TITLE:
A Comparison of Amniotic Fluid Index versus Single Deepest Vertical Pocket Measurement at Term as a Predictor of Adverse Perinatal Outcome
AUTHORS:
Hasitha Gunasingha, Sardha Hemapriya, Sachini Mendis
KEYWORDS:
Perinatal Outcomes, Amniotic Fluid, Predictability, AFI, SDVP
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.10,
October
25,
2022
ABSTRACT: Introduction: Oligohydramnios is an important sign of fetal jeopardy and amniotic
fluid index (AFI) and single deepest vertical pocket (SDVP) have been used to
detect it. Objective: To compare AFI vs. SDVP at term as a predictor of
adverse perinatal outcomes. Methods: A prospective observational study
was conducted in Teaching Hospital Kandy, Sri Lanka for eight months from July 2015 to March 2016. 448 Singleton pregnancies
admitted after 37 completed weeks were included. AFI ≤ 5 cm and SDVP to outcome
variables. Results: Mean AFI was 11.35 cm (SD = 5.15) and Mean SDVP was
4.07 cm (SD = 1.88). AFI and SDVP values showed a significant positive
correlation (r = 0.954; p Conclusion: AFI better
predicted oligohydramnios and subsequent labour induction than SDVP. Low SDVP
was a risk factor for adverse perinatal outcomes (such as induction of labour,
meconium-stained liquor, operative delivery, 5-minute Apgar less -off
values of SDVP and AFI for each perinatal outcome, an in-depth experimental
analysis is required in future research.