None listed
Conditions
Brief summary
In the antenatal assessment of fetal well-being, amniotic fluid volume is an important parameter. Oligohydramnios is associated with poor perinatal outcomes. So, after diagnosing decreased amniotic fluid volume or oligohydramnios, many caregivers practice planned delivery by induction of labor or caesarean section. However, there is no clear consensus on the best method to assess amniotic fluid adequacy.
Interventions
Ultrasound measurement of amniotic fluid volume as regular part of antepartum assessment of fetal well-being is done by the SDP method. In order to calculate the SDP, the largest vertical diameter of a fluid pocket (not containing small fetal parts or loops of umbilical cord) is measured by two perpendicular diameters. Oligohydramnios is diagnosed if there was no SDP of 2 x 1 cm. Once a patient was assigned to SDP arm, all subsequent assessments of amniotic fluid were done accordingly. The amniotic fluid estimation used for this evaluation is the last volume within 3 days of delivery.
Sponsors
Study design
Eligibility
Inclusion criteria
singleton pregnancy at term greater than 259 days of gestation, vertex presentation
Exclusion criteria
Premature Rupture of Membranes (PROM), cases of structural or chromosomal malformation, intrauterine fetal death, twin pregnancy, primary cesarean delivery