Polyhydramnios
Conditions
Keywords
Amnioreduction, Polyhydramnios
Brief summary
The aim of this work is to review the indications, procedural complications and outcomes of amnioreduction in pregnancies complicated by polyhydramnios.
Detailed description
Polyhydramnios is the presence of excessive amniotic fluid in the amniotic sac and it's prevalence reaches 2% of all pregnancies . Polyhydramnios is diagnosed based on ultrasound criteria, as an amniotic fluid index (AFI) \>25 cm or maximal vertical pocket \> 8 cm . There is a recognized association of polyhydramnios and adverse pregnancy outcomes, including perinatal death, fetal abnormality and preterm birth . Management of the pregnancy can be problematic, particularly in severe cases, due to issues surrounding maternal discomfort and the risk of preterm birth. Amnioreduction, widely used in the management of polyhydramnios, is an option available to palliate maternal symptomatology and potentially prolong the pregnancy . Previous publications have shown a reduction in the risk for premature rupture of membranes and preterm labor decrease, placental perfusion improvement, and relief of maternal discomfort following amnioreduction
Interventions
None listed
Sponsors
Assiut University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Pregnant women 20- 38 weeks * Patients with polyhydramnios
Exclusion criteria
* Lethal fetal anomalies * Pre labor rupture of membranes * Placental separation * Chorioamnionitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gestational age at delivery | 4 months | Determine Gestational age at delivery in polyhydramnios patients . Increased age is good. |
| Rate of PROM | 4 months | Number of cases developed PROM |
Countries
Egypt
Contacts
Primary ContactMohamed Fekry, PhD
Outcome results
None listed