Substance abuse and polyhydramnios

Panting-Kemp, Andrea; Nguyen, Tuan M.; Castro, Lony C.

doi:10.1067/mob.2002.124292

Cited by 7 publications

(9 citation statements)

References 16 publications

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“…23,24 However, similar to other previous studies, idiopathic polyhydramnios was of mild type (84%) and accounted for 67% of cases. 18 In our study Macrosomia was observed in 20% patients several previous studies are showing a high incidence of macrosomic Infants. 12,13,25,26 The reason for this association is not clear, since all patients in their study group were screened for gestational diabetes.…”

Section: Rr=3181supporting

confidence: 59%

“…have Malpresentations. 17 About 20% higher malpresentation was shown in study conducted by Panting et al, 18 Volante et al, reported that patients with idiopathic Polyhydramnios had higher incidences of fetal malpresentations. 19 Golan et al, said that significantly increased rate (p<0.05) of maternal complications such as pregnancy induced hypertension, gestational diabetes, premature rupture of membranes, premature delivery, recurrent Urinary tract infections and fetal malpresentations was observed in polyhydramnios group.…”

Section: Rr=3181mentioning

confidence: 92%

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Polyhydramnios

Zulfiqar

Khan²,

Shakeel

et al. 2018

TPMJ

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Background: Polyhydramnios is a condition characterized by excessiveamniotic fluid around the baby. The most widespread causes of severe Polyhydramnios are fetalanomalies often linked with a primary genetic anomaly. However, gestational diabetes, multiplepregnancies and idiopathic factors are commonly related with milder cases. So, we designedthis study to see the association of polyhydramnios and perinatal outcome. Objectives: Tocompare the Perinatal outcomes in patients with explained and unexplained Polyhydramnios.Study Design: Cohort study. Setting: Obstetrics & Gynaecology Department and Diabetesclinic of Postgraduate Medical Institute, Lahore General Hospital. Period: 6 months From Jan2014 to June 2014. Material & Methods: 300 females were included through Non probabilitypurposive sampling. Informed consent and Demographic history was recorded. The patientswere divided into two groups. Those having congenital anomalies and diabetes mellitusdetermined by ultrasonography and laboratory investigations were included in Group ‘I’ andpatients with no detectable cause of polyhydramnios were included in Group ‘II’. All the data wasrecorded in well-defined proforma. Data was entered and analyzed through SPSS 20. Relativerisk was calculated to see any association between perinatal outcomes in both study groups.RR > 1 was considered as statistically significant. Results: The mean age of the patients wasnoted as 29.37±5.37 years. The mean gestational age was noted as 34.82±2.09 weeks. In thisstudy, Macrosomia was observed in 60 (20%) cases whereas Malpresentation was observedin 51 (17%) cases. Malpresentation was observed in 51 patients out of which 14 (27.5%) werefrom explained Polyhydramnios and 37 (72.5%) were from unexplained Polyhydramnios group.Statistically there is significant difference between the study groups i.e. RR=3.181. Macrosomiawas observed in 60 patients out of which 18 (30%) were from explained Polyhydramnios groupand 42 (70%) were from unexplained Polyhydramnios group. Statistically there is significantdifference between the study groups i.e. RR=2.852. Conclusion: It was concluded throughresults of this study that unexplained Polyhydramnios has more risk of developing adverseperinatal outcome.

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Section: Rr=3181supporting

confidence: 59%

Section: Rr=3181mentioning

confidence: 92%

Polyhydramnios

Zulfiqar

Khan²,

Shakeel

et al. 2018

TPMJ

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“…The use of illicit drugs and alcohol during pregnancy has been associated with both maternal and infant morbidity. Women who use illicit drugs during pregnancy have higher risks of placental abruption, premature rupture of membranes, 1 and polyhydramnios, 2 and their infants have higher rates of prematurity and low birth weight. [3][4][5][6][7] These health outcomes, by themselves, have been associated with increased morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

Mortality Risk Associated with Perinatal Drug and Alcohol Use in California

et al. 2004

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“…Maymon et al 8 evaluated 1211 pregnancies with idiopathic hydramnios defined as an AFI greater 25 cm, an SDP of 8 cm or greater, or an increased volume by subjective assessment and found that after adjustment for congenital anomalies and diabetes, hydramnios was associated with a 5‐fold increase in perinatal mortality. Idiopathic hydramnios has also been shown to be associated with an increase in morbidity and mortality after birth within the first year of life 38 . A review of all cases of idiopathic polyhydramnios in the literature by Magann et al 49 found an overall 2‐ to 5‐fold increased risk of perinatal mortality.…”

Section: Perinatal Morbidity and Mortality Associated With Polyhydrammentioning

confidence: 99%

Clinical Relevance of Sonographically Estimated Amniotic Fluid Volume

Sandlin

Chauhan

Magann

2013

Journal of Ultrasound in Medicine

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Polyhydramnios is an excessive amount of amniotic fluid within the amniotic cavity. The etiology of polyhydramnios may be idiopathic, the consequence of fetal structural anomalies, or the consequence of various fetal and maternal conditions. The clinical importance of polyhydramnios is found in its association with adverse pregnancy outcomes and the risk of perinatal mortality. The antenatal management of polyhydramnios can be challenging as there are no formalized guidelines on the topic. The purpose of this review is to provide a literature‐based overview on the subject of polyhydramnios in singleton pregnancies, demonstrate its clinical implications, and describe a practical approach to its management.

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Substance abuse and polyhydramnios

Cited by 7 publications

References 16 publications

Polyhydramnios

Polyhydramnios

Mortality Risk Associated with Perinatal Drug and Alcohol Use in California

Clinical Relevance of Sonographically Estimated Amniotic Fluid Volume

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