Amniotic fluid volume in normal pregnancy: Comparison of two different normative datasets

Aim:  The aim of the present study was to compare the two normative datasets of amniotic fluid volume (AFV). Material and Methods:  The similarity of the two datasets to classify AFV as oligohydramnios, normal, and polyhydramnios based on fixed cut‐offs, stratified by gestational ages (37 weeks, and...

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Veröffentlicht in:The journal of obstetrics and gynaecology research 2012-02, Vol.38 (2), p.364-370
Hauptverfasser: Magann, Everett F., Chauhan, Suneet P., Sanderson, Maureen, McKelvey, Samantha, Dahlke, Joshua D., Morrison, John C.
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Sprache:eng
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Zusammenfassung:Aim:  The aim of the present study was to compare the two normative datasets of amniotic fluid volume (AFV). Material and Methods:  The similarity of the two datasets to classify AFV as oligohydramnios, normal, and polyhydramnios based on fixed cut‐offs, stratified by gestational ages (37 weeks, and to identify oligohydramnios/small for gestational age (SGA) and polyhydramnios/large for gestational age (LGA) was evaluated. Results:  Of the 209 pregnancies assessed, the AFV was 94 ≤ 500 mL, 101 between 501 and 1999 mL, and 14 ≥ 2000 mL. The datasets were in agreement classifying the AFV as oligohydramnios, normal, and polyhydramnios in 76% of the pregnancies. Brace classified more overall patients with oligohydramnios (19%) versus Magann (3%) (P 37 weeks), Brace was more likely to classify pregnancies with oligohydramnios (15%) than Magann (3%) (P = 0.004). The likelihood ratio (LR) to detect oligohydramnios/SGA was greater with Magann (LR 12.9) versus Brace (LR 2.75). Conclusion:  The two datasets classify AFV differently in 24% of cases. Brace's dataset is more likely to categorize patients as having oligohydramnios and Magann's dataset is a more useful test for oligohydramnios/SGA identification.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2011.01710.x