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Flashcards in Large for dates Deck (10):
1

Clinical presentations

Usually none
Breathlessness->polyhydramnios
++Vomiting->multiples, trophoblastic disease

2

Examination

+fundal height
+palpable fetal parts if multiples

3

Differential (6)

Incorrect
Obesity
Polyhydramnios
Accelerated growth
Multiples
Molar pregnancy

4

Definition of polyhydramnios

Max AFI >8cm
Fluid >20 cm

5

Cause of polyhydramnios

Multiples
Maternal->GDM
Neonatal:
Gastroduoneal atresia, compression
Neurological, swallowing
Hydrops
Infection->TORCH, Syphillis
Twin to twin transfusion
Placental:
Chorioangioma

6

Investigations for polyhydramnios

USS
GTT
Infection screen

7

Complications of polyhydramnios

Preterm
Placental abruption
Unstable lie
Abnormal presentation
Cord prolapse
Uterine atony

8

Management of polyhydramnios

Treat underlying
Amnioreduction->may need repeated drainage

9

Define macrosomia

Weight >90th centile, >4000-4500g

10

Complications of macrosomia

Obstructed labour
Birth trauma
Shoulder dystocia