[The polyhydramnios symptom: analysis of 56 cases]

Area of Science:

• Perinatology
• Maternal-Fetal Medicine
• Prenatal Diagnosis

Background:

• Polyhydramnios, characterized by excessive amniotic fluid, is a significant obstetric complication.
• The condition is associated with increased risks for both the fetus and the mother.
• Accurate diagnosis and understanding of causative factors are crucial for improving outcomes.

Purpose of the Study:

• To analyze the prevalence, causes, and outcomes of polyhydramnios.
• To identify risk factors associated with polyhydramnios.
• To establish recommendations for improved management and diagnosis.

Main Methods:

• Retrospective analysis of 56 cases of sonographically diagnosed polyhydramnios over three years.
• Comparison of prevalence and associated conditions with a normal patient group.
• Statistical analysis to determine significant risk factors and outcomes.

Main Results:

• Polyhydramnios prevalence was 0.6% in 9334 births.
• Fetal malformations were the most common cause (26.7%).
• Significantly higher rates of gestational diabetes, twin pregnancies, viral infections, and chromosomal abnormalities were observed.
• Perinatal mortality was significantly higher (28.5%) compared to the normal group (1.6%).

Conclusions:

• Polyhydramnios is linked to serious fetal conditions and carries a high mortality risk.
• Precise assessment and timely treatment are essential.
• Routine fetal karyotyping in the second trimester is recommended for early detection of chromosomal abnormalities.