The four-quadrant assessment of amniotic fluid volume: an adjunct to antepartum fetal heart rate testing

Amniotic fluid volume assessment using a semiquantitative four-quadrant technique, the amniotic fluid index, was evaluated in relationship to fetal heart rate (FHR) testing and perinatal morbidity in 330 high-risk pregnancies. An inverse relationship was found between the amniotic fluid index and no...

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Bibliographic Details
Published inObstetrics and gynecology (New York. 1953) Vol. 70; no. 3 Pt 1; p. 353
Main Authors Rutherford, S E, Phelan, J P, Smith, C V, Jacobs, N
Format Journal Article
LanguageEnglish
Published United States 01.09.1987
Subjects
Amniotic Fluid - physiology
Apgar Score
Cesarean Section
Female
Fetal Diseases - diagnosis
Heart Rate, Fetal
Humans
Infant Mortality
Infant, Newborn
Meconium
Pregnancy
Prenatal Diagnosis
Risk
Ultrasonography
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Summary:Amniotic fluid volume assessment using a semiquantitative four-quadrant technique, the amniotic fluid index, was evaluated in relationship to fetal heart rate (FHR) testing and perinatal morbidity in 330 high-risk pregnancies. An inverse relationship was found between the amniotic fluid index and nonreactive nonstress tests (NST), FHR decelerations, meconium staining, cesarean section for fetal distress, and low Apgar scores. More important, adverse perinatal outcome was significantly more frequent with diminished compared with normal amniotic fluid volume, even if the NST was reactive.
ISSN:0029-7844