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    Manju Thomas
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    This document discusses polyhydramnios, or excessive amniotic fluid, during pregnancy. It defines polyhydramnios as an amniotic fluid index greater than 25 cm or a single vertical pocket over 8 cm. Potential causes of polyhydramnios include fetal conditions like anencephaly or spina bifida, placental abnormalities like chorioangiomas, multiple pregnancies, and maternal diabetes. Chronic polyhydramnios is more common and presents with abdominal swelling, while acute polyhydramnios has rarer causes like twin-twin transfusion syndrome. Complications of polyhydramnios include preterm labor and delivery, cord prolapse, and increased cesarean sections.

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    This document discusses polyhydramnios, or excessive amniotic fluid, during pregnancy. It defines polyhydramnios as an amniotic fluid index greater than 25 cm or a single vertical pocket over 8 cm. Potential causes of polyhydramnios include fetal conditions like anencephaly or spina bifida, placental abnormalities like chorioangiomas, multiple pregnancies, and maternal diabetes. Chronic polyhydramnios is more common and presents with abdominal swelling, while acute polyhydramnios has rarer causes like twin-twin transfusion syndrome. Complications of polyhydramnios include preterm labor and delivery, cord prolapse, and increased cesarean sections.

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    Download as PPTX, PDF, TXT or read online from Scribd
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    431 views17 pages

    Polyhydramnios 160223064156

    Uploaded by

    Manju Thomas
    This document discusses polyhydramnios, or excessive amniotic fluid, during pregnancy. It defines polyhydramnios as an amniotic fluid index greater than 25 cm or a single vertical pocket over 8 cm. Potential causes of polyhydramnios include fetal conditions like anencephaly or spina bifida, placental abnormalities like chorioangiomas, multiple pregnancies, and maternal diabetes. Chronic polyhydramnios is more common and presents with abdominal swelling, while acute polyhydramnios has rarer causes like twin-twin transfusion syndrome. Complications of polyhydramnios include preterm labor and delivery, cord prolapse, and increased cesarean sections.

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    of 17

    POLYHYDRAMNIOS

    Dr Sunil Kumar Samal


    Asst. Professor, Dept. of OBGYN

    Contents
    Physiology- Amniotic fluid
    Definition
    Etiology
    Clinical types- Chronic and Acute
    Differential Diagnoses
    Complications
    Management

    Amniotic Fluid
    Amniotic fluid index (AFI)

    Polyhydramnios
    Definition- Liquor amnii >2000 ml
    AFI >25 cm
    Single vertical pocket > 8 cm

    Etiology- Fetal

    Anencephal
    y

    Cleft lip &

    Esophageal
    atresia

    Hydrocephalus

    Spina Bifida

    Aneuploid

    Etiology- Placental
    Normal
    Placenta

    Chorioangioma

    Etiology- Multiple
    pregnancy

    Etiology- Maternal

    Maternal diabetes

    Clinical Types
    Chronic (Most common)
    Acute (Rarer)

    Chronic
    Polyhydramnios
    Symptoms
    Sign
    Abdominal examination
    Internal examination

    Investigation
    Ultrasonography

    Blood-ABO and Rh grouping, Blood sugar


    Amniotic fluid alpha fetoprotein- Open neural

    tube defect

    D/D
    Pregnancy with huge ovarian cyst
    Maternal ascites

    Complication
    Maternal-

    During Pregnancy,
    Pre -eclamptia , malpresentation, PROM,
    pretrm labour ,accidntal haemorrage
    Labour,
    Early rupture, cord prolapse, uterine inertia,
    increased operative delivery.
    Puerperium
    Subinvolution, increased puerparial morbidity
    Fetal
    Perenatal mortality

    Management
    Mild
    Severe

    Acute Polyhydramnios
    Etiology- Monozygotic twins with TTS
    Chorioangioma of placenta
    Sypmtoms
    Sign
    Treatment

    Thank You

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