Poly

Question 1

definition

Answer 1

mild (AFI 25-30 cm or SDP ≥ 8 and < 12 cm)

moderate (AFI 30.1-35 cm or SDP ≥12 and < 16 cm)

severe (AFI ≥ 35.1cm or SDP ≥16cm)

Question 2

Differential for Poly

Answer 2

idiopathic (50-60%)
maternal diabetes (20%), fetal malformations (10-15%)
fetal infections
 multiple gestations (5-10%) 
isoimmunization (1%)

Question 3

Evaluation for Poly

Answer 3

comprehensive ultrasound to assess for anomalies and hydrops.

diabetes
antibody screening,

rapid plasma reagin (RPR), parvovirus, toxoplasmosis, and cytomegalovirus (CMV)

Genetic evaluation may be considered to evaluate for aneuploidy,

Question 4

Gestational Diabetes

Answer 4

Carpenter-Coustan
95/180/155/140

130-140 is the 1 hour cut off