Title: Clinical Profile and Maternal Outcome in Patients with Polyhydramnios
Authors: Manjula Madhavan Pillai, Reddy Rani P
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.221
Abstract
Polyhydramnios traditionally defined as an amniotic fluid volume of more than 2000 ml, is confirmed ultrasonographically by single vertical pocket more than 8cm or amniotic fluid index more than 25cm. Polyhydramnios complicates 0.4-1.2% of all pregnancies and is associated with maternal and fetal complications.
Aims: To study the clinical profile and maternal outcome in pregnancies with hydramnios.
Methodology: this was a prospective descriptive study conducted in JIPMER over a2year period. 100 cases of polyhydramnios cases confirmed with an ultrasonographic finding of single vertical pocket more than 8cm or amniotic fluid index more than 25 were included in the study.
Results: majority of the patients (71%) belonged to the 21-30 year age group and 63% were multigravidas. Majority (82%) were asymptomatic and required no definitive treatment. No definite aetiology was found in40% patients, 40% were associated with fetal congenital anomalies, 8% had diabetes mellitus, 6% each had multiple pregnancy and Rh negative pregnancy.%
References
- QueenanJ,Gadow E. Polyhydramnios: Chronic versus acute . Am J Obstet Gynecol 1970;,108:349-355.
- JObstetGynaecol Br Emp 1950; 57 : 171.
- Carlson DE , Platt LD, Medearis AL , Hornestein J. quantifiable polyhydramnios Diagnosis and management . Obstet Gynecol 1990; 75 : 989-993.
- Mamopoulos M , Assimakopoulos E , Reece EA, Andreou A, Zheng XZ , Mantalenakis S. Maternal indomethacin therapy in the treatment of polyhydramnios . Am J ObstetGynecol 1990;162:1225-9.
- Stoll CG, AlembikY ,Dott B . Study of 156 cases of polyhydramnios and congenital malformations in a series of 118,265 consecutive births. Am J ObstetGynecol 1991; 165:586-90.
- DildyGA , Lira N , Moise KJ Jr , Riddle GD , Deter RL. Amniotic fluid volume assessment. Comparison of ultrasono-graphic estimates versus direct measurement s with dye dilution technique in human pregnancy . Am J ObstetGynecol 1992;167:986-994.
- Many A , Hill LM, Lazebnik N , Martin JG. The association between polyhydramnios and preterm delivery . Obstet Gynecol 1995; 86:389-91.
- Desmedt EJ , Henry OA, Beischer NA. Polyhydramnios and associated maternal and fetal complications in singleton pregnancies Br J ObstetGynaecol 1990; 97:1115-22.
- Rajgire AA, Borkar KR, Gadge AM. A clinical study of fetomaternal outcome in pregnancy with polyhydramnios. Int J ReprodContraceptObstetGynecol 2017;6:145-8.
- Gita Guin, ShwetaPunekar, ArvindLele, ShashiKhare A Prospective Clinical Study of Feto-Maternal Outcome in Pregnancies with Abnormal Liquor Volume J Obstet Gynaecol India. 2011 Dec; 61(6): 652–655.
- Sudha Chourasia, JuhiAgarwal, Mahendra Badole. “Clinical study to evaluate the maternal and perinatal outcome of pregnancies with polyhydramnios”. Journal of Evolution of Medical and Dental Sciences 2013; Vol. 2, Issue 41, October 14; Page: 7972-7977.
- Golan A, Wolman I, Sagi J et al Persistence of polyhydramnios during pregnancy – its significance and correlation with maternal and fetal complications. Gynecol Obstet Invest 1994;37:18-20.