Volume : 8, Issue : 3, March - 2019

FETO-MATERNAL OUTCOME IN SINGLETON PREGNANCIES WITH POLYHYDRAMNIOS: A CASE CONTROL STUDY.

Mangala Sonak, Archana Talande

Abstract :

Objectives - To study the fetal and maternal outcome, in pregnancies complicated by polyhydramnios with that of pregnancies having normal fluid volume. Maternal and Methods This prospective case control study was conducted on 100 patients with polyhydramnios and 100 pregnant women with normal fluid volume over a period of 18 months from April 2017 to September 2018. Results Out of 100 patients with AFI > 24, 12% had congenital anomalies, out of which GIT were maximum as compared to control group only 2%. The most common maternal complication in the study group was preterm labor, malpresentation, PROM, eclampsia, auptio placenta, dyspnea, cord prolapse and atonic PPH, slightly more as compared to study group. Gestational age at delivery in the study group was 37.6 weeks as compared to 38.2 weeks in control group. The study group had more number of labor inductions, LSCS, fetal distress, low 1 and 5 minute Apgar Score, NICU admissions, meconium aspiration, respiratory distress and perinatal deaths as compared to control group. Conclusion Polyhydramnios poses danger for both mother and baby, hence there is a need to have an anomaly scan at an earlier gestation and monthly amniotic fluid assessment from 20th week onward for diagnosis of polyhydramnios and timely intervention so as to reduce the maternal morbidity and perinatal morbidity and mortality.