Polyhydraminos Flashcards
1
Q
Aetiology
A
Fetal malformation and genetic anomalies: peso phage always atresia, duodenal atresia Maternal diabetes Multiple pregnancies Fetal Anaheim’s Viral infections Maternal hypercalcaemia Maternal drug use (lithium)
2
Q
Risk of perinatal mortality in a pregnancies with polyhydramnios
A
Increased 2 to 5 fold
3
Q
Obstetric complications of poly
A
Maternal SOB, abdo discomfort, uterine irritability Prem labour, PPROM, preterm birth Fetal Laloo’s Orion Cord prolapse Abruption PPH Higher NICU admissions Higher rates of congenital malformations and neurological disorders
4
Q
Management
A
Detailed anomaly scan ?TOF ?septal defects ?cleft palate
Exclude diabetes
If suspect fetal anaemia or hydrops, exclude immunological causes, fetomaternal haemorrhage, Parvo infection, haemoglobinopathy,
5
Q
Inform patient to…
A
Tell LMC immediately if SROM
Early admission in labour
Knee-chest positioning info
