American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Dec 1999
Meta AnalysisPerinatal outcome and amniotic fluid index in the antepartum and intrapartum periods: A meta-analysis.
Our purpose was to perform a meta-analysis of studies on the risks of cesarean delivery for fetal distress, 5-minute Apgar score <7, and umbilical arterial pH <7.00 in patients with antepartum or intrapartum amniotic fluid index >5.0 or <5.0 cm. ⋯ An antepartum or intrapartum amniotic fluid index of =5.0 cm is associated with a significantly increased risk of cesarean delivery for fetal distress and a low Apgar score at 5 minutes. There are few reports linking amniotic fluid index and neonatal acidosis, the only objective assessment of fetal well-being. A multicenter study with sufficient power should be undertaken to demonstrate that a low amniotic fluid index is associated with an umbilical arterial pH <7.00.