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Polyhydramnios: Causes, Diagnosis and Therapy

A Hamza1, D Herr1, E F Solomayer2

  • 1Gynäkologie und Geburtshilfe, Universitätsklinikum des Saarlandes, Homburg/Saar.

Geburtshilfe Und Frauenheilkunde
|April 29, 2014
PubMed

Insights

Polyhydramnios, an excess of amniotic fluid, increases risks for mother and baby. Treatments like amnioreduction and NSAIDs are explored, though NSAID use is not approved in Germany.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatology

Background:

  • Polyhydramnios, a pathological increase in amniotic fluid, is linked to significant perinatal morbidity and mortality.
  • Common causes include gestational diabetes, fetal anomalies affecting swallowing, and infections.

Purpose of the Study:

  • To summarize the definition, causes, diagnosis, symptoms, and management of polyhydramnios.
  • To discuss current and experimental prenatal treatment options.

Main Methods:

  • Diagnosis is primarily achieved through ultrasound.
  • Prognosis is determined by the underlying cause and severity of the condition.

Main Results:

  • Symptoms include maternal dyspnea, preterm labor, and abnormal fetal presentation.
  • Polyhydramnios is often associated with fetal macrosomia due to its link with gestational diabetes.

Conclusions:

  • Prenatal treatments include amnioreduction and NSAIDs, though NSAID use for this indication is not approved in Germany.
  • Experimental therapies targeting fetal diuresis are under consideration.

Keywords:
amniotic fluidhigh risk pregnancypolyhydramnios

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