Intrapartum, postpartum characteristics and early neonatal outcomes of idiopathic polyhydramnios

Karahanoğlu, Ertuğrul; Özdemirci, Şafak; Esinler, Deniz; Fadıloğlu, Erdem; Asiltürk, Şeyma; Kasapoğlu, Taner; Yalvaç, Ethem Serdar; Kandemir, N Omer

doi:10.3109/01443615.2016.1148126

Cited by 17 publications

(9 citation statements)

References 11 publications

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“…High rates of maternal and neonatal complications are reported in pregnancies diagnosed with polyhydramnios [ 2 , 5 , 9 ]; however, there are contrasting results regarding maternal and neonatal outcomes when polyhydramnios is idiopathic [ 2 , 5 , 10 , 11 ]. For example, Lallar et al [ 12 ] reported high rates of maternal and perinatal complications of idiopathic polyhydramnios.…”

Section: Introductionmentioning

confidence: 99%

Obstetric and Neonatal Outcomes in Mild Idiopathic Polyhydramnios

Pasquini¹,

Pallottini²,

Masini³

et al. 2022

Children

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Background: Idiopathic polyhydramnios is a controversial clinical condition, as data on perinatal outcomes are conflicting and vary depending on the severity of the condition. The aim of the present study was to compare obstetric and neonatal outcomes between pregnant women with mild idiopathic polyhydramnios and a control population. Methods: A retrospective cohort study was performed at a single university hospital comparing the obstetrics and neonatal outcomes of pregnancies with mild idiopathic polyhydramnios (n = 109) and control pregnancies (n = 2550). Results: Cesarean section (CS) was significantly increased in the group with polyhydramnios compared to controls (46% vs. 32%, respectively, p = 0.047) due to a higher rate of emergency CS in the polyhydramnios group (p = 0.041) because of abnormal cardiotocography (7.3% vs. 2.9%; p = 0.018) or labor dystocia (8.2% vs. 2.9%; p = 0.006). No statistically significant difference was found in the Apgar score, in the rate of neonatal hypoxia, or in the incidence of macrosomia between groups. In four cases, additional diagnoses of anomalies were made after birth, with a rate of 3.2%, which is comparable to the general population. Conclusion: Besides an increased risk of CS, patients with mild idiopathic polyhydramnios should be reassured regarding maternal and feto-neonatal outcomes. The management of pregnancies with stable mild idiopathic polyhydramnios should not differ from uncomplicated pregnancies, except for the need for increased labor surveillance.

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Section: Introductionmentioning

confidence: 99%

Obstetric and Neonatal Outcomes in Mild Idiopathic Polyhydramnios

Pasquini¹,

Pallottini²,

Masini³

et al. 2022

Children

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“…Data regarding early neonatal complications from idiopathic polyhydramnios are conflicting. Some studies have found higher rate of newborn resuscitation with idiopathic polyhydramnios [20]. However, Panting-Kemp et al showed that idiopathic polyhydramnios is unassociated with low 5-min Apgar score [21].…”

Section: Discussionmentioning

confidence: 99%

A clinical scoring system to predict the need for extensive resuscitation at birth in very low birth weight infants

Lee

2019

BMC Pediatr

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Background To analyze the risk factors for extensive cardiopulmonary resuscitation in the delivery room and develop a prediction model for outcomes in very low birth weight (VLBW) infants. Methods The sample was 5298 VLBW infants registered in the Korean neonatal network database from 2013 to 2015. Univariate and multivariate analyses were used to analyze the risk factors for extensive resuscitation. In addition, a multivariable model predicting extensive resuscitation in VLBW infants was developed. Results Univariate regression analysis of antenatal factors showed that lower gestational age, lower birth weight, birth weight less than third percentile, male sex, maternal hypertension, abnormal amniotic fluid volume, no antenatal steroid use, outborn, and chorioamnionitis were associated with extensive resuscitation at birth. Lower gestational age (25 to 27 gestational weeks, odds ratio [OR] and 95% confidence interval [CI]: 3.003 [1.977–4.562]; less than 25 gestational weeks, OR and 95% CI: 4.921 [2.926–8.276]), birth weight less than 1000 g (OR and 95% CI: 1.509 [1.013–2.246]), male sex (OR and 95% CI: 1.329 [1.002–1.761]), oligohydramnios (OR and 95% CI: 1.820 [1.286–2.575]), polyhydramnios (OR and 95% CI: 6.203 [3.185–12.081]), and no antenatal steroid use (OR and 95% CI: 2.164 [1.549–3.023]) were associated on multivariate regression analysis. The final prediction model for extensive resuscitation included gestational age, amniotic fluid, and antenatal steroid use. It presented a sensitivity of 0.795 and specificity of 0.575 in predicting extensive resuscitation at birth, corresponding to a score cut-off of 2. The area under the receiver operating characteristic curve was 0.738. Conclusions Lower gestational age, abnormal amniotic fluid volume, and no use of antenatal steroid in VLBW infants are important predictors of extensive resuscitation in the delivery room.

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“…However, in ap proximately 40-50 % of cases, there is no defined risk factor, which is defined as idiopathic or isolated polyhydramnios [4]. Poly hydramnios is associated with adverse maternal and neonatal out comes [5]. If associated with other fetal abnormalities and or with unsatisfactory fetal heart views during routine fetal examinations, polyhydramnios requires a detailed fetal echocardiography as re commended by some of the most eminent scientific societies [6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Fetal Cardiac Output and Modified Myocardial Performance Index in Pregnant Women with Idiopathic Polyhydramnios: A Case Control Study from a Tertiary Hospital

Sakcak

Denızlı

Farisoğulları

et al. 2023

Z Geburtshilfe Neonatol

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Purpose This study aimed to investigate fetal cardiac output and myocardial performance index in pregnant women with idiopathic polyhydramnios and compare them to healthy pregnant women. Methods Thirty patients admitted to Ankara City Hospital at 24–39 weeks of gestation with idiopathic polyhydramnios were included as the study group. Clinical characteristics, fetal cardiac output, and fetal modified myocardial performance index (Mod-MPI) were compared between the groups. Results The combined cardiac output (CCO), left cardiac output (LCO), right cardiac output (RCO), pulmonary artery velocity time integral (PA-VTI), and aortic VTI were statistically significantly higher in the study group (p=0.003, p=0.028, p=0.002, p=0.000, and p=0.017, respectively).The idiopathic polyhydramnios group had a significantly higher Mod-MPI and isovolumetric contraction time (ICT) and a significantly lower ejection time (ET) compared to the controls (p=000, p=0.003, and p=0.023, respectively). In the idiopathic polyhydramnios group, the aortic max (p=0.009) and aortic VTI (p=0.047) values were significantly lower and the left ventricular outflow tract isovolumetric relaxation time (LVOT-IRT) (p=0.021) was significantly higher in cases where the NICU was required. According to the ROC analysis performed in the idiopathic polyhydramnios group, the optimal cut-off values of aortic max, aortic VTI, and LVOT-IRT in the prediction of the NICU requirement were (57.5, 0.089 and 41.5, respective cut-off value) (p=0.010, p=0.048, p=0.021, respectively). Conclusions Both fetal cardiac output and Mod-MPI values were altered in fetuses with idiopathic polyhydramnios.

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Intrapartum, postpartum characteristics and early neonatal outcomes of idiopathic polyhydramnios

Cited by 17 publications

References 11 publications

Obstetric and Neonatal Outcomes in Mild Idiopathic Polyhydramnios

Obstetric and Neonatal Outcomes in Mild Idiopathic Polyhydramnios

A clinical scoring system to predict the need for extensive resuscitation at birth in very low birth weight infants

Evaluation of Fetal Cardiac Output and Modified Myocardial Performance Index in Pregnant Women with Idiopathic Polyhydramnios: A Case Control Study from a Tertiary Hospital

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