Amniotic fluid index

Changed by Karwan T. Khoshnaw, 24 Sep 2018

Updates to Article Attributes

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The amniotic fluid index (AFI) is an estimate of the amniotic fluid volume in a fetuspregnant uterus. It is part of the fetal biophysical profile

Technique

  • the uterus is divided into four imaginary quadrants with linea nigra and umbilicus acting as the vertical and the horizontal axis respectively
  • the deepest pocket devoid of an umbilical cord and fetal parts is measured in the vertical dimension
  • measurement of the four pockets is in centimetres
  • the sum of all the four quadrant measurements is AFI
  • normal AFI values range from 5 to 25 cm 

Values

The normal range for amniotic fluid volumes varies with gestational age. Typical values include:

  • AFI between 8-185 - 25 cm is considered normal; median AFI level is ~14 cm from week 20 to week 35, after which the amniotic fluid volume begins to reduce
  • AFI <5; 5 cm is considered as oligohydramnios
    • value changes with age: the 5th percentile for gestational ages is most often taken as the cutoff value, and this around an AFI of 7 cm for second and third trimester pregnancies; and AFI of 5 cm is two standard deviations from the mean
  • AFI >20-24; 25 cm is considered as polyhydramnios
  • -<p>The <strong>amniotic fluid index (AFI) </strong>is an estimate of the <a href="/articles/amniotic-fluid-volume">amniotic fluid volume</a> in a fetus. It is part of the <a href="/articles/fetal-biophysical-profile">fetal biophysical profile</a>. </p><h4>Technique</h4><ul>
  • +<p>The <strong>amniotic fluid index (AFI) </strong>is an estimate of the <a href="/articles/amniotic-fluid-volume">amniotic fluid volume</a> in a pregnant uterus. It is part of the <a href="/articles/fetal-biophysical-profile">fetal biophysical profile</a>. </p><h4>Technique</h4><ul>
  • -<li>AFI between 8-18 cm is considered normal; median AFI level is ~14 cm from week 20 to week 35, after which the amniotic fluid volume begins to reduce</li>
  • -<li>AFI &lt;5 cm is considered as <a href="/articles/oligohydramnios">oligohydramnios</a><ul><li>value changes with age: the 5<sup>th</sup> percentile for gestational ages is most often taken as the cutoff value, and this around an AFI of 7 cm for second and third trimester pregnancies; and AFI of 5 cm is two standard deviations from the mean</li></ul>
  • +<li>AFI between 5 - 25 cm is considered normal; median AFI level is ~14 cm from week 20 to week 35, after which the amniotic fluid volume begins to reduce</li>
  • +<li>AFI &lt; 5 cm is considered as <a href="/articles/oligohydramnios">oligohydramnios</a><ul><li>value changes with age: the 5<sup>th</sup> percentile for gestational ages is most often taken as the cutoff value, and this around an AFI of 7 cm for second and third trimester pregnancies; and AFI of 5 cm is two standard deviations from the mean</li></ul>
  • -<li>AFI &gt;20-24 cm is considered as <a href="/articles/polyhydramnios">polyhydramnios</a>
  • +<li>AFI &gt; 25 cm is considered as <a href="/articles/polyhydramnios">polyhydramnios</a>

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