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F113The diagnosis and therapy in pregnancies complicated by acute hydramnios
Author(s) -
Szaflik K.,
Borowski D.,
Oszukowski P.,
Wyrwas D.,
Kunert A.,
Hincz P.,
Ciesielski A.
Publication year - 2000
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2000.00015-1-112.x
Subject(s) - medicine , obstetrics , polyhydramnios , gestational age , etiology , amniotic fluid index , pregnancy , gestation , amniocentesis , fetus , apgar score , amniotic fluid , prenatal diagnosis , biology , genetics
Background The aim of the study was an analysis of frequency of hydramnios and its etiology, and assessment of therapeutic modalities. Method The study group consisted of 77 pregnant women with detected hydramnios. The entry criteria were amniotic fluid index (by Phellan) > 28 cm. Results The mean gestational age was 29 ± 4.5 weeks. The mean AFI was 35 ± 7.9 cm. In 30 cases of hydramnios the congenital malformation was diagnosed. The most frequent were anomalies of gastrointestinal tract, lesions of central nervous system and teratomas. In 23 cases viral infections were diagnosed. Another group of pregnancies with the acute hydramnios constitute 13 twin gestations with TTS. In 16 cases, no etiologic factor was found. In all cases, the therapy of acute hydramnios was based on serial amnioreductions. In two cases maternal treatment with indomethacin was introduced beside amniocentesis. In 13 cases there were performed additional intrauterine drainage procedures. The mean gestational age during delivery was 33.6 ± 4.6 weeks. The mean interval between the diagnosis and delivery was 4.6 weeks. The mean birth weight was 2055 ± 1060g. 5th min Apgar score was 4pt. In 13 cases intrauterine demise of fetus occurred. Conclusion The most frequent causes of acute hydramnios include fetal anomalies, the TTS in twin pregnancies and congenital infections. Amnioreductions are the therapeutic approach with a significant effect on the prolongation of pregnancy.