Polyhydramnios Flashcards

1
Q

Definition

A

Excessive amount of amniotic fluid for gestational age.
AFI > 20cm on USS

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2
Q

Aetiology

A
  • GDM
  • Multiple gestation
  • Isoimmunisation
  • Pulmonary abnoramalities
  • Fetal anomolies
    = Duodenal atresia/TE fistual
    = Anencephaly
  • Twin-Twin transfusion
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3
Q

Signs

A

Uterine size/fundal height higher than expected for gestational age
Difficulty palpating fetal parts

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4
Q

Diagnosis

A

Uterine USS
- AFI > 20
- Single deepest pocket >8cm
Fetal USS = detects fetal anomolies, assesses degree of fetal well-being

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5
Q

Treatment

A

Medication: Indomethacin
Surgery = severe polyhydramnios = preterm labour onset

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6
Q

Maternal Complications

A
  • Placental abruption
  • Umbilical cord prolapse
  • Post partum uterine atony = PPH
  • Upward diaphragm pressure = respiratory distress
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7
Q

Fetal Complications

A
  • Preterm birth
  • Fetal anomalies
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