A Randomized Comparison Between Amniotic fluid Index And Maximum Pool Depth In The Monitoring Of Postterm Pregnancy
Wafaa Elbassyoni Kanaan;
Abstract
Post-term pregnancy is a pregnancy that has reached 4;: weeks of completed gestation from the first day of last menstrual period cr 40 weeks from the time of conception (Alan, 1994).
Post-term pregnancy is associated with increased fetal mc•rtality and
maternal morbidity. (Lockwood et aL, 1994).
Oligohydramnios has particular relevance to post-term pregnancies because the volume of amniotic fluid diminishes as gestation advances beyond term (Divoo et al., 1995). Ultrasound plays an important role in the antepartum fetal surveillance of post-term patients particularly in the detemrination of amniotic fluid volume and the management of post-term pregnancy depends mainly on antepartum fetal surveillance. Non reassuring fetal surveillance tests indicate termination of pregnancy by either induction of labor or cesarean section. If the results of fetal surveillance tests are reasuring together with certain date of pregnancy > 42 weeks, expectant management is the appropriate measure with the patient to avoid feud morbidity (Cunningham, 1997).
When we decide to do a conservative measure, an estimation of amniotic
fluid volume by ultrasound is a standard part of fetal assessment (Fisher,
1993 and Divon, 1995).
Maximmn pool depth (MPD) is one of the oldest and most commonly used method for ultrasound assessment of AFV (Nwosu, 1994). The technique here is that described by (Charnberlaine and Colleagues, 1984), in which the patient is positioned supine and the vertical depth of the largest unobstructed
Post-term pregnancy is associated with increased fetal mc•rtality and
maternal morbidity. (Lockwood et aL, 1994).
Oligohydramnios has particular relevance to post-term pregnancies because the volume of amniotic fluid diminishes as gestation advances beyond term (Divoo et al., 1995). Ultrasound plays an important role in the antepartum fetal surveillance of post-term patients particularly in the detemrination of amniotic fluid volume and the management of post-term pregnancy depends mainly on antepartum fetal surveillance. Non reassuring fetal surveillance tests indicate termination of pregnancy by either induction of labor or cesarean section. If the results of fetal surveillance tests are reasuring together with certain date of pregnancy > 42 weeks, expectant management is the appropriate measure with the patient to avoid feud morbidity (Cunningham, 1997).
When we decide to do a conservative measure, an estimation of amniotic
fluid volume by ultrasound is a standard part of fetal assessment (Fisher,
1993 and Divon, 1995).
Maximmn pool depth (MPD) is one of the oldest and most commonly used method for ultrasound assessment of AFV (Nwosu, 1994). The technique here is that described by (Charnberlaine and Colleagues, 1984), in which the patient is positioned supine and the vertical depth of the largest unobstructed
Other data
| Title | A Randomized Comparison Between Amniotic fluid Index And Maximum Pool Depth In The Monitoring Of Postterm Pregnancy | Other Titles | مقارنة عشوائية بين مؤشر السائل الأمنيوسى وأقصى عمق له في تقييم حالات الحمل المتأخر | Authors | Wafaa Elbassyoni Kanaan | Issue Date | 2001 |
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