Does Polyhydramnios in Singleton Pregnancies Has Effect on Perinatal Outcome in Absence ofCongenital Fetal Anomalies
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- Category: Vol. 82, September 2014
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Does Polyhydramnios in Singleton Pregnancies Has Effect on Perinatal Outcome in Absence ofCongenital Fetal Anomalies, TAREK R. ABBAS, MOHAMMED E. MOHAMMED and EMADELDIN R. MATAR
Abstract
Objective: To determine if polyhydramnios in singleton pregnancies has effect on perinatal outcome in absence of congenital fetal anomalies.
Material and Methods: We conducted a retrospective study on pregnant women attending outpatient clinics in Bab Alshaaria University Hospital by reviewing their medical files from January 2010 to December 2013 to assess the perinatal outcome in singleton pregnancies with polyhydramnios in absence of congenital fetal anomalies. Finally, 90 cases were included as unexplained polyhydramnios, and 152 cases were included as controls. Preterm delivery (<37 weeks), gestational age at birth, low birth weight (<2500g), very low birth weight (<1500g), macrosomia (>4000g), 1- and 5-min APGAR scores <7, small for gestational age (SGA) fetuses, large for gesta-tional age (LGA) fetuses, C-section rates, number of fetal distress, admission to Neonatal Intensive Care Unit (NICU) after delivery and neonatal death within the first 7 days were selected as perinatal outcome variables.
Results: Higher incidence of low birth weight (<2500g), macromosia (>4000g), small for gestational age (SGA) fetuses, large for gestational age (LGA) fetuses, high C-section rates, fetal distress, admission to Neonatal Intensive Care Unit (NICU) after delivery and neonatal death within the first 7 days in the unexplained polyhydramnios group compared with the control group. Significantly higher preterm labors and low 1- and 5-min APGAR scores were noted in the unexplained polyhydramnios group compared with the control group.
Conclusion: Polyhydramnios is significantly associated with adverse perinatal outcomes, such as low Apgar scores, preterm labour despite exclusion of congenital anomalies from the study population. Detailed antepartum fetal well-being surveillance, intensive intrapartum monitoring and further attention in the postpartum period is warranted in patients with this condition.