Obstetrics and Neonatal Consequences in Polyhydramnios at a Tertiary Care Hospital
Abstract
Objective: To investigate the obstetrics and fetal consequences were associated with polyhydramnios among cases presenting at the Tertiary Care Hospital/Nawabshah.
Methodology: The observational and prospective study was done from May 2021, April, 2022, at Gynae and OBS department of Peoples University of Medical and Health Sciences (PUMHS) for Women. Pregnant women with polyhydramnios between the ages of 18 and 40 who were either primiparous or multiparous and who had a gestational age of more than 28 weeks were included. After obtaining consent, all pregnant women were followed up with until they gave birth, and data on foetal and maternal outcomes such caesarean delivery, low birth weight, Apgar score at 1 minute 7, intrauterine growth restriction, and neonatal intensive care unit hospitalization were recorded.
Results: The mean age of the patients was 29.25 ± 4.41 years. Regarding obstetric and fetal outcomes, there were higher rates of cesarean section (90, 65.22%), congenital anomalies (9, 21.01%), low birth weight (82, 59.42%), macrosomia (38, 27.54%), APGAR scores <7 at 1 minute (89, 64.49%), NICU admissions (25, 18.12%), and intrauterine fetal demise (IUFD) (37, 26.81%). Congenital anomalies, NICU admissions, and IUFD were significantly more common in the older age group (p > 0.05). Additionally, IUFD was significantly higher in the pregnancy-induced hypertension (PIH) group (37.93% vs. 18.75%, p = 0.012), and NICU admissions were significantly higher in the gestational diabetes mellitus (GDM) group (p = 0.028).
Conclusion: Polyhydramnios was observed to be associated with increased obstetric and fetal morbidity and mortality, including higher rates of cesarean section, congenital anomalies, low birth weight, macrosomia, NICU admissions, and intrauterine fetal demise (IUFD).
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