07Apr 2019

ASSOCIATION OF SONOGRAPHIC POLYHYDRAMNIOS WITH PRETERM BIRTH.

  • University Institute of Radiological Sciences and Medical Imaging Technologies, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan.
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Polyhydramnios carries a high rate of complications during pregnancies and adverse perinatal outcomes. The aim of this study was to evaluate the risk of preterm birth in patients with polyhydramnios. Objective: To determine the association of sonographicpolyhydramnios with preterm birth. Methods: A cross-sectional Analytical study was carried out at the Department of Radiology in Sir Ganga Ram Hospital Lahore, Pakistan. Duration of study was from March 2018 to November 2018. Patients in 2nd and 3rd trimester of pregnancy with Polyhydramnios were chosen subsequent to fulfil consideration (inclusion) and rejection (exclusion) criteria. A complete history and investigation were finished. All necessary examination is done. Polyhydramnios confirmed by estimating AFI. Statistical Software for Social Sciences (SPSS version 22.0) is used for the analysis of all data. Standard and Mean Deviation (SD) remained calculated for continuous variables. Results: Total of 64 patients were diagnosed in this study. The Mean ?S.D age was 26.92 ? 3.55 years. Out of 51 patients of 21-29 age group 42 were diagnosed with polyhydramnios and 9 were without polyhydramnios and 23 patients had full-term deliveries and 28 patients had preterm deliveries. In 30?38 age group total 13 patients out of which 10 patients with polyhydramnios and 3 patients without polyhydramnios and 4 patients had full-term deliveries and 9 patients had preterm deliveries. Minimum AFI is 8.0 and Maximum AFI 55.0 with Mean ?S.D of 26.70 ? 9.40. Minimum GA was 141 and Maximum GA 244 days with Mean?S.D of 244.95 ? 27.07. 27. Patients were full-term delivery out of 18 patients have polyhydramnios and 9 patients have no polyhydramnios. 37 patients were preterm delivery out of which 34 Patients have polyhydramnios and 3 patients have no polyhydramnios. Conclusion: This study concluded that excess of amniotic fluid lead towards preterm birth. This is also found patients of 21-29 ages were more prone to polyhydramnios.


  1. Nelson DB, Ziadie MS, McIntire DD, Rogers BB, Leveno KJ. Placental pathology suggesting that preeclampsia is more than one disease. American journal of obstetrics and gynaecology 2014;210(1):66. e1-. e7.
  2. Sandlin AT, Chauhan SP, Magann EF. Clinical relevance of sonographically estimated amniotic fluid volume: polyhydramnios. Journal of Ultrasound in Medicine 2013;32(5):851-63.
  3. Magann EF, Sandlin AT, Ounpraseuth ST. Amniotic fluid and the clinical relevance of the sonographically estimated amniotic fluid volume: oligohydramnios. Journal of Ultrasound in Medicine 2011;30(11):1573-85.
  4. Modena AB, Fieni S. Amniotic fluid dynamics. Acta bio-medica: AteneiParmensis 2004;75:11-3.
  5. Brace RA, Wlodek ME, Cock ML, Harding R. Swallowing of lung liquid and amniotic fluid by the ovine fetus under normoxic and hypoxic conditions. American journal of obstetrics and gynaecology 2000;171(3):764-70.
  6. Lazebnik N, Many A. The Severity of Polyhydramnios, Estimated Fetal Weight and Preterm Delivery Are Independent Risk Factors for the Presence of Congenital Malformation s. Gynecologic and obstetric investigation 2001;48(1):28-32.
  7. Bundgaard A, Ristorp Andersen B, Rode L, Lebech M, Tabor A. Prevalence of polyhydramnios at a Danish hospital?a population-based study. Acta obstetrician et GynecologicaScandinavica 2007;86(12):1427-31.
  8. Khan S, Donnelly J. Outcome of pregnancy in women diagnosed with idiopathic polyhydramnios. Australian and New Zealand Journal of Obstetrics and Gynaecology 2017;57(1):57-62.
  9. Hamza A, Herr D, Solomayer E, Meyberg-Solomayer G. Polyhydramnios: causes, diagnosis and therapy. Geburtshilfe und Frauenheilkunde 2013;73(12):1241.
  10. Lee S, Jun J, Lee E, Lee J, Park CW, Park J, et al. Measurement of fetal urine production to differentiate causes of increased amniotic fluid volume. Ultrasound in Obstetrics and Gynecology 2010;36(2):191-5.
  11. Magann EF, Doherty DA, Lutgendorf MA, Magann MI, Chauhan SP, Morrison JC. Peripartum outcomes of high‐risk pregnancies complicated by oligo‐and polyhydramnios: A prospective longitudinal study. Journal of Obstetrics and Gynaecology Research 2010;36(2):268-77.
  12. Pri‐Paz S, Khalek N, Fuchs K, Simpson L. Maximal amniotic fluid index as a prognostic factor in pregnancies complicated by polyhydramnios. Ultrasound in Obstetrics & Gynecology 2012;39(6):648-53.
  13. Raju TN, Higgins RD, Stark AR, Leveno KJ. Optimizing care and outcome for late-preterm (near-term) infants: a summary of the workshop sponsored by the National Institute of Child Health and Human Development. Paediatrics 2006;118(3):1207-14.
  14. Sangeetha K. Pregnancy outcome in an amniotic fluid index is less than five in term low-risk pregnancy. 2013.
  15. Shyam S, Ramadas A. Treatments with Low Glycaemic Index Diets in Gestational Diabetes. In: Nutrition and Diet in Maternal Diabetes: Springer; 2018. 237-51.
  16. Hershkovitz R, Sheiner E, Maymon E, Erez O, Mazor M. Cervical length assessment in women with idiopathic polyhydramnios. Ultrasound in obstetrics &gynaecology 2006;28(6):775-8.
  17. Suleiman A, Salim R. Mode of delivery among women admitted with polyhydramnios. Journal of Obstetrics and Gynaecology 2017;37(4):454-8.
  18. McKinlay CJ, Cutfield WS, Battin MR, Dalziel SR, Crowther CA, Harding JE. Mid-childhood bone mass after exposure to repeat doses of antenatal glucocorticoids: a randomized trial. Pediatrics 2017;139(5):e20164250.
  19. Chen M, Chen C-P. Invasive fetal therapy: global status and local development. Taiwanese Journal of Obstetrics and Gynecology 2004;43(4):185-92.
  20. Magann EF, Chauhan SP, Doherty DA, Lutgendorf MA, Magann MI, Morrison JC. A review of idiopathic hydramnios and pregnancy outcomes. Obstetrical & gynecological survey 2007;62(12):795-802.

[Ayesha Tariq, Mishal Javaid, Muhammad Zubair, Sarah Maryam, Yousef Gilani and Syed Amir Gilani. (2019); ASSOCIATION OF SONOGRAPHIC POLYHYDRAMNIOS WITH PRETERM BIRTH. Int. J. of Adv. Res. 7 (Apr). 736-744] (ISSN 2320-5407). www.journalijar.com


Ayesha Tariq
Masters in medical ultrasound technology

DOI:


Article DOI: 10.21474/IJAR01/8879      
DOI URL: https://dx.doi.org/10.21474/IJAR01/8879