The New Indian Journal of OBGYN. Epub Ahead of Print

Study of labour admission test and amniotic fluid index in term high risk pregnancy and their association with labour and perinatal outcome

Kungri Rongpipi, Mehak Mittal, Ritu Goyal, Gunjan Chaudhary, Vidushi Saxena

ABSTRACT

Objective: In this study we study the association of both labour admission test (LAT) and amniotic fluid index (AFI) in predicting and preventing adverse perinatal outcome in high risk pregnancies. Methods: This is a prospective observational study. A total of 100 high risk pregnant females admitted in labour room with period of gestation ≥37 weeks, in labour. On admission, history was taken and general physical examination, P/A and P/V examination were performed to determine the stage of labour, following which patients were subjected to ultrasonography for measurement of amniotic fluid index and labour admission test. Mode of delivery, maternal complication, indication of cesarean delivery, colour of liquor, were recorded and neonatal outcome was analysed by APGAR score, whether the baby required NICU admission and condition at discharge. Results: There is statistical significance of AFI with LAT with a p value <0.001. Reduced AFI is more associated with pathological and equivocal and normal AFI had more of normal CTG (P<0.001). Decreasing AFI is significantly associated with meconium staining of the liquor, increasing chance of operative delivery, increasing chance of NICU admission of the neonate (p value <0.001). The same association was seen with LAT and APGAR score, NICU admission, and mode of delivery. Conclusion: From the study we can conclude that LAT and AFI can be used as a simple non-invasive tests that can serve as a screening tool in high risk obstetric patients in labour with better accuracy.