Amniotic fluid index
Amniotic fluid index | |
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Purpose | estimate of amniotic fluid and an indicator of fetal well-being |
Amniotic fluid index (AFI) is a quantitative estimate of amniotic fluid[1] and an indicator of fetal well-being. It is a separate measurement from the biophysical profile.[1]
AFI is the score (expressed in
ultrasonography of a pregnant uterus. To determine the AFI, doctors may use a four-quadrant technique,[2] when the deepest, unobstructed, vertical length of each pocket of fluid is measured in each quadrant and then added up to the others,[3] or the so-called "single deepest pocket" technique.[4]
An AFI between 8 and 18 cm is considered normal.[5] Median AFI level is approximately 14 cm from week 20 to week 35,[6] when the amniotic fluid begins to reduce in preparation for birth. An AFI smaller than 5–6 cm is considered as oligohydramnios.[3] The exact number can vary by gestational age. The fifth percentile for gestational age is sometimes used as a cutoff value.[7] An AFI larger than 24–25 cm is considered as polyhydramnios.[3][8]
Causes of low amniotic fluid
There are many things that can cause low AFI, these include:
- Leaking or rupture of membranes: Leaking or rupture of membranes may be caused by a gush of fluid or a slow constant trickle of fluid. This is due to a tear in the membrane. Premature rupture of membranes can also result in low amniotic fluid levels.
- Placental problems: Placental problems may cause low amniotic fluid. If the placenta is not providing enough blood and nutrients to the baby, then the baby may stop recycling fluid.
- Birth defects: urinary tract, which could cause little urine production, and it can lead to low levels of amniotic fluid.
- Maternal complications: Maternal complications may cause low amniotic fluid. Some factors such as hypoxiain a woman can have an effect on amniotic fluid levels.
References
- ^ ISBN 0-7817-4869-0.
- ^ "perinatology.com Glossary". www.perinatology.com.
- ^ ISBN 1-4051-0380-9.
- ^ "Los Bajos Niveles de Líquido Amniótico: Oligohidramnios". 2012-04-27.
- ^ "PRO: Amniotic Fluid - Biophysical Profile - the virtual ObGyn office".
- ^ "Amniotic Fluid Index". Archived from the original on 2019-02-04.
- S2CID 33665604.
- ISBN 1-4051-0329-9.