Diagnostic utility of maximum vertical pocket versus amniotic fluid index in assessing amniotic fluid volume for the prediction of adverse maternal and fetal outcomes: a systematic review and meta-analysis

Autor: Subhjit Sekhon, Shayna N. Conner, Joshua I. Rosenbloom, Methodius G. Tuuli, Ebony B. Carter, Michelle Doering, George A. Macones, Graham A. Colditz
Rok vydání: 2019
Předmět:
Zdroj: The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 34(22)
ISSN: 1476-4954
Popis: To compare the utility of maximum vertical pocket versus amniotic fluid index for predicting adverse perinatal outcomes. Systematic review of randomized clinical studies comparing these two ultrasound techniques and random-effects meta-analysis to quantify a range of perinatal outcomes. Six studies with 4278 women were eligible. Use of the maximum vertical pocket reduced the rate of diagnosis of oligohydramnios (pooled relative risk 0.38; 95% confidence interval 0.27, 0.53). Use of the maximum vertical pocket was associated with significantly lower rates of non-reassuring fetal heart tracing, cesarean delivery for fetal distress, and induction of labor for oligohydramnios. There were no differences in the rates of cesarean delivery, presence of meconium, umbilical artery pH
Databáze: OpenAIRE