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Re: AFIFrom: Randy Daniell (rdaniell@camalott.com)Fri Jun 20 16:43:42 1997
rbraun@indyunix.iupui.edu wrote: > > AFI of less than 5 is associated with a high incidence of variable decels > during labor. For this reason, many feel that it is an indication for > amnioinfusion. If th oligo is associated with IUGR, it is a sign of > decreased renal function and hence may well be a sign of developing fetal > distress. > A low AFI by itself (especially if it is 4.5) is not necessarily an > indication for an induction. As with all the rest of medicine, the entire > patient must be evaluated and then decide on whether or not to induce. > I would never react to an AFI done by someone else. I always do my own and > at the same time evaluate the rest of the feto-placental unit.(motion, > breathing motion, tone, NST, & placenta) > > -- > @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ > R. Daniel Braun, MD FACOG "Money will buy you a fine dog > Clinical Professor OB/GYN but only love will make it > Indiana University School of Medicine wag its tail" > Indianapolis, IN Richard "Kinky" > OBGYN.net, International Rep. U.S. Friedman > Kinky Friedman for President > @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ > > On Thu, 19 Jun 1997, Randy Daniell, M.D. wrote: > > > Interested in others reliability on AFI. With the guys I take call with > > an AFI of 5 means certian induction, inducible cervix or not. I > > personally don't think AFI is that reliable and that a prolonged NST can > > tell you much more. I don't know what the incidence of oligo is but our > > radiology dept. seems to find an inordinate number of decreased AFI. > > What are others experience? > > > > -- > > Randy Daniell, M.D. > > I agree 100%. Now I need to convince my call partners. Randy Daniell
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