Foetal and Maternal Outcome in Pregnant Women with Polyhydramnios

FOETAL AND MATERNAL OUTCOME IN PREGNANT WOMEN WITH POLYHYDRAMNIOS 1. Dr Vimla Choudhary 2. Dr Mangal Chand Yadav Department of obstetrics and Gynaecology MDM Hospital, Dr. S N Medical College, Jodhpur Corresponding author- Dr Mangal Chand Yadav Abstract: Background: Polyhydramnios is defined as excessive accumulation of amniotic fluid of more than 2000ml. The reasons of polyhydramnios are either due to impaired foetal swallowing or foetal polyuria or increased placental secretion. Foetal and maternal causes account for 30-40% of cases, and 60-70% are idiopathic. An abnormal increase in amniotic fluid volume has been associated with increased frequency of both maternal and fetal complications. Objective: To study foetal and maternal outcome in pregnant women with polyhydramnios Material and Methods: This study was conducted in obstetrics and gynaecology department in Mathura Das Mathur Hospital, Dr S N Medical College, Jodhpur, a tertiary care hospital, over a period of one year from January 2019 to December 2019. The diagnosis of all cases was made on the basis of history, clinical examination and ultrasonography. Results: During the study period of one year 9693 deliveries, out of these 134 had polyhydramnios, incidence being 1.38%. Majority of cases 92.5% were in the gestational age group from 37 weeks to 42 weeks and only 2.9 % cases were in gestational age group of 20 to 27 weeks and majority of cases 44.1% are larger thangravida2 followed by 2nd gravida was 32.8%. Maternal conditions associated with polyhydramnios – Pre -eclampsia (17.2%) most commonly associated followed by anemia (14.2%) and diabetes mellitus (11.9%) and various maternal complications, out of which 10.4% cases were of preterm labor, 7.5% were of PROM, and 5.9% were of malpresentation. 73.1% patient delivered vaginally and 26.9% patients had LSCS.Perinatal complications are preterm birth (23.1%) was the most common complication followed by 19.4% infants had respiratory distress syndrome,