A cross sectional study of fetal outcome in cases of polyhydramnios at tertiary care center

Neethika Raghuwanshi and Sumit Suresh Aggarwal

Background: Polyhydramnios is defined as a pathological increase of amniotic fluid volume in pregnancy. Common causes of polyhydramnios include gestational diabetes, fetal anomalies with disturbed fetal swallowing of amniotic fluid, fetal infections and others. The diagnosis is obtained by ultrasound. The prognosis of polyhydramnios depends on its cause and severity. Typical symptoms of polyhydramnios include maternal dyspnea, preterm labor, premature rupture of membranes (PPROM), abnormal fetal presentation, cord prolapsed, postpartum hemorrhage etc. Aim: Study was conducted to observe fetal outcome and related factors in polyhydramnios. Material and Methods: We studied 60 clinically suspected cases of polyhydramnios of more than 28 weeks of gestational age at Govt. Medical College Akola Maharashtra. All these cases were subjected to ultrasonography for fetal surveillance and AFI calculation. Result: The study revealed that predisposing factors and complications associated with polyhydramnios were preeclampsia, PROM, preterm labour, abruption placentae, malpresentation. There were maternal high risk factors seen was seen with anemia, Rh factor incompatibility, PIH, gestational diabetes mellitus and multifetal gestation. Polyhydramnios cases also had high proportion of central nervous system anomalies. Conclusion: We concluded from this study that there was higher proportion of congenital anomalies associated with polyhydramnios hence it is essential to evaluate amniotic fluid volume during antepartum fetal surveillance, while maternal examination should look for high risk factors. Thus management of women with polyhydramnios should be indivisualised with careful monitoring during labour, judicious and active intervention timely gives margin of safety.

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DOI: http://dx.doi.org/10.24327/ijcar.2017.3963.0406