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Re: AFIFrom: James S Smeltzer MD (gaperina@mindspring.com)Wed Sep 8 22:02:55 1999
Dear Joe, The largest single pocket predates the AFI by decade(s), was never shown to be inferior to it, was shown to agree with expert subjective (?!) assessment & with AFI. We grasp at pseudoquantitative measures to provide a level of truth that lacks, IMHO. There are several older studies that indicate that AF not relevant until truly oligo (<1cm). There is a recent study indicating that Doppler is better predictor than AF in IUGR & that AF measure better than the rest of the BPP for the same purpose. My recommendation is to provide referring physicians with information that they can unambiguously use for patient management. For this one it would be AFI - which does encourage a systematic search for fluid. I provide a bottom line clinical impression in all abnormalities of fluid or other measures of fetal status & their clinical significance in the setting of the patient's problems & indications (& in normal ones in which measures are relevant). This is the "interpretation", which constitutes the medical practice part of sonology, IMHO. Jim S
At 12:37 AM 9/4/1999 -0500, you wrote:
> Is amniotic fluid index an outdated technique? Referring some articles
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