Polyhydramnios

1. POLYHYDRAMNIOS
Dr Sunil Kumar Samal
Asst. Professor, Dept. of OBGYN

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

3. Amniotic Fluid
 Amniotic fluid index (AFI)

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

5. Etiology- Fetal
Anencephaly Esophageal atresia Spina Bifida
Cleft lip & Palate Hydrocephalus Aneuploidy

6. Etiology- Placental
Normal Placenta
Chorioangioma

7. Etiology- Multiple pregnancy

8. Etiology- Maternal
Maternal diabetes

9. Clinical Types
 Chronic (Most common)
 Acute (Rarer)

10. Chronic Polyhydramnios
 Symptoms
 Sign
 Abdominal examination
 Internal examination

11. Investigation
 Ultrasonography
 Blood-ABO and Rh grouping, Blood sugar
 Amniotic fluid alpha fetoprotein- Open neural tube
defect

12. D/D
 Pregnancy with huge ovarian cyst
 Maternal ascites

13. Complication
 Maternal- During Pregnancy, Labour, Puerperium
 Fetal

14. Management
 Mild
 Severe

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

17. Thank You