Author:
Vanda Raziyeh,Bazrafkan Mahnaz,Rouhani Maryam,Bazarganipour Fatemeh
Abstract
Abstract
Background
In this prospective cohort study, the perinatal outcome in idiopathic polyhydramnios compared with normal pregnancies was examined.
Methods
This was a prospective cohort study of 180 singleton pregnancies who received care at the referral gynecology clinic of Yasuj, Iran between 2018–2020. The inclusion criteria comprised singleton pregnancies, gestational age > 34 weeks; fetuses without structural and chromosomal abnormalities in pregnancy screening test, no maternal diabetes, negative TORCH negative screening test, no Rh factor isoimmunization. Polyhydramnios was defined as: (i) amniotic fluid index ≥ 24 cm; (ii) maximal vertical pocket of ≥ 8 cm. Perinatal outcomes were recorded in both groups.
Results
Postpartum hemorrhage (7.8% vs. 2.2; OR: 1.60; 95% CI 1.09–2.34) and cesarean delivery (51.11% vs. 21.11; OR: 1.88; 95% CI 1.42–2.50) and respiratory distress (4.4 v vs. 0; OR: 2.04; 95 C CI 1.75–2.80) was significantly higher in the idiopathic polyhydramnios (P ≤ 0.05) compared to normal pregnancy, which increased with severity of idiopathic polyhydramnios.
Conclusion
In conclusion, the results of the current study, suggest that idiopathic polyhydramnios may be associated with a higher rate of postpartum hemorrhage, cesarean delivery, and respiratory distress than a normal pregnancy.
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology
Reference34 articles.
1. Blencowe H, Cousens S, Jassir FB, et al. National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis. Lancet Glob Health. 2016;4:e98–108.
2. Low JA, Pickersgill H, Killen H, et al. The prediction and prevention of intrapartum fetal asphyxia in term pregnancies. Am J Obstet Gynecol. 2001;184:724–30.
3. Coombe-Patterson J. Amniotic Fluid Assessment: Amniotic Fluid Index Versus Maximum Vertical Pocket. J Diagnostic Medical Sonography. 2017;33(4):280–3. https://doi.org/10.1177/8756479316687269.
4. Phelan JP, Ahn MO, Smith CV, Rutherford SE, Anderson E. Amniotic fluid index measurements during pregnancy. J Reprod Med Obstet Gynaecol. 1987;32(8):601–4.
5. Amniotic Fluid Problems/Hydramnios/Oligohydramnios. Children’s Hospital of Philadelphia. https://www.chop.edu/conditions-diseases/amniotic-fluid-problemshydramniosoligohydramnios. Accessed 26 Mar 2020.
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