Title: Perinatal Outcome in Pregnancies with Polyhydramnios
Authors: Manjula Madhavan Pillai, Reddy Rani P
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.95
Abstract
Polyhydramnios is 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 25 cm. Polyhydramnios complicates 0.4-1.2% of all pregnancies and is associated with maternal, fetal and neonatal complications.
Aim: To study the perinatal outcome in pregnancies with hydramnios.
Methodology: This was a prospective descriptive study conducted in JIPMER over a 2year period. 100 cases of polyhydramnios cases confirmed with an ultrasonographic finding of single vertical pocket more than 8 cm or amniotic fluid index more than 25 were included in the study.
Results: In our study out of hundred deliveries, we had 106 babies including 6twin deliveries. There were total 36 perinatal deaths (33.96%). The major contributor (52.77%) of perinatal mortality was associated fetal congenital anomalies. Among 106 babies, 40 babies (37.73%) had congenital anomalies. Most commonly affected system was central nervous system (52.5%).Other anomalies involved gastrointestinal (17.5%) and genitourinary tract (10%). The common CNS malformations found were hydrocephalous and anencephaly.
Conclusion: Polyhydramnios is associated with increased perinatal morbidity and mortality. Once detected with ultrasound, a detailed evaluation of fetus for congenital anomalies should be looked for. Management of the underlying cause of hydramnios can to some extent prevent perinatal complications.
