ADMISSION TEST, AMNIOTIC FLUID INDEX, AND COLOR OF LIQUOR IN TERM PREGNANCIES IN ACTIVE LABOR AND THEIR ASSOCIATION WITH LABOR AND PERINATAL OUTCOME

DEEPA P; RAJANI P; MALAVA RANJEET

doi:10.22159/ajpcr.2022.v15i8.45820

Authors

DEEPA P Department of Gynaecology and Obstetrics, Kakatiya Medical College, Hanamakonda, Telangana, India.
RAJANI P Department of Gynaecology and Obstetrics, Kakatiya Medical College/MGMG, Hanamakonda, Telangana, India.
MALAVA RANJEET Niloufer Hospital, Hyderabad, Telangana, India.Department of Pediatrics, Osmania Medical College/

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i8.45820

Keywords:

Perinatal outcome, Admission test, Amniotic fluid index

Abstract

Objective: The aim of the study was to study the admission non-stress test, amniotic fluid index, and color of liquor at term gestation in active labor in all primi gravida and multi gravida irrespective of their medical condition.

Methods: An observational study was done from January 2015 to August 2016 on 200 pregnant women who were admitted for labor and delivery. A detailed examination was done and non-stress test, amniotic fluid index (AFI), and color of liquor were studied in active labor. Details of the mode of delivery and condition of the mother and the neonate were assessed at the end of each delivery.

Results: The sensitivity of studying all the three parameters is 100% and specificity is 91.91%. The positive predictive value is 85.33%, negative predictive value is 100%, and accuracy is 94.58% with significant p value of <0.001.

Conclusion: From this study, we can conclude that studying all the three parameters, that is, admission test, AFI, and color of liquor in term pregnancies is a reliable method to assess perinatal outcome.

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References

Cunningham FC, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Intrapartam assessment. In: Williams Obstetrics. 24th ed., Ch. 24. United States: McGraw Hill Education; 2014. p. 473-87.

Macones GA, Hankins GD, Spong CY, Hauth J, Moore T. The 2008 national institute of child health and human development workshop report on electronic fetal monitoring: Update on definitions, interpretation, and research guidelines. Obstet Gynecol 2008;112:661-6.

Ananth CV, Chauhan SP, Chen HY, D’Alton ME, Vintzileos AM. Electronic fetal monitoring in the United States: Temporal trends and adverse perinatal outcomes. Obstet Gynacol 2013;121:927-33.

Das V, Agrawal D, Malik GK, Kumar P. Modified biophysical profile and fetal outcome. J Obstet Gynecol India 2001;51:101-4.

Aparna H, Shailesha K, Sushma S, Ambiye VR, Vaidya PR. Admission test: Screening test for prediction of fetal outcome in labour. J Obstet Gynaecol India 2001;51:40-3.

Ingemarsoon E. Routie electronic fetal monitoring during labour. Acta Obstet Gynecol Scand 1981;60:1-29.

Khandelwal S, Dhanaraj M, Khandelwal A. Admission test as precursor of perinatal outcome: A prospective study. Arch Gynecol Obstet 2010;282:377-82. doi: 10.1007/s00404-010-1406-4

Shakira P, Haleema H. Effectiveness of admission test. J Dow Univ Health Sci 2007;1:205.

Rutherford SE, Phelan JP, Smith CV, Jacobs N. The four-quadrant assessment of amniotic fluid volume: An adjunct to antepartum fetal heart rate testing. Obstet Gynecol 1987;70:353-6.

Raj S, Sunil S, Manu R, Manju S, Nagpal P. Perinatal outcome in patients with amniotic fluid index ≤ 5 cm, J Obstet Gynaecol India 2001;51:98-100.

Sarno AP Jr., Ahn MO, Phelan JP. Intrapartum amniotic fluid volume at term. Association of ruptured membranes, oligohydramnios and increased fetal risk. J Reprod Med 1990;35:719-23.

Baron C, Morgan MA, Garite TJ. The impact of amniotic fluid volume assessed intrapartum on perinatal outcome. Am J Obstet Gynecol 1995;173:167-74.

Goud PK. Significance of meconium staining of anmiotic fluid in labour. J Obstet Gynaecol India 1989;39:523-6.

Arun H, Nayek AR. Meconium staining of amniotic fluid-significance and fetal outcome. J Obstet Gynaecol India 1991;41:480-3.

Bhaskar SH, Karthikeyan G, Bhat BV, Bhatia BD. Antenatal risk factors and neonatal outcome in meconium aspiration syndrome. Indian J Matern Child Health 1997;8:9-12.

Patil KP, Swamy MK, Samatha K. A one-year cross sectional study of management practices of meconium stained amniotic fluid and perinatal outcome. J Obstet Gynecol India 2006;56:128-30.

Debdas AK. Meconium stained liquor-reappraisal. J Obstet Gynaecol India 1981;31:924-9.