Perinatal outcome in pregnancy with polyhydramnios in comparison with normal pregnancy in department of obstetrics at Shiraz University of Medical Sciences

Asadi, Nasrin; Khalili, Azadeh; Zarei, Zahra; Azimi, Arsalan; Kasraeian, Maryam; Foroughinia, Leila; Salehi, Alireza; Ravanbod, Hamid Reza; Davoodi, Sarah; Vafaei, Homeira

doi:10.1080/14767058.2017.1325864

Cited by 11 publications

(12 citation statements)

References 10 publications

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“…Polyhydramnios risk factors include gestational diabetes mellitus, placental abnormalities, isoimmunization, multiple gestations, congenital anomalies, and chromosomal aberrations. If these risk factors are not present, then an "IP" diagnosis is made [4]. Approximately two-thirds of polyhydramnios cases are classified as IP [14].…”

Section: Discussionmentioning

confidence: 99%

“…Institutional guidelines do not include recommendations for the follow-up of IP patients. Because this population displays an increased risk for preterm labor [10,17], it is imperative to closely monitor IP high-risk pregnancies [4].…”

Section: Discussionmentioning

confidence: 99%

“…Polyhydramnios, an underlying cause of spontaneous preterm labor (SPTL), is etiologically complex. The prevalence of polyhydramnios in the population is between 0.2 and 1.6 % with mean delivery occurring at 36 weeks [4]. Several etiologies, both fetal (multiple pregnancy, aneuploidy, congenital anomalies, infection, alloimmunization) and maternal (diabetes, drug intake), are known.…”

Section: Introductionmentioning

confidence: 99%

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The Efficacy and Efficiency of Uterocervical Angle Measurements to Predict Preterm Labor in Idiopathic Polyhydramnios Patients: A Prospective Cohort Study

Yenigül

Ercan

2020

Z Geburtshilfe Neonatol

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Introduction Uterocervical angle measurements in pregnant women with idiopathic polyhydramnios were appraised for their predictive value for spontaneous preterm labor. Material and Methods In this prospective study, we included nulliparous and multiparous pregnant women diagnosed with idiopathic polyhydramnios at 24?28 weeks at our polyclinic; the uterocervical angle and cervical length were measured by transvaginal ultrasound at the time of diagnosis. Routine pregnancy follow-up was done by our team and gestational age at delivery and maternal-fetal outcomes were noted. Results In total, 24 patients delivered before 37 weeks and 36 patients delivered at 37 weeks or later. Preterm labor subjects had larger UCA values (126.7?12.9? vs. 100.8?16.2?) and term labor patients had larger cervical length values (34.3?4.5 mm vs. 40.6?5.2 mm). In women with idiopathic polyhydramnios, the area under the curve for the uterocervical angle was 0.885 (p<0.001) and it was 0.823 for the cervical length (p<0.001). Discussion The uterocervical angle, a sagittal transvaginal cervical image measurement, is a practical method that successfully predicts spontaneous preterm labor risk in singleton pregnancies with idiopathic polyhydramnios. In addition, the uterocervical angle displayed greater sensitivity, but lower specificity, compared with cervical length measures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Efficacy and Efficiency of Uterocervical Angle Measurements to Predict Preterm Labor in Idiopathic Polyhydramnios Patients: A Prospective Cohort Study

Yenigül

Ercan

2020

Z Geburtshilfe Neonatol

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“…A diagnosis of idiopathic hydramnios is not without implication for outcome. Even in the absence of a pathology explaining hydramnios, Asadi et al reported a higher risk of low birth weight (<2500 g), macrosomia (>4000 g), but also admission to intensive care, fetal distress at birth, fetal death, and poor adaptation to extra‐uterine life, premature birth and neonatal death in cases of idiopathic hydramnios compared to normal fluid pregnancies 44 . A 2020 French study also found 24.1% of unfavorable outcomes in cases of idiopathic hydramnios 27 .…”

Section: Discussionmentioning

confidence: 99%

Performance of diagnostic ultrasound to identify causes of hydramnios

Adam¹,

Enderle

Bouar³

et al. 2020

Prenatal Diagnosis

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Introduction We aimed to assess the diagnostic yield of ultrasonography in the identification of the etiology of hydramnios, and the added value of MRI or amniocentesis. Methods We conducted a single‐center retrospective study including pregnancies with confirmed hydramnios (defined as deepest pocket ≥8 cm) between January 2013 and May 2017. Twin pregnancies, secondary hydramnios discovered after the diagnosis of a causal pathology, and pregnancies of unknown outcome were excluded. All pregnancies underwent a targeted scan, and selected cases underwent MRI or amniocentesis. Results A total of 158 patients with confirmed hydramnios were included. Hydramnios was associated with a fetal pathology in 37 cases (23.4%), with diabetes in 39 (24.6%), isolated macrosomia in 16 (10.1%), and considered idiopathic in 66 (41.7%). Ultrasonography established a diagnosis of the underlying pathology in 73% of cases. Amniocentesis was done in 31 cases (20%) and it allowed diagnosis of chromosome anomalies, esophageal atresia, myotonic dystrophy congenital type, Prader‐Willi syndrome, and Bartter syndrome. MRI was done in 15 cases (10%) and it allowed one additional diagnosis of esophageal atresia. The diagnostic yields of MRI and amniocentesis were 91.7% and 95.2%, respectively. There were five false positive diagnoses at ultrasonography, and one false positive diagnosis at MRI. Conclusion Hydramnios can be associated with a wide variety of underlying pathologies. Diagnostic ultrasound can attain a diagnosis in the majority of cases. Amniocentesis offers a valuable complementary assessment.

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“…Nesse sentido, Langer et al 14 Ainda em relação a marcadores ultrassonográficos de prognóstico fetal, descreve-se tendência a maior ocorrência de alterações de vitalidade fetal em casos de gastrosquise complicada por herniação de estômago e/ou bexiga urinária 19,20 . Paralelamente, o achado ultrassonográfico de polidrâmnio associa-se a maior risco de gastrosquise complexa 6,21 e, teoricamente, a maior risco de prematuridade secundária à sobredistensão uterina [22][23][24] .…”

Section: Objectivesunclassified

Gastrosquise fetal: associação de trabalho de parto espontâneo com resultados perinatais adversos em fetos de termo e pré-termo

Junior¹,

Junior²

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Perinatal outcome in pregnancy with polyhydramnios in comparison with normal pregnancy in department of obstetrics at Shiraz University of Medical Sciences

Cited by 11 publications

References 10 publications

The Efficacy and Efficiency of Uterocervical Angle Measurements to Predict Preterm Labor in Idiopathic Polyhydramnios Patients: A Prospective Cohort Study

The Efficacy and Efficiency of Uterocervical Angle Measurements to Predict Preterm Labor in Idiopathic Polyhydramnios Patients: A Prospective Cohort Study

Performance of diagnostic ultrasound to identify causes of hydramnios

Gastrosquise fetal: associação de trabalho de parto espontâneo com resultados perinatais adversos em fetos de termo e pré-termo

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