Polyhydramnios Flashcards
1
Q
Definition
A
Excessive amount of amniotic fluid for gestational age.
AFI > 20cm on USS
2
Q
Aetiology
A
- GDM
- Multiple gestation
- Isoimmunisation
- Pulmonary abnoramalities
- Fetal anomolies
= Duodenal atresia/TE fistual
= Anencephaly - Twin-Twin transfusion
3
Q
Signs
A
Uterine size/fundal height higher than expected for gestational age
Difficulty palpating fetal parts
4
Q
Diagnosis
A
Uterine USS
- AFI > 20
- Single deepest pocket >8cm
Fetal USS = detects fetal anomolies, assesses degree of fetal well-being
5
Q
Treatment
A
Medication: Indomethacin
Surgery = severe polyhydramnios = preterm labour onset
6
Q
Maternal Complications
A
- Placental abruption
- Umbilical cord prolapse
- Post partum uterine atony = PPH
- Upward diaphragm pressure = respiratory distress
7
Q
Fetal Complications
A
- Preterm birth
- Fetal anomalies