Presentation
Although most cases have normal amniotic fluid volume, some cases present with early oligohydramnios and renal failure associated with high perinatal mortality. [ncbi.nlm.nih.gov]
Assuming all is well and the presenting part well engaged in the pelvis, we are then past the problems of presentation, cord prolapse and greatest danger of placental abruption. [gentlebirth.org]
Intrapartum management Rates of fetal nonvertex presentation are reported to increase as severity of polyhydramnios increases. Clinical or sonographic determination of the fetal presenting part should be performed upon presentation in labor. [contemporaryobgyn.net]
Entire Body System
- Burkina Faso
PATIENTS AND METHODS: A retrospective multicentre study over a three-year period carried out in Ivory Coast and Burkina Faso. We reviewed 3903 obstetric ultrasound reports. All cases of foetal malformation and polyhydramnios were counted. [ncbi.nlm.nih.gov]
Respiratoric
- Dyspnea
Clinician–Patient Relationship may have: Dyspnea Dyspnea Dyspnea is the subjective sensation of breathing discomfort. [lecturio.com]
The objective was that of evaluating the efficacy of amnioreduction in improving the principal complications given by polyhydramnios such as maternal dyspnea and uterine activity. [ncbi.nlm.nih.gov]
[…] polyhydramnios in singleton pregnancies be defined as either a deepest vertical pocket of 8 cm or an amniotic fluid index of 24 cm (GRADE 2C); (2) we recommend that amnioreduction be considered only for the indication of severe maternal discomfort, dyspnea [smfm.org]
[…] section if there is profound macrosomia therapeutic amniocentesis/amnioreduction indomethacin 9,10 Complications The risk of the following obstetric complications is increased when polyhydramnios is present due to over-expansion of the uterus 13: maternal dyspnea [radiopaedia.org]
Additionally, these patients may exhibit no specific signs and symptoms or may demonstrate significant dyspnea and discomfort in pregnancy, as well as signs of peripheral edema. [statpearls.com]
- Tachypnea
[…] shoulder dystocia increases due to fetal macrosomia risk, with a reported increased incidence of fetal weight exceeding 4000 grams.[28] Neonatal support should be available to women with polyhydramnios as there is an increased incidence of transient tachypnea [statpearls.com]
Physical findings of RDS in the affected infant include moaning, tachypnea (breathing more than 60 beats per minute), intercostal and subcostal retraction, cyanosis, and nasal flap jumps. [bmcpregnancychildbirth.biomedcentral.com]
[…] gestation complicated by apparently idiopathic polyhydramnios., ,, Idiopathic polyhydramnios is also associated with an increased risk of neonatal intensive care unit admission in some series, but not others, ; this is most commonly due to transient tachypnea [ajog.org]
Gastrointestinal
- Abdominal Distension
Usually, in the last 3 months of pregnancy, you will experience abdominal distension, heaviness, shortness of breath, rapid heartbeat. Conducting an examination will see symptoms such as: The uterus is larger than the gestational age. [vinmec.com]
Congestive Heart Failure, the FH will be normal with abdominal distension due to ascites Ascites Ascites is the pathologic accumulation of fluid within the peritoneal cavity that occurs due to an osmotic and/or hydrostatic pressure imbalance secondary [lecturio.com]
Jaw & Teeth
- Macrostomia
A 1900-g baby girl born at 36 weeks' gestation presented with bilateral wide facial clefts with macrostomia, microphthalmia, nose, and auricular deformities. Her breathing was dependent on life support, which was discontinued 2 hours after birth. [ncbi.nlm.nih.gov]
Workup
Although rare, metabolic causes for polyhydramnios should be considered when no obvious cause is found in workup of the pregnant woman and when structural survey of the fetus is normal. [ncbi.nlm.nih.gov]
As there are numerous potential etiologies, the initial workup can be quite extensive. [statpearls.com]
X-Ray
- Mediastinal Shift
The procedure not only decompressed the lung cyst but also improved the secondary physiological changes, i.e. mediastinal shift, hydrops and polyhydramnios. [ncbi.nlm.nih.gov]
Serum
- Erythroblast
Following enrichment of erythroblasts by magnetic separation (MACS) and anti-CD71 antibodies, approximately 45-fold more erythroblasts were determined per ml peripheral maternal blood than in matched controls (231 versus 5). [ncbi.nlm.nih.gov]
Treatment
Even after the discontinuation of NSAID treatment, the amniotic fluid production normalized, and the woman delivered a healthy boy at 39 weeks 2 days' gestation. [ncbi.nlm.nih.gov]
[…] for polyhydramnios Usually, mild polyhydramnios may need no treatment as it will go away on its own. [hellodoktor.com]
Treatments for TTTS depend on when the transfusions began and can range from treatment of the affected blood vessels to early delivery to the treatment of the symptoms caused by TTTS. [polyhydramnios.org]
Treatment After Birth Treatment needs at birth vary for each baby depending on the severity and underlying cause of the excess amniotic fluid and the presence of any associated birth defects or genetic conditions. [women.texaschildrens.org]
Prognosis
If polyhydramnios is not associated with any other findings, the prognosis is usually good. [emedicine.medscape.com]
The prognosis is usually good, with only 1% of structurally normal fetuses on ultrasound having an associated congenital abnormality. This website uses cookies. [teachmeobgyn.com]
We examined the relationships between polyhydramnios, pregnancy outcome and fetal prognosis. PATIENTS AND METHODS: Clinical data from cases diagnosed antenatally with congenital omphalocele from 1993 to 2006 were analyzed retrospectively. [ncbi.nlm.nih.gov]
Etiology
Etiology- Fetal Anencephaly Esophageal atresia Spina Bifida Cleft lip & Palate Hydrocephalus Aneuploidy 6. Etiology- Placental Normal Placenta Chorioangioma 7. Etiology- Multiple pregnancy 8. Etiology- Maternal Maternal diabetes 9. [slideshare.net]
When an etiology of polyhydramnios is identified, it is most commonly a fetal anomaly or maternal diabetes. [contemporaryobgyn.net]
The likelihood that polyhydramnios is associated with a distinct identifiable etiology depends upon its severity. [cancertherapyadvisor.com]
The etiology of polyhydramnios may be idiopathic, the consequence of fetal structural anomalies, or the consequence of various fetal and maternal conditions. [ncbi.nlm.nih.gov]
Epidemiology
Fetal goiter is only rarely observed in pregnant women without autoimmune thyroid disorders, and there is no epidemiological data on its pathophysiology. [ncbi.nlm.nih.gov]
Polyhydramnios epidemiology Polyhydramnios affects up to 1.6% of all pregnancies and this is generally similar across low- and middle-income countries[6]. [patient.info]
Also Read: What is Fanconi Anemia: Causes, Symptoms, Treatment, Prognosis, Life Expectancy, Diagnosis Amniocentesis: Procedure, Indications, Benefits, Risks, Accuracy Anencephaly or Anencephalic Baby: Causes, Symptoms, Survival Rate, Treatment, Epidemiology [epainassist.com]
Epidemiology Incidence Incidence The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. [lecturio.com]
Section 1: Epidemiology and aetiology In pregnancy, the amniotic sac contains the fetus surrounded by amniotic fluid. Initially amniotic fluid is maternal body water partitioned in the fetoplacental extracellular space. [gponline.com]
Pathophysiology
The following pathophysiological mechanism for explaining polyhydramnios in recipient twins is proposed: chronic overload in recipient twins causes enhanced release of ANF from the fetal heart. [ncbi.nlm.nih.gov]
Polyhydramnios is over the 95th centile, oligohydramnios is below the 5th centile Pathophysiology The volume of amniotic fluid increases steadily until 33 weeks of gestation. [teachmeobgyn.com]
Prevention
If the condition continues or causes problems, options may be: Delivering the baby Removing excess fluid through a needle Giving medicine to reduce fluid Prevention This condition cannot always be prevented. [lahey.org]
Prevention In order to prevent polyhydramnios or oligohydramnios, it would be necessary to prevent the underlying cause. [medical-dictionary.thefreedictionary.com]
Antenatal fetal cyst decompression successfully reversed the polyhydramnios and prevented premature delivery, resulting in a full-term healthy infant delivered vaginally at thirty-nine weeks. [ncbi.nlm.nih.gov]