Measurement of Amniotic Fluid Volume in 2nd and 3rd Trimesters of Normal Pregnancies

Amniotic Fluid Volume in 2nd and 3rd Trimesters

Authors

  • Muqadas Shaheen University Institute of Radiological and Medical Imaging Sciences, University of Lahore, Gujrat Campus
  • Akash John University Institute of Radiological and Medical Imaging Sciences, University of Lahore, Gujrat Campus
  • Abid Ali Department of Allied Health Sciences, University Institute of Radiological and Medical Imaging Sciences, University of Lahore, Gujrat Campus
  • Esha . University Institute of Radiological and Medical Imaging Sciences, University of Lahore, Gujrat Campus

DOI:

https://doi.org/10.54393/pbmj.v5i4.373

Keywords:

Amniotic Fluid, Single Deep Pool, Fluid Volume, Trimester, Pregnancy

Abstract

The important implication of obstetric care is the assessment of amniotic fluid volume. This assessment can prevent anomalies that are associated with oligohydramnios and polyhydramnios. Objective: To evaluate normal amniotic fluid volume in the 2nd and 3rd trimesters with the correlation of gestational age. Methods: It was a cross-sectional study and data were collected from a private health care setup in Gujrat, Pakistan.  After informed consent data were collected in four months. A sample size of 75 patients was calculated conveniently using a mean from previous related studies. The women with singleton gestation from 20 to 40 years of age group were included in this research. The data were entered and analyzed on SPSS version 20. Results: This study showed that 47(62.7%) of women were multigravida and 28(37.3%) were primigravida. The most frequent maternal age group was 26-30(38.7%) years and the gestational age group was 31 to 35(42.7%) weeks. At the gestational age of 21-25 weeks, the mean of AFI was 14.38 and the mean of SDP was 5.69, while at the age of 26-30 weeks the estimated mean of AFI was 12.12 and the mean of SDP was 5.11. The mean of AFI and SDP at the age of 31-35 weeks were calculated at 11.48 and 4.26 respectively. At the age of 36-40 weeks, the estimated mean of AFI and SDP were calculated 10.22 and 3.73 correspondingly. Conclusions: This study concluded that amniotic fluid volume measured by amniotic fluid index and the single deep pool was increased in the 2nd trimester from 21-25 weeks of gestation and then progressively reduced in the third trimester as the pregnancy advances.

References

Gomez-Lopez N, Romero R, Varrey A, Leng Y, Miller D and Done B et al. RNA Sequencing Reveals Diverse Functions of Amniotic Fluid Neutrophils and Monocytes/Macrophages in Intra-Amniotic Infection. J Innate Immun. 2021;13(2):63-82. doi: 10.1159/000509718.

Favaron PO, Carvalho RC, Borghesi J, Anunciação AR and Miglino MA. The Amniotic Membrane: Development and Potential Applications - A Review. Reprod Domest Anim. 2015;50(6):881-92. doi: 10.1111/rda.12633.

Roode M, Blair K, Snell P, Elder K, Marchant S and Smith A et al. Human hypoblast formation is not dependent on FGF signalling. Dev Biol. 2012;361(2):358-63. doi: 10.1016/j.ydbio.2011.10.030.

Carter AM and Enders AC. Comparative aspects of trophoblast development and placentation. Reprod Biol Endocrinol. 2004;2(1):1-15. doi: 10.1186/1477-7827-2-46.

Mohan R, Bajaj A and Gundappa M. Human Amnion Membrane: Potential Applications in Oral and Periodontal Field. J Int Soc Prev Community Dent. 2017;7(1):15-21. doi: 10.4103/jispcd.JISPCD_359_16.

Madendag Y, Madendag IC, Sahin E, Aydin E, Sahin ME and Acmaz G. How Well Do the Popular Ultrasonic Techniques Estimate Amniotic Fluid Volume and Diagnose Oligohydramnios, in Fact? Ultrasound Q. 2019;35(1):35-38. doi: 10.1097/RUQ.0000000000000408.

Crellin HB and Singh V. Sonography Evaluation Of Amniotic Fluid. 2021.

Harman CR. Amniotic fluid abnormalities. Semin Perinatol. 2008;32(4):288-94. doi: 10.1053/j.semperi.2008.04.012.

Schindler AE. Hormones in human amniotic fluid. 2012.

Galende E, Karakikes I, Edelmann L, Desnick RJ, Kerenyi T and Khoueiry G et al. Amniotic fluid cells are more efficiently reprogrammed to pluripotency than adult cells. Cellular Reprogramming. 2010;12(2):117-125. doi.org/10.1089/cell.2009.0077.

Lind T, Kendall A and Hytten FE. The role of the fetus in the formation of amniotic fluid. J Obstet Gynaecol Br Commonw. 1972;79(4):289-98. doi: 10.1111/j.1471-0528.1972.tb15799.x.

Cho CK, Shan SJ, Winsor EJ and Diamandis EP. Proteomics analysis of human amniotic fluid. Mol Cell Proteomics. 2007;6(8):1406-15. doi: 10.1074/mcp.M700090-MCP200.

Defoort P. Amniotic fluid volume. InInternational Congress Series. Elsevier. 2005;1279:290-294. doi.org/10.1016/j.ics.2004.12.033.

Piazze J, Anceschi MM, Cerekja A, Brunelli R, Meloni P and Marzano S et al. Validity of amniotic fluid index in preterm rupture of membranes. J Perinat Med. 2007;35(5):394-8. doi: 10.1515/JPM.2007.077.

Fitzsimmons ED and Bajaj T. Embryology, amniotic fluid. StatPearls. 2021.

Hughes DS, Magann EF, Whittington JR, Wendel MP, Sandlin AT and Ounpraseuth ST. Accuracy of the Ultrasound Estimate of the Amniotic Fluid Volume (Amniotic Fluid Index and Single Deepest Pocket) to Identify Actual Low, Normal, and High Amniotic Fluid Volumes as Determined by Quantile Regression. J Ultrasound Med. 2020;39(2):373-378. doi: 10.1002/jum.15116.

Lim KI, Butt K, Naud K and Smithies M. Amniotic Fluid: Technical Update on Physiology and Measurement. J Obstet Gynaecol Can. 2017;39(1):52-58. doi: 10.1016/j.jogc.2016.09.012.

Magann EF, Sanderson M, Martin JN and Chauhan S. The amniotic fluid index, single deepest pocket, and two-diameter pocket in normal human pregnancy. Am J Obstet Gynecol. 2000;182(6):1581-8. doi: 10.1067/mob.2000.107325.

Romero R, Kusanovic JP, Espinoza J, Gotsch F, Nhan-Chang CL and Erez O et al. What is amniotic fluid 'sludge'? Ultrasound Obstet Gynecol. 2007;30(5):793-8. doi: 10.1002/uog.5173.

Monen L, Hasaart TH and Kuppens SM. The aetiology of meconium-stained amniotic fluid: pathologic hypoxia or physiologic foetal ripening? (Review). Early Hum Dev. 2014;90(7):325-8. doi: 10.1016/j.earlhumdev.2014.04.003.

Moise KJ Jr. Toward consistent terminology: assessment and reporting of amniotic fluid volume. Semin Perinatol. 2013;37(5):370-4. doi: 10.1053/j.semperi.2013.06.016.

Dubil EA and Magann EF. Amniotic fluid as a vital sign for fetal wellbeing. Australas J Ultrasound Med. 2013;16(2):62-70. doi: 10.1002/j.2205-0140.2013.tb00167.x.

KHIARI TB. رﯾوﺻﺗﻟا مادﺧﺗﺳﺎﺑ لﻣﺣﻟﻟ ﮫﺛﻟﺎﺛﻟاو ﺔﯾﻧﺎﺛﻟا نﯾﺗرﺗﻔﻟا ﻲﻓ ﻲﻧوﯾﻧﻣﻻا لﺋﺎﺳﻟﻟ ﻲﻌﯾﺑطﻟا مﺟﺣﻟا مﯾوﻘﺗ تﺎﯾﻧادوﺳﻟا ءﺎﺳﻧﻟﻟ ﮫﯾﺗوﺻﻟا قوﻓ تﺎﺟوﻣﻟﻟ: Sudan University of Science and Technology. 2019.

Ali MAE. Evaluation of Normal Amniotic Fluid Volume in Second and Third Trimester Using Ultrasonography: Sudan University of Science and Technology. 2020.

Mohammed AEA. Evaluation ofNormal Amniotic Fluid Volume in third Trimester Using Ultrasonography: Sudan University of Science and Technology. 2016.

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Published

2022-04-30
CITATION
DOI: 10.54393/pbmj.v5i4.373
Published: 2022-04-30

How to Cite

Shaheen, M. ., John, A. ., Ali, A. ., & ., E. (2022). Measurement of Amniotic Fluid Volume in 2nd and 3rd Trimesters of Normal Pregnancies: Amniotic Fluid Volume in 2nd and 3rd Trimesters. Pakistan BioMedical Journal, 5(4), 154–157. https://doi.org/10.54393/pbmj.v5i4.373

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