To Find Out the Incidence of Congenital Malformation in Pregnancies with Polyhydramnios: A Hospital Based Observational Study

Incidence of Congenital Malformation in Pregnancies with Polyhydramnios

Abstract

Background: Polyhydramnios is the term for abnormal increase in the amniotic fluid. The aim of this study to find out the incidence of congenital malformation in pregnancies with polyhydramnios..Subjects and Methods:This analytical study was conducted on 100 unselected pregnancies attending the antenatal clinic in Department of Obstetrics and Gynecology department of government Medical College and Bangur Hospital Pali, Rajasthan. Pregnancy outcome were recorded for the patients who were classified as having an excess amount of amniotic fluid. Those cases with gross congenital anomalies incompatible with life were advised termination of pregnancy after explaining the risk of procedure. Labor was induced by various methods. The fetal outcome was recorded.Results:In our study there were several confounding factors affecting the occurrence of polyhydramnios. Out of 100 cases 22 (22%) were placental abruption, body weight gain of >20 kg were present in 30 cases (30%). 28 cases (28%) were not associated with any confounding factors. Out of which 21% cases were of preterm labor, 6% were of acute abdominal pain, 7% were of PROM, 4% were of IUFD, 4% were of cord prolapsed, 5% were of PPH, 53% cases were not associated with any maternal complications.Conclusion: We concluded that amniotic fluid index is the guiding tool for early diagnosis of congenital anomalies and early obstetrics intervention. This further helps in reducing the rate of maternal complications of polyhydramnios.