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POLYHYDRAMNIOS

Dr Sunil Kumar SamalAsst. Professor, Dept. of OBGYN

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ContentsPhysiology- Amniotic uid

Denition

tiology!linic"l types- !hronic "nd Acute

Di#erenti"l Di"gnoses

!omplic"tions

$"n"gement

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Amniotic FluidAmniotic uid inde% &A'()

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PolyhydramniosDenition- *i+uor "mnii ml

A'( / cm

0ingle 1ertic"l poc2et 3 cm

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tiolo!y" Fetal

Anenc

e#haly

so#ha!ealatresia

S#ina $i%da

Cle&t li# ' Hydroce#halus Aneu#loid

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tiology- Pl"cent"l

Normal

Placenta

Chorioan!ioma

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tiology- $ultiple

pregn"ncy

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tiolo!y" Maternal

Maternal dia(etes

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Clinical )y#es!hronic &$ost common)

Acute &4"rer)

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Chronic

Polyhydramnios0ymptoms

0ign

A5domin"l e%"min"tion(ntern"l e%"min"tion

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In*esti!ation

6ltr"sonogr"phy

Blood-ABO "nd 4h grouping, Blood sug"r

Amniotic uid "lph" fetoprotein- Open neur"ltu5e defect

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D+DPregn"ncy 7ith huge o1"ri"n cyst

$"tern"l "scites

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Com#lication

$"tern"l-

During Pregn"ncy,Pre -ecl"mpti" , m"lpresent"tion, P4O$,

pretrm l"5our ,"ccidnt"l h"emorr"ge

*"5our,

"rly rupture, cord prol"pse, uterine inerti",incre"sed oper"ti1e deli1ery.

Puerperium

0u5in1olution, incre"sed puerp"ri"l mor5idity'et"l

Peren"t"l mort"lity

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Mana!ement$ild

0e1ere

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Acute Polyhydramniostiology- $ono8ygotic t7ins 7ith 990

!horio"ngiom" of pl"cent"

0ypmtoms0ign

9re"tment

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)han, You