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The four pocket measurements are then added to calculate the AFI [ 17].
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In an observational study in Egypt, Youssef et al. [ 119] (N = 174 women) found that the AFI was more sensitive than the single largest vertical pocket measurement in predicting perinatal mortality and multiple measures of perinatal morbidity.
Amniotic fluid volume was measured according to the standardized techniques using the single deepest pocket measurement giving the vertical dimension of the largest pocket of amniotic fluid measured at a right angle to the uterine contour [ 2, 3].
The single deepest pocket measurement is interpreted as normal amniotic fluid volume (2.1 8.0 cm) and polyhydramnios (>8.0 cm).
However, others have expressed concern that inter-observer reliability is lower with single deepest vertical pocket measurement (kappa = 0.33) compared to AFI (kappa = 0.72) [ 122].
They recommended that the single deepest vertical pocket measurement be used because AFI resulted in increased diagnoses of oligohydramnios and rates of labour induction with no improvement in perinatal outcomes compared to single deepest vertical pocket, suggesting better predictive value of single deepest vertical pocket.
Overall, reliability findings from our study indicate that periodontal measurement error was more likely to occur with pocket depth measurements and less with recession (and attachment loss) measurements.
Periodontal health assessment was based on CAL and pocket depth measurements made at two sites (midbuccal and mesiobuccal) on every tooth in each of two randomly chosen quadrants, one in maxilla and the other in mandible as described in the NHANES procedures manuals (14).
Transvaginal ultrasound to measure pelvic fluid pockets, body measurements and blood samples were taken at each visit.
To evaluate if the 52+2 Cys mutation influences the binding of the hapten into its binding pockets, affinity measurements were performed.
The first marking visible above the pocket indicated the measurement of the pocket depth.
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