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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container_end_page 370
container_issue 2
container_start_page 364
container_title The journal of obstetrics and gynaecology research
container_volume 38
creator Magann, Everett F.
Chauhan, Suneet P.
Sanderson, Maureen
McKelvey, Samantha
Dahlke, Joshua D.
Morrison, John C.
description 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.
doi_str_mv 10.1111/j.1447-0756.2011.01710.x
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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 (&lt;24 weeks, 24–336/7, 34–366/7, and &gt;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 &lt; 0.001). In term pregnancies (&gt;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.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/j.1447-0756.2011.01710.x</identifier><identifier>PMID: 22175279</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Amniotic Fluid - physiology ; amniotic fluid volume ; Female ; Gestational Age ; Humans ; normal amniotic fluid volume ; normative dataset ; oligohydramnios ; Oligohydramnios - diagnostic imaging ; polyhydramnios ; Polyhydramnios - diagnostic imaging ; Pregnancy ; Ultrasonography</subject><ispartof>The journal of obstetrics and gynaecology research, 2012-02, Vol.38 (2), p.364-370</ispartof><rights>2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology</rights><rights>2011 The Authors. 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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 (&lt;24 weeks, 24–336/7, 34–366/7, and &gt;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 &lt; 0.001). In term pregnancies (&gt;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. 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subjects Adult
Amniotic Fluid - physiology
amniotic fluid volume
Female
Gestational Age
Humans
normal amniotic fluid volume
normative dataset
oligohydramnios
Oligohydramnios - diagnostic imaging
polyhydramnios
Polyhydramnios - diagnostic imaging
Pregnancy
Ultrasonography
title Amniotic fluid volume in normal pregnancy: Comparison of two different normative datasets
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