Polyhydramnios; study of causes and fetal outcome

Polyhydramnios is though an uncommon problem but very distressing for patient. To locate the causative factors and neonatal outcome in polyhydramnios. Case series. Department of Obstetrics and Gynaecology unit 1, Lahore General Hospital, Lahore. From January 2004- December 2005. Total 82 diagnosed cases of polyhydramnios in 3[rd] trimester were included in this study. According to the results of this study polyhydramnios can occur in primigravida as well as multigravida. Causative factor are mainly idiopathic after which the most important is fetal defects. Diabetes is also associated finding with polyhydramnios in 26.8% cases. The impact of polyhydramnios on neonatal outcome is that most of the babies were born without any significant effect. There were only 26 babies [31.5%] in which anomalies were present and neural tube defects were common. Idiopathic polyhydramnio being the most common type. Improved prenatal and antenatal screening and early detection of congenital anomalies may help to minimize the morbidity of the patient

Postdate pregnancies; mode of delivery and outcome of the fetus

The study was designed to determine the fetomaternal morbidity and mortality in post date pregnancies and to calculate various modes of delivery in post date pregnancies in our set up. Non intervention descriptive study. Gynea Unit- III Services Hospital, Lahore. The data was collected with the help of Proforma which was filled for every patient delivered at 40 weeks of gestation or above. The proforma included all points relevant to study. The rate of meconium staining of liquor, fetal distress and caesarean section [C-section] increased significantly after 40 weeks gestation. The study shows that more chances of meconium staining, fetal distress and macrosomia in Post date patients. The study further shows that the induction and operative deliveries are more common mode of deliveries in post date patients