Re: AFI

From: rbraun@indyunix.iupui.edu
Fri Jun 20 06:41:51 1997


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)

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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. >





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