AFI as a Triage Tool for Post Date Pregnancies
The management of postdates pregnancy varies from institution to institution. At Nepean Hospital we use AFI as a triage tool to organise induction of labour, in the low risk patient at a gestation of 40weeks plus 10 days. Women are reviewed in the postdates clinic at 41 weeks and have a cervical assessment done. The AFI is a simple test to perform, less time consuming than a CTG and works efficiently as part of a well structured programme, with dedicated staff. This has been shown to increase spontaneous labour rates and decrease admission numbers. We have reviewed the details from our postdates service, that involved 3000 women from 2001 – 2007 inclusive. We will present the data regarding the neonatal outcomes, parity, gestation, Bishop’s score and mode of induction.