Perinatal outcomes of idiopathic polyhydramnios

Taşkın, Salih; Pabuçcu, Emre Göksan; Kanmaz, Ahkam Göksel; Kahraman, Korhan; Kurtay, Gülay

doi:10.1556/imas.5.2013.1.4

Cited by 15 publications

(15 citation statements)

References 18 publications

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“…Perinatal mortality was 2 to 5 times higher for neonates after pregnancies complicated with idiopathic polyhydramnios compared with the general population. 3,[9][10][11] Nevertheless, data regarding the long-and short-term outcomes of children from pregnancies with polyhydramnios and normal detailed ultrasound examination is limited due to several considerations. First, much of the data is based on studies from 20 years ago, when sonographic assessment and fetal and neonatal management were less developed.…”

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confidence: 99%

Outcomes From Polyhydramnios With Normal Ultrasound

Yefet

Daniel-Spiegel

2016

Pediatrics

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OBJECTIVE: To investigate the short-and long-term outcomes of children from pregnancies complicated with polyhydramnios, defined as amniotic fluid index (AFI) >24 cm, and with a normal detailed ultrasound examination. METHODS:This retrospective cohort study examined 134 children aged 4 to 9 years with polyhydramnios and normal detailed ultrasound examination during pregnancy compared with 268 controls with normal AFI and normal detailed ultrasound examination matched for maternal age, year of delivery, gestational week at delivery, and presence or absence of diabetes. The primary outcome was the rate of malformations diagnosed postnatally. Additional outcomes were obstetrics outcomes, genetic syndromes, and neurodevelopment. RESULTS:Polyhydramnios was associated with increased risk for cesarean delivery (CD) and birth weight >90th percentile. This elevation in CD was attributed to increased rate of elective CD due to suspected macrosomia. Polyhydramnios was associated with increased risk for congenital malformations (n = 25 [19%] compared with 27 [10%], respectively; P = .016) without a statistically significant increase in the rate of major malformations (11 [8%] vs. 10 [4%]; P = .057). Genetic syndromes were more prevalent in the polyhydramnios group (5 [3.7%] vs. 2 [0.75%]; P = .043), as were neurologic disorders and developmental delay (9.7% vs. 3%; P = .004). CONCLUSIONS:Despite a normal detailed ultrasound examination, polyhydramnios is associated with increased rate of fetal malformations, genetic syndromes, neurologic disorders, and developmental delay, which may be diagnosed only after birth.

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confidence: 99%

Outcomes From Polyhydramnios With Normal Ultrasound

Yefet

Daniel-Spiegel

2016

Pediatrics

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“…However, our study had a limitation that follow up postnatally was just maintained for one month and 15 neonates were lost to follow up. In another study by Taskin et al, a significantly higher preterm labors and low 1-and 5-min APGAR scores were noted in the idiopathic polyhydramnios group compared with the control group, and they concluded that although perinatal outcomes are conflicting in the literature, idiopathic polyhydramnios warrants close surveillance especially near term [10].…”

Section: Discussionmentioning

confidence: 97%

Perinatal Outcome in Idiopathic Polyhydramnios

Lallar¹,

Haq²,

Nandal

2014

J Obstet Gynecol India

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“…Nevertheless, the study of Taskin et al (25) which examined prenatal outcomes in patients with idiopathic polyhydramnios (59 singleton pregnancies), indicated that the percentage of preterm delivery was higher and average Apgar score was lower in comparison with the control group.…”

Section: Discussionmentioning

confidence: 99%

Maternal and Fetal Outcomes in Pregnant Women With Polyhydramnios Treated Based on Maternal and Fetal Distress and Preterm Delivery

Fardiazar¹,

Soltanpour²,

Ghatrehsamani³

2017

International Journal of Women’s Health and Reproduction Scienc

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IntroductionPolyhydramnios is a medical condition describing an excess of amniotic fluid in the amniotic sac which can be seen in 1%-2% of women. The overall prevalence of this condition is reported on 750 pregnancies. Patients suffered from polyhydramnios often referred to hospitals complaining about discomfort in the abdomen and respiratory distress. Abnormal magnitude of the uterus (compared to gestational age) along with difficulty touching embryonic organs and problems associated with fetus auscultation can be observed on physical examination. A definitive diagnosis is ultimately possible through ultrasound and by measuring the ammonic fluid index. Amniotic fluid index (AFI) more than 25 cm is considered as polyhydramnios, accordingly (1).Polyhydramnios may be associated with fetal and maternal complications such as respiratory distress, thromboembolism, preterm labor, atonic uterus, anemia, caesarean section, premature fetus, umbilical cord prolapse caused by the rupture of the membranes and fetal distress (2-4).Common treatment methods of polyhydramnios pregnancies include examination of maternal risk factors (diabetes, viral hepatitis, syphilis and other torch infections and addiction) and examination of fetal risk factors (hydrops fetalis, esophageal atresia, gastroschisis, anencephaly, diaphragmatic hernia, placental chorioangioma, severe anemia, heart problems and chromosomal abnormalities). In mild cases, simple control and follow-ups, continuous ultrasound and conservative treatment methods AbstractObjectives: Polyhydramnios is a condition that could be along with significant maternal, fetal and neonatal consequences. One of the most important complications of this condition is preterm labor and delivery of preterm neonates. Although in mild cases expectant conservative management is effective, in more severe cases, medications (such as indomethacin) and amnioreduction could be considered. Each one of these methods could be accompanied with complications. This study aims to examine the results of management of patients with polyhydramnios according to the fetal and maternal distress and preterm labor criteria. Materials and Methods: In this descriptive-analytic setting, 26 pregnant mothers with polyhydramnios (amniotic fluid index [AFI] more than 30) were managed according to the fetal and maternal distress and preterm labor criteria. In cases under 32 gestational weeks, indomethacin was used with an initial dose of 25 mg every 6 hours and a maximum dose of 2-3 mg/kg that was tapered when the AFI diminished. In refractory cases, the flowchart of fetal and maternal distress and preterm labor was employed. In pregnancies aged over 32 weeks, in case of maternal distress amnioreduction was performed, and in asymptomatic patients, cervical length, funneling, color Doppler and placental thickness were evaluated and in normal cases controlling was carried every 1-2 weeks and abnormal cases amnioreduction was carried out. Results: The mean age of studies patients was 28.12 ± 7.22 years and the mean pregnanc...

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Perinatal outcomes of idiopathic polyhydramnios

Abstract: Although perinatal outcomes are conflicting in literature, idiopathic polyhydramnios warrants close surveillance especially near term.

Cited by 15 publications

References 18 publications

Outcomes From Polyhydramnios With Normal Ultrasound

Outcomes From Polyhydramnios With Normal Ultrasound

Perinatal Outcome in Idiopathic Polyhydramnios

Maternal and Fetal Outcomes in Pregnant Women With Polyhydramnios Treated Based on Maternal and Fetal Distress and Preterm Delivery

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