COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804

Indian Journal of Obstetrics and Gynecology Research


Perinatal Outcome and Congenital Anomalies due to Polyhydramnios –A prospective study in a South Indian Setup


Full Text PDF



Author Details: Nazima Allaudin

Volume : 4

Issue : 2

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 116

Article End Page : 119


Abstract

Background: The amniotic fluid which sheathes the fetus acts to be a protective shroud. Fetal well-being is embodied by the amniotic fluid index. If the amniotic fluid index exceeds 25cms, it leads to polyhydramnios resulting in high rate of perinatal mortality and congenital malformations.
Objectives: To evaluate the occurrence of congenital malformations and report perinatal outcome in polyhydramnios.
Study Design: A Prospective study was conducted in Neonatal intensive care unit and gynecology wards of Owaisi Hospital and Research Centre for a period of 2 years.
Methods: 50 cases of polyhydramnios were evaluated and followed up based on amniotic fluid index which was measured by conducting ultrasound scans; congenital malformations were observed both by ante natal and post natal ultrasound scans. The perinatal outcome such as congenital anomalies, fetal distress, mortality etc was recorded.
Results: 50 cases of Polyhdramnios formed the study population. Congenital malformations were found in 12% neonates of which Diaphragmatic hernia and hydrops fetalis were most commonly noted. 8% neonatal deaths were recognized. 2% cases with fetal distress were observed. If amniotic fluid index exceeded 30cms there was increased mortality rate and congenital malformations.
Conclusion: Attributable to Polyhydromnios, risk of congenital malformations, neonatal mortality and fetal distress was often observed and risks were greater with amniotic fluid index over 30cms.

Keywords:
Polyhydramnios; Congenital anomalies; Neonatal mortality, Amniotic fluid

Doi No:-10.18231