Valor predictivo del Índice de líquido amniótico en las complicaciones perinatales en pacientes con ILA normal vs ILA alterado en embarazos no complicados durante el año 2018 en el Hospital General del Norte de Guayaquil Los Ceibos.

Abstract

Introduction: The amniotic fluid is the optimal medium that allows the growth and development of the fetus, the decrease of this is known as oligohydramnios, and has an incidence between 1-5% in term pregnancies. Objectives: To determine the predictive value of the Amniotic fluid Index (AFI) in perinatal outcomes in patients with normal AFI vs. altered AFI in uncomplicated pregnancies. Methods A non-experimental observational, descriptive, retrospective cross-sectional study was conducted in women with uncomplicated pregnancy with an ultrasound report of . For data collection we use clinical histories that were randomly chosen using the inclusion criteria established in this study and were classified into two groups, group A (cases) patients with an AFI <5 cm and group B (controls) patients with AFI> 5 cm.Results: Weight <2500, Group 1 (36.23%), group 2 (4.86%) ; p value <0.000, OR 9.14. Size <45 cm, group 1 (23.18%), group 2 (3.74%), p value <0.000, OR 2.15. TURN OFF <7 per minute, group 1 (5.79%), group 2 (5.61), p-value = 0.351 OR 0.36; NICU admission, group 1 (24.63%), group 2 (21.52), p value <0.000 OR 5.12 Conclusion: The measurement of amniotic fluid value has a low positive predictive value <70% in uncomplicated pregnancies and there is a statistically significant relationship for perinatal complications of low birth weight and height.