A Study of Fetomaternaloutcome in Pregnancies with Polyhydramnios
Journal Title: Gujarat Medical Journal - Year 2018, Vol 73, Issue 2
Abstract
INTRODUCTION : Definition of polyhydramnios is an AFI >24cm on any linear array real time obstetric ultrasound OR Single amniotic fluid pocket more than equal to 8cm on obstetric ultrasound. Polyhydramnios has been long since recognized as known complication of pregnancy. With the advent of ultrasonography, the diagnosis and management of polyhydramnios has been easy and better. AIMS AND OBJECTIVES : To evaluate the various maternal and fetal causes of polyhydramnios andto study the maternal outcome in terms of intrapartum and postpartum complications and fetal outcome in terms of maturity and occurrence of congenital anomalies in pregnancies complicated with polyhydramnios. MATERIAL AND METHODS : The study was conducted in the Department of Obstetrics and Gynaecology, Civil hospital, B.J. medical College, Ahmedabad. It was a prospective observational study of 50 cases of polyhydramnios, carried out between the period of January to November 2017 RESULTS : In the present study we found that: Incidence of mild polyhydramnios was 69%, moderate was 22% and severe was 9%. Polyhydramnios was idiopathic in 61% of the cases and 31% cases were due to anomalies, PIH was the most common maternal complication followed by preterm labour and malpresentation. Looking at the neonatal outcome 31% had congenital anomalies. CONCLUSION : It is hence concluded that polyhydramnios is a common condition complicating pregnancy. It is mostly an idiopathic condition and among known etiologies most common is congenital fetal malformations. With increase in severity of polyhydramnios the maternal and perinatal outcomes tend to deteriorate. Each patient with sonographically diagnosed polyhydramnios should be completely investigated for anomalous baby and other possible etiological entities.
Authors and Affiliations
Tushar Shah, Tejal Shah, Brinda Patel
Keywords
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