Background: The fluid that envelops a growing fetus in the amniotic sac is called amniotic fluid (AF), many maternal and fetal components share in composition of amniotic fluid, In  the last three months of pregnancy, AF turbidity increases and was associated with the appearance of vernix caseosa and meconium.
Objectives: To estimate the nature of the echogenic amniotic fluid and to overcome unnecessary intervention due to turbid amniotic fluid.
Patients and Methods: A total of 116 Pregnant women (near or full term) who delivered at emergency unit of Obstet. and Gynecol, South Valley University with reliable dates of LMP and delivered after normal vaginal delivery or by CS. full history, clinical examination, US findings (echogenic amniotic fluid), gestational age, and investigations  were recorded.            also neonatal weight, APGAR Score and nature of amniotic fluid after delivery were recorded.
Results: The current study showed that regarding nature of amniotic fluid after delivery, (0.9%) had bloody, (4.3%) had meconium and (94.8%) had vernix caseosa.        According to US, AFI was Average in (90.5%), Decreased in (7.8%) and increased in (1.7%).Mean of gestational age at time of termination was (38.29 ± 1.37).            Our results showed that according to mode of delivery (55.2%) were NVD and (44.8%) were CS. The median of APGAR score of neonate was (8.00).
Conclusions: echogenic amniotic fluid had clinical significance and 94.8% of pregnant women (near or full term) with turbid amniotic fluid showed presence of  vernix caseosa.