A Prospective Study to Find Out the Perinatal and Maternal Outcome in Patients with Polyhydramnios: A Institutional Based Study

ABSTRACT

Background: Polyhydramnios is the term for abnormalincrease in the amniotic fluid. With better facilities for detailedinvestigation of mother and fetus, more causative factors canbe identified and this helps in the counseling of parentsregarding etiology of polyhydramnios, fetal prognosis,recurrence risk and different management options for the babyif it needs medical & surgical care after birth. The aim of thisstudy to find out the perinatal and maternal outcome in patientswith polyhydramnios.Material & Methods: This is a prospective study done on 100unselected pregnancies attending the antenatal clinic inDepartment of Obstetrics and Gynecology department of RNTMedical College Udaipur. All patients attending ANC wereasked to participate at the time of booking (between 16 to 20weeks gestation) and were subjected to USG to rule outcongenital anomalies. We than investigated the relative risks ofthese events to adverse perinatal outcome by adjusting thevariants.Results: In our study, there were 30% preterm deliveries, 4%cases have small for gestational age babies, 5% had large forgestational age babies, 10% had meconium for which they hademergency caesarean section, 16% cases were admitted inNICU , for respiratory distress syndrome and prematurity. 45%of the patient had anemia, 12% were Rh negative while 43%had no associated abnormality. There were many perinatalcomplications. Out of them preterm birth was the mostcommon complication.Conclusion: We concluded that PPROM, Preterm labor andPPH were the major maternal complications during pregnancy.Polyhydramnios is associated with high perinatal mortality rate