Dr. G Soumini FICOG, Dr. K. Venkata Ramana. MS, DGO
Objectives: Polyhydramnios is present in approximately 2% of pregnancies and it has been associated with a variety of adverse pregnancy outcomes. The aim of our study was to evaluate the association between idiopathic polyhydramnios and adverse pregnancy outcomes. Methods: This an observational study, conducted on pregnant woman with idiopathic polyhydramnios. delivered at Government Victoria Hospital /Andhra Medical College Visakhapatnam from July 2016 to June 2017. 50 consecutive cases of idiopathic polyhydramnios were compared with 50 cases of controls. Maternal examination, workup to exclude other aetiological factors for hydramnios and, feto maternal outcome were studied and tabulated the values obtained were analyzed using SPSS software. Results: The incidence of hydramnios in our study group is 1.7%. Mean age group is 24.6yrs.Majority of the polyhydramnios cases were multigravida. Mild polyhydramnios was the most common type% were underwent cesarean in polyhydramnios group. CPD (33.33%) was the common cause in polyhydramnios group. Obstetric complications were 12 %. with perinatal deaths (4)8%. NICU admission was (6%). Conclusion: Development of abnormal liquor volume during pregnancy signals danger to the foetus. It is associated with an increased incidence of caesarean section, labour complications and adverse perinatal outcome. Excluding etiological factors and surviallence of idiopathic hydramnios is also important to get better foetal outcome as well as to avoid the maternal morbidity.