open access

Vol 91, No 8 (2020)
ORIGINAL PAPERS Obstetrics
Published online: 2020-08-31
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The association of the amniotic fluid index (AFI) with perinatal fetal and maternal outcomes in pregnancies complicated by preterm premature rupture of membranes (PPROM)

Taner Günay, Gamze Erdem, Reyhan Ayaz Bilir, Meryem Hocaoglu, Ozkan Ozdamar, Abdulkadir Turgut
DOI: 10.5603/GP.2020.0069
·
Pubmed: 32902844
·
Ginekol Pol 2020;91(8):465-472.

open access

Vol 91, No 8 (2020)
ORIGINAL PAPERS Obstetrics
Published online: 2020-08-31

Abstract

Objectives: To investigate association of amniotic fluid index (AFI) with perinatal fetal and maternal outcomes in pregnancies complicated by preterm premature rupture of membranes (PPROM)

Material and methods: A total of 70 singleton pregnancies complicated by PPROM at 23–33 weeks’ gestation were enrolled in this prospective observational study. Data on maternal clinical and obstetric characteristics [maternal age, gravidity, parity, PPROM time, and AFI (cm), latency period, treatments, type of delivery, length of hospital stay (LOS, day)], fetal

characteristics (gestational age at delivery, birth weight (g), gender) and maternal and fetal complications were recorded and compared in AFI < 5 cm (n = 27) and AFI ≥ 5 cm (n = 21) groups.

Results: Overall AFI was ≤ 5 cm in 27 (56.3%) patients and > 5 cm in 21 (43.7%) patients. No significant difference was noted in maternal clinical and obstetric characteristics, gestational age at delivery and gender of the newborn as well as in maternal and fetal complications rates with respect to AFI groups. AFI was correlated positively with latency period (r = 0.399, p = 0.018) and negatively with postpartum LOS (r = –0.314, p = 0.030).

Conclusions: In conclusion, our findings seems to indicate increased likelihood of shorter latency to delivery and longer postpartum LOS with decrease in AFI after PPROM between 23–33 weeks’ gestation, whereas no impact of AFI on mode of delivery and fetal or maternal complications.

Abstract

Objectives: To investigate association of amniotic fluid index (AFI) with perinatal fetal and maternal outcomes in pregnancies complicated by preterm premature rupture of membranes (PPROM)

Material and methods: A total of 70 singleton pregnancies complicated by PPROM at 23–33 weeks’ gestation were enrolled in this prospective observational study. Data on maternal clinical and obstetric characteristics [maternal age, gravidity, parity, PPROM time, and AFI (cm), latency period, treatments, type of delivery, length of hospital stay (LOS, day)], fetal

characteristics (gestational age at delivery, birth weight (g), gender) and maternal and fetal complications were recorded and compared in AFI < 5 cm (n = 27) and AFI ≥ 5 cm (n = 21) groups.

Results: Overall AFI was ≤ 5 cm in 27 (56.3%) patients and > 5 cm in 21 (43.7%) patients. No significant difference was noted in maternal clinical and obstetric characteristics, gestational age at delivery and gender of the newborn as well as in maternal and fetal complications rates with respect to AFI groups. AFI was correlated positively with latency period (r = 0.399, p = 0.018) and negatively with postpartum LOS (r = –0.314, p = 0.030).

Conclusions: In conclusion, our findings seems to indicate increased likelihood of shorter latency to delivery and longer postpartum LOS with decrease in AFI after PPROM between 23–33 weeks’ gestation, whereas no impact of AFI on mode of delivery and fetal or maternal complications.

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Keywords

Preterm premature rupture of membranes; amniotic fluid index; fetal outcomes; maternal outcomes

About this article
Title

The association of the amniotic fluid index (AFI) with perinatal fetal and maternal outcomes in pregnancies complicated by preterm premature rupture of membranes (PPROM)

Journal

Ginekologia Polska

Issue

Vol 91, No 8 (2020)

Pages

465-472

Published online

2020-08-31

DOI

10.5603/GP.2020.0069

Pubmed

32902844

Bibliographic record

Ginekol Pol 2020;91(8):465-472.

Keywords

Preterm premature rupture of membranes
amniotic fluid index
fetal outcomes
maternal outcomes

Authors

Taner Günay
Gamze Erdem
Reyhan Ayaz Bilir
Meryem Hocaoglu
Ozkan Ozdamar
Abdulkadir Turgut

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