Comparing pregnancy, childbirth, and neonatal outcomes in women with idiopathic polyhydramnios: a prospective cohort study

Vanda, Raziyeh; Bazrafkan, Mahnaz; Rouhani, Maryam; Bazarganipour, Fatemeh

doi:10.1186/s12884-022-04625-y

Cited by 11 publications

(7 citation statements)

References 23 publications

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“…(2019), the primary was major at 42% in polyhydramnios, in normal AF, secondary education was major at 45%, and a housewife was the highest percentage of oligohydramnios 63.4% (Teka et al, 2020). A study in Iran disagrees with the current study on maternal occupation, and AFV was not statistically significant; housewife was the highest percentage of normal AF 96.66% and polyhydramnios 94.44% (Vanda et al, 2022).…”

Section: Discussionmentioning

confidence: 57%

The Effect of Amniotic Fluid Changes in Late Pregnancy on Maternal And Fetus Outcomes

Saido

Hasan²

2022

UOD

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The amniotic sac contains a protective liquid known as amniotic fluid. Two different types of amniotic fluid changes have been identified. The first is oligohydramnios, and the second is polyhydramnios. This study aimed to examine the effect of amniotic fluid changes on pregnancy outcomes and the fetus. A cross-sectional study was conducted by simple random sampling for, Four hundred fifty women from November 1st, 2021, until February28th 2022, in Duhok hospital for Obstetrics and Gynecology. The study revealed that the greatest rates of polyhydramnios were associated with gestational hypertension (22.7%) and gestational diabetes (19.3%). The most prevalent mode of delivery in all groups was cesarean section. Hypoglycemia had the greats incidence in polyhydramnios at (11.3%). There was a statistically significant association between amniotic fluid volume and baby gender, with males being more prevalent in oligohydramnios (58.7%) and polyhydramnios (57.3%) compared to normal amniotic fluid volume. Moreover, polyhydramnios had more effects on maternal and baby poor outcomes than oligohydramnios. Thyroid disease, diabetes mellitus, and hypertension were the most common types of chronic illnesses in polyhydramnios group compared with oligohydramnios group and normal amniotic fluid group. Apgar score, birth weight, congenital anomalies, hypoglycemia, asphyxia, and respiratory distress syndrome were statistically significant with oligohydramnios, polyhydramnios and normal amniotic fluid volum

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Section: Discussionmentioning

confidence: 57%

The Effect of Amniotic Fluid Changes in Late Pregnancy on Maternal And Fetus Outcomes

Saido

Hasan²

2022

UOD

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“…When distention is excessive, the mother may suffer breathing difficulty and orthopnoea to such a degree that she may be able to breathe comfortably only when upright. 3 Maternal complications associated with severe hydramnios include placental abruption, uterine dysfunction during labour, and postpartum haemorrhage. Placental abruption is fortunately infrequent.…”

Section: Discussionmentioning

confidence: 99%

“…Idiopathic polyhydramnios may be associated with a higher rate of postpartum hemorrhage, cesarean delivery, and respiratory distress than a normal pregnancy. 3 For prevention of PPH slow decompression is performed. Also, a single injection of carbetocin appears to be more effective than a continuous infusion of oxytocin for prevention of PPH, with a similar hemodynamic profile and minor antidiuretic effect.…”

Section: Discussionmentioning

confidence: 99%

Role of slow decompression, injection carbetocin and Samarth Ram cannula for preventing postpartum haemorrhage in a patient of acute severe polyhydramnios

Meshram¹,

Kubde²,

Kothalkar³

et al. 2023

Int J Res Med Sci

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We presented a case of a 30-year-old woman G3P1L1A1 who was diagnosed with severe polyhydramnios at 29 weeks of gestation. The patient was managed conservatively with amnioreduction. However, after one week of conservative management showed a further increase in the AFI (54-55 cm) with severe breathlessness and abdominal pain. A decision to terminate pregnancy was taken in view of failed conservative management. Emergency LSCS done under general anaesthesia. Amniotomy was done by slow uterine decompression. Simultaneously injection carbetocin 100 mcg IV bolus over 1 minute given. Postpartum haemorrhage was prevented by using Samarth Ram cannula. Further recovery was uneventful and patient discharged on day 3 of surgery.

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“…Some recent studies focused on the outcomes of idiopathic polyhydramnios based on the degree of AFV increase. Vanda et al [ 73 ], in a prospective study on idiopathic polyhydramnios, found an increased risk of postpartum haemorrhage, caesarean section rate and neonatal respiratory distress, and these risks were found to increase with the severity of polyhydramnios. Conversely, Pri-Paz et al [ 30 ], in a retrospective analysis, did not find a significant association between the degree of polyhydramnios and the occurrence of adverse outcomes in the subgroup of cases with idiopathic polyhydramnios.…”

Section: Idiopathic Polyhydramniosmentioning

confidence: 99%

Amniotic Fluid Disorders: From Prenatal Management to Neonatal Outcomes

2023

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Amniotic fluid volume assessment has become standard in the surveillance of fetal well-being, especially in high-risk pregnancies. Amniotic fluid disorders are a frequent and important topic in fetal and perinatal medicine. However, although important advances have been achieved, many important and challenging questions remain unanswered to date. An abnormally low amniotic fluid volume, referred to as oligohydramnios, has been traditionally considered a possible indicator of placental insufficiency or fetal compromise and is associated with an increased rate of obstetric interventions. An excess of amniotic fluid, referred to as polyhydramnios, may be secondary to fetal or maternal conditions and has been associated with a variety of adverse pregnancy outcomes, especially when it is severe. The ultrasonographic detection of an amniotic fluid disorder should prompt a proper workup to identify the underlying etiology. Data on the association of isolated oligohydramnios or idiopathic polyhydramnios with adverse obstetric and perinatal outcomes are conflicting. While the management of secondary oligohydramnios is usually guided by the underlying condition, the management of isolated oligohydramnios is poorly defined. Similarly, the management of idiopathic and secondary polyhydramnios is not yet standardized. There is an urgent need for randomized clinical trials to provide stronger recommendations on the management of these two common conditions.

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Comparing pregnancy, childbirth, and neonatal outcomes in women with idiopathic polyhydramnios: a prospective cohort study

Cited by 11 publications

References 23 publications

The Effect of Amniotic Fluid Changes in Late Pregnancy on Maternal And Fetus Outcomes

The Effect of Amniotic Fluid Changes in Late Pregnancy on Maternal And Fetus Outcomes

Role of slow decompression, injection carbetocin and Samarth Ram cannula for preventing postpartum haemorrhage in a patient of acute severe polyhydramnios

Amniotic Fluid Disorders: From Prenatal Management to Neonatal Outcomes

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