high risk pregnancy and their association with labour and perinatal outcome
Objective: In this study we study the association of both labour admission test (LAT) and amniotic fluid index (AFI) in predicting and preventing adverse perinatal outcome in high risks pregnancies. Methods: This is a prospective observational study. A total of 100 high risk pregnant females admit...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Barpeta Obstetrics and Gynaecological Society
2024-05-01
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| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/10412.pdf |
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| Summary: | Objective: In this study we study the association of both labour admission test (LAT) and amniotic fluid index (AFI)
in predicting and preventing adverse perinatal outcome in high risks pregnancies. Methods: This is a prospective
observational study. A total of 100 high risk pregnant females admitted in labour room with period of gestation ≥37
weeks, in labour. On admission, history was taken and general physical examination, P/A and P/V examination were
performed to determine the stage of labour, following which patients were subjected to ultrasonography for
measurement of amniotic fluid index and labour admission test. Mode of delivery, maternal complication, indication
of cesarean delivery, colour of liquor, were recorded and neonatal outcome was analysed by APGAR score, whether
the baby required NICU admission and condition at discharge. Results: There is statistical significance of AFI with
LAT with a p value <0.001. Reduced AFI is more associated with pathological and equivocal and normal AFI had
more of normal CTG (P<0.001). Decreasing AFI is significantly associated with meconium staining of the liquor,
increasing chance of operative delivery, increasing chance of NICU admission of the neonate (p value <0.001). The
same association was seen with LAT and APGAR score, NICU admission, and mode of delivery. Conclusion: From
the study we can conclude that LAT and AFI can be used as a simple non-invasive test that can serve as a screening
tool in high risk obstetric patients in labour with better accuracy. |
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| ISSN: | 2454-2334 2454-2342 |