Polyhydramnios is an independent risk factor for perinatal mortality and intrapartum morbidity in preterm delivery

Mazor, Moshe; Ghezzi, Fabio; Maymon, Eli; Shoham‐Vardi, Ilana; Vardi, Hillel; Hershkowitz, R.; Leiberman, J. R.

doi:10.1016/s0301-2115(96)02551-1

Cited by 45 publications

(34 citation statements)

References 17 publications

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“…It should be noted that this percentage is lower (10% to 15%) in normal singleton pregnancies (13)(14)(15). As stated previously, there was no case of preterm delivery in our work.…”

Section: Discussionsupporting

confidence: 68%

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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“…It should be noted that this percentage is lower (10% to 15%) in normal singleton pregnancies (13)(14)(15). As stated previously, there was no case of preterm delivery in our work.…”

Section: Discussionsupporting

confidence: 68%

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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“…Indeed, an association between hydramnios and preterm delivery has been documented previously [2,27]. Many et al [27] reported a rate of 19% of preterm deliveries among patients with an AFI above 24 cm.…”

Section: Discussionmentioning

confidence: 96%

“…Hydramnios, complicating 0.5-2.0% of pregnancies [1][2][3], is considered an independent risk factor for fetal and neonatal compromise, both in preterm and term deliveries [1][2][3]. 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%

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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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“…Pregnancy with hypertensive disorders and conditions causing uterine over distension like multiple pregnancy, hydramnios were associated with increased incidence of preterm labour [8][9][10] . Maternal infection especially vaginal infections, chorioamnionitis and short cervix at 2 nd trimester USG were associated with increased risk of preterm delivery [11][12][13][14][15] .…”

Section: Discussionmentioning

confidence: 99%

Study of Risk Factors for Preterm Labour

Rajeswari¹,

Gynaecology²

2018

jmscr

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IntroductionThe incidence of preterm labour varies between 5 and 11% of pregnancies worldwide. In India it is 7 to 10 % of total births. Preterm labour is defined as the presence of uterine contractions of sufficient frequency and intensity to effect progressive effacement and dilatation of cervix prior to 37 weeks of gestation. The etiology of preterm labour is multifactorial and many times the cause is not clearly understood. Successful reduction of perinatal morbidity and mortality associated with prematurity requires effective risk identification and behavioral modification programs for the prevention of preterm labour.

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Polyhydramnios is an independent risk factor for perinatal mortality and intrapartum morbidity in preterm delivery

Cited by 45 publications

References 17 publications

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

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

Uterine Artery Doppler Velocimetry in Patients with Idiopathic Hydramnios

Study of Risk Factors for Preterm Labour

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