Polyhydramnios

Cardwell, Michael S.

doi:10.1097/00006254-198710000-00001

Cited by 65 publications

(39 citation statements)

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“…In polyhydramnios this equilibrium shifts so that the net transfer of water is into the amniotic sac. 3 This polyhydramnios is often indicative of foetal, placental or maternal problem. It occurs in about 1% of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

A clinical study of fetomaternal outcome in pregnancy with polyhydramnios

Rajgire

Borkar

Gadge

2016

Int J Reprod Contracept Obstet Gynecol

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Background: Amniotic fluid not only provides protection to the fetus from traumatic forces, cord compression, and microbial pathogens, but also plays an integral role in the normal development of the fetal musculoskeletal, pulmonary, and gastrointestinal systems. Polyhydramnios, defined as an excessive amount of amniotic fluid, complicates approximately 0.4-3.3% of all pregnancies. Fetal conditions that are associated with polyhydramnios include major congenital anomalies and both the immunologic and non-immunologic forms of hydrops foetalis. Maternal medical conditions are also known to be associated with polyhydramnios and subsequently alter perinatal outcome. So by diagnosing these cases as early as possible, these maternal complications can be prevented and advise proper prenatal counseling in relevant cases. Methods: This study was conducted in obstetrics and gynaecology department at a tertiary care hospital, over the period of from September 2015 to September 2016. Prospective observational study. Results: Polyhydramnios is commoner in primigravida. Causative factor are mainly idiopathic after which the most important is fetal defects. Diabetes is also associated finding with polyhydramnios in 8.3% cases. The occurrence of fetal congenital abnormality was directly proportional to the gestational age of pregnancy. Incidence of congenital abnormality was found to be 1.25 %. Congenital heart disease and cleft lip and cleft palate (3%) were the commonest congenital abnormality associated with polyhydramnios followed by anencephaly and spina bifida (3.3%). Conclusions: In our study Idiopathic polyhydramnios was found to be the most common cause of polyhydramnios. A careful study must be done for detection of etiological factors in all cases of polyhydramnios, careful screening, prenatal and antenatal counseling will help to improve the foetal outcome as well as to prevent the maternal complication.

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Section: Introductionmentioning

confidence: 99%

A clinical study of fetomaternal outcome in pregnancy with polyhydramnios

Rajgire

Borkar

Gadge

2016

Int J Reprod Contracept Obstet Gynecol

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“…O seguimento longitudinal realizado neste estudo demonstrou que o índice do líquido amniótico representa um papel importante como marcador do descontrole metabólico fetal. O polidrâmnio é relatado como complicação do diabete melito na gravidez, e a sua fisiopatologia envolve a hiperglicemia fetal provocando a diurese osmótica e conseqüente acúmulo de líquido na cavidade amniótica 10 . Dashe et al 19 , em 2000, demonstraram correlação positiva entre os valores do ILA e a concentração de glicose no líquido amniótico em gestantes diabéticas, reforçando portanto esta hipótese.…”

Section: Discussionunclassified

“…A Um dos aspectos interessantes na utilização do ILA como um parâmetro de checagem do controle glicêmico materno reside no fato de que os mecanismos de troca do líquido amniótico são extremamente dinâmicos, refletindo rapidamente as alterações metabólicas que ocorrem na gestação 10 . Outras medidas indiretas do crescimento excessivo fetal, tais como o aumento da circunferência abdominal, ou de outros marcadores indiretos de depósito aumentado da gordura no feto, não apresentam características tão dinâmi-cas como o acúmulo do líquido amniótico não permitindo que medidas sejam adotadas em tempo hábil.…”

Section: Discussionunclassified

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Vitalidade Fetal em Gestações Complicadas com Diabete Melito Pré-Gestacional: Um Estudo Longitudinal

Nomura

Francisco

Maganha

et al. 2002

Rev. Bras. Ginecol. Obstet.

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RESUMO Objetivos: estabelecer parâmetros dos testes de vitalidade fetal em gestações com diabete melito pré-gestacional que se correlacionam com a ocorrência de recém-nascidos (RN) grandes para idade gestacional (GIG RN GIG, nas semanas: 32ª (16,5 cm, p=0,02), 33ª (16,7 cm, p=0,03), 34ª (17,0 cm, p=0,02), 35ª (17,9 cm, p=0,000), 36ª (15,8 cm, p=0,03) e 37ª (17,5 cm, p=0,003 RN GIG, nas semanas: 34ª (60%, p=0,03), 35ª (71,4%, p=0,01), 36ª (80%, p=0,02) e 37ª (66,7%, p=0,04

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“…Although associated with fetal anomalies [4,5], diabetes [6], multiple gestation [7] and placental anomalies [8], idiopathic cases of hydramnios are also considered a risk factor for pregnancy complications [2,3,[9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Uterine Artery Doppler Velocimetry in Patients with Idiopathic Hydramnios

Hershkovitz¹,

Sheiner²,

Furman³

et al. 2002

Fetal Diagn Ther

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Objective: To evaluate the role of overdistended uterus on the uterine artery (UA) blood flow velocimetry by comparing UA Doppler in patients with idiopathic hydramnios to patients with normal amniotic fluid (AF) volume. Methods: Pulsatility index (PI) of both UAs was determined prospectively between 26 and 41 weeks of gestation in 72 consecutive pregnant women with singleton pregnancies and idiopathic hydramnios and in 72 pregnant women with normal AF volume. Hydramnios was defined as an AF index (AFI) above 24 cm. A normal amount of AF was defined as an AFI of 6–24 cm. Patients with known fetal structural or chromosomal anomalies and those with diabetes mellitus were excluded. Results: No significant differences were observed between the groups with regard to maternal age, gravidity, and gestational age at examination. Gestational age at delivery and accordingly birth weight were significantly lower in patients with hydramnios compared to those with a normal AFI (34.9 ± 2.1 vs. 39.1 ± 1.2, p < 0.001; 2,508 ± 399 vs. 2,995 ± 420, p < 0.001, respectively). No significant differences were noted between right UA PI (0.73 ± 0.3 in the hydramnios group vs. 0.71 ± 0.2 in the control group; p = 0.091) and left UA PI (0.91 ± 0.3 in the hydramnios group vs. 0.84 ± 0.3 in the control group; p = 0.131) of both groups. Conclusion: UA velocimetry in patients with idiopathic hydramnios was not significantly different from those with a normal AF volume.

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Polyhydramnios

Cited by 65 publications

References 0 publications

A clinical study of fetomaternal outcome in pregnancy with polyhydramnios

A clinical study of fetomaternal outcome in pregnancy with polyhydramnios

Vitalidade Fetal em Gestações Complicadas com Diabete Melito Pré-Gestacional: Um Estudo Longitudinal

Uterine Artery Doppler Velocimetry in Patients with Idiopathic Hydramnios

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