Polyhydramnios in isolated oral cleft pregnancies: incidence and outcome in a retrospective study

Depla, Anne Louise; Breugem, Corstiaan C.; Horst, Chantal M.A.M. van der; Heus, Roel de; Boogaard, Marie‐José H. van den; Maas, Saskia M.; Pajkrt, Eva; Bekker, Mireille N.

doi:10.1002/pd.4983

Cited by 6 publications

(8 citation statements)

References 25 publications

(62 reference statements)

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“…Aviram et al, (2015) disagree with the current study statistically not significant gender with AFV, Male 54.4%in polyhydramnios, male 51.1% in normal AFV. The study disagrees with the present study statistically no significant between baby gender and AFV; Male in normal AF was 62.8%, polyhydramnios was 60.0%, female in normal AF was 37.2%, and polyhydramnios was 40% (Depla et al, 2017).…”

Section: Discussioncontrasting

confidence: 99%

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: Discussioncontrasting

confidence: 99%

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

Saido

Hasan²

2022

UOD

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“…Examples of the latter are Ebstein anomaly, ventricular septal defect, anterior ectopic anus, and oesophageal atresia [31][32][33][34] . Similar anomalies were not detected before birth in two recent studies, indicating the limitations of ultrasound in pregnancy 18,28 .…”

Section: Discussionsupporting

confidence: 71%

“…The present study data confirm these findings, as the frequency of additional anomalies increased with involvement of the alveolus and the palate. Only this study and the study by Depla et al 28 have reported the prenatal diagnoses of CL, CLA, and CLAP subdivisions, suggesting differences in the prevalence of additional anomalies.…”

Section: Discussioncontrasting

confidence: 63%

“…In 17 postnatal studies including 28,953 infants with OC, the prevalence of additional anomalies varied between 17% and 60% 16 . The rate of additional anomalies following a prenatally diagnosed isolated OC has been reported in only three studies in the recent literature (including 344 foetuses), with this rate varying between 10% and 30% [17][18][19] . These studies did not include data on chromosomal anomalies detected by means of microarray analysis.…”

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confidence: 99%

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Undetected anomalies in foetuses with a prenatal diagnosis of isolated cleft

Haj

Ramcharan

Hoogeboom

et al. 2020

International Journal of Oral and Maxillofacial Surgery

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The aim of this study was to determine the rate of undetected additional anomalies following a prenatal diagnosis of isolated oral cleft. Data of all infants with a prenatal diagnosis of isolated oral cleft born between 2000 and 2015 were studied retrospectively. Additional anomalies detected after birth were categorized as minor or major and included structural and chromosomal anomalies. Isolated clefts of the lip (CL), lip and alveolus (CLA) and lip, alveolus, and palate (CLAP) were diagnosed prenatally in 176 live-born infants. The type of cleft was more extensive after birth in 34/176 (19.3%) and less extensive in 16/176 (9.1%) newborns. Additional anomalies were diagnosed in 24 infants (13.6%), of which 12 (6.8%) were categorized as major. The latter included two submicroscopic chromosome anomalies and two gene mutations. Postnatal additional anomalies occurred more frequently in CLA and CLAP than in CL, and more in bilateral than in unilateral clefts. Major anomalies are still found in infants with a prenatal diagnosis of an isolated oral cleft. The prevalence of additional anomalies seems to be related to the type and bilaterality of the cleft, and this should be considered during prenatal counselling.

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“…In addition, the detection of other findings such as severe oligohydramnios/anhydramnios or polyhydramnios in association with genitourinary tract malformations, central nervous system anomalies, micrognathia, abnormal posturing of fetal limbs, or orofacial/neck/thoracic tumoral masses makes the diagnosis straightforward in most cases (Figure 3), lowering the likelihood of esophageal atresia in the differential diagnosis. Of note, a fetal cleft lip with or without cleft palate or cleft palate may theoretically affect swallowing 18 . However, in our experience, no case of a small or absent stomach was associated with this orofacial anomaly.…”

Section: Resultsmentioning

confidence: 47%

Improving prenatal detection of abdominal supraumbilical anomalies: The sonographic examination of fetal anechoic spaces of upper abdomen revisited

Sepúlveda¹,

Wong²,

Ranzini

2023

J of Clinical Ultrasound

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Visualization of the axial plane of the fetal abdomen is mandatory to obtain abdominal biometry in the assessment of fetal growth in the second and third trimesters.The main anatomic landmarks that must be identified in this view include the fetal stomach and the intrahepatic portion of the umbilical vein, which are easily identifiable as they appear anechoic on ultrasound. The gallbladder is the other prominent anechoic structure in this plane. Focused study of the morphological characteristics of, and spatial relationship among, these three anechoic spaces is a simple technique to detect anomalies involving fetal upper abdominal organs. In this review, the sonographic features of those conditions that can be detected using this technique, which was termed the Fetal Examination of the Anechoic Spaces of upper abdomen Technique (FEAST), are classified and illustrated.

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Polyhydramnios in isolated oral cleft pregnancies: incidence and outcome in a retrospective study

Cited by 6 publications

References 25 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

Undetected anomalies in foetuses with a prenatal diagnosis of isolated cleft

Improving prenatal detection of abdominal supraumbilical anomalies: The sonographic examination of fetal anechoic spaces of upper abdomen revisited

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