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| Relationship Between Amniotic Fluid Index (AFI) and Perinatal Fetal and Maternal Outcomes in Pregnancy with Premature Rupture of Membranes (PPROM) |
| GE Huifang, MA Yin, LI Guangming, et al |
| Bengbu First People's Hospital, Anhui Bengbu 233000, China |
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Abstract Objective: To analyze the relationship between the amniotic fluid index (AFI) and perinatal fetal and maternal outcomes in pregnancies with premature rupture of membranes (PPROM). Methods: From January 2021 to December 2023, 110 pregnant women with PPROM were selected and divided into three groups based on the AFI measured by ultrasound within one week before and after membrane rupture: Group 1, oligohydramnios (26 cases,AFI≤50mm) ; Group 2, moderate amniotic fluid (53 cases,50mm<AFI<80mm); and Group 3, normal amniotic fluid (31 cases,80mm ≤ AFI<250mm). The labor process, neonatal Apgar score, and perinatal fetal and maternal outcomes were compared among the three groups. Results: Compared with the oligohydramnios group, the first, second, and third stages of labor were shorter in the moderate amniotic fluid and normal amniotic fluid groups (P<0.05), and the Apgar scores of newborns in these groups were higher at 1 and 5 minutes (P<0.05). The infection rate of newborns was lower in the moderate amniotic fluid and normal amniotic fluid groups compared with the oligohydramnios group (P<0.05), and the sepsis rate was lower in the normal amniotic fluid group (P<0.05). The cesarean section and postpartum infection rates were lower in the moderate amniotic and normal amniotic fluid groups compared with the oligohydramnios groups. The cesarean section rate, amniotic cavity infection rate, and postpartum infection rate were lower in the normal amniotic fluid group compared with the oligohydramnios group (P<0.05). Conclusion: A higher AFI within one week before and after the occurrence of PPROM is associated with a longer labor process and a higher incidence of neonatal infection and sepsis. The incidence of cesarean section, amniotic cavity infection, and postpartum infection is also higher in parturients. Therefore, appropriate preventive measures should be taken clinically based on residual AFI.
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2025, Vol. 31 
