Acute polyhydramnios complicating monozygous twin pregnancies--case report

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine

Background:

• Acute polyhydramnios in twin pregnancies presents significant risks, including maternal discomfort and preterm labor.
• Effective management strategies are crucial for improving pregnancy outcomes in these high-risk cases.

Observation:

• Two cases of acute polyhydramnios complicating twin gestations were observed.
• Patients experienced extreme abdominal discomfort and risk of imminent preterm labor.

Findings:

• Repeated amniocentesis was performed for therapeutic fluid removal.
• The procedure was safe, prolonging pregnancies by 14 and 11 days respectively.
• Combined with tocolysis and fetal surveillance, this approach resulted in 2/4 live births.

Implications:

• Therapeutic amniocentesis can be a viable option for managing acute polyhydramnios in twin pregnancies.
• This approach may offer a chance to prolong gestation and improve neonatal outcomes.
• Further research is warranted to establish the role of amniocentesis in such complex obstetric scenarios.