Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 1 , ISSUE 1 ( January-March, 2007 ) > List of Articles

RESEARCH ARTICLE

Polyhydramnios: An Update

Olav Lapaire, Wolfgang Holzgreve, Rosanna Zanetti-Daellenbach, Moffat Ecker Refecca, Hbsli Irene, Tercanli Sevgi

Keywords : amniotic fluid,pregnancy, therapy,prenatal diagnosis

Citation Information : Lapaire O, Holzgreve W, Zanetti-Daellenbach R, Refecca ME, Irene H, Sevgi T. Polyhydramnios: An Update. Donald School J Ultrasound Obstet Gynecol 2007; 1 (1):73-79.

DOI: 10.5005/jp-journals-10009-1086

License: CC BY-NC 4.0

Published Online: 00-03-2007

Copyright Statement:  Copyright © 2007; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Maternal, fetal or placental pathologies may result in an excessive amount of amniotic fluid (AF) volume. Therefore, the surveillance of the AF volume, predominantly by ultrasound, has become an important instrument for the assessment of fetal well-being. An excessive accumulation of amniotic fluid, as a consequence of a disturbed balance between production, fetal resorption and secretion, is defined as polyhydramnios. Its degree correlates significantly with fetal morbidity and mortality. Therefore, polyhydramnios is an important clinical pattern in perinatal medicine. Approximately 20 percent of the fetuses with severe polyhydramnios show a congenital anomaly, whereas 50 percent of all cases are considered to be idiopathic, mostly with mild patterns. Furthermore, the likelihood of aneuploidy varies from 0.4 to 10 percent. Early detection, provides a correct diagnosis and allows a individual therapy. A referral to a tertiary center is advised in case of severe polyhydramnios and unknown etiology.

In this review, current diagnostic as well as therapeutical aspects are discussed.


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