Polyhydramnios Flashcards
What are the risk factors for developing polyhydramnios ?
Can be fetal or maternal causes
Maternal DM
Multiple gestation
Isoimmunization
Pulmonary abnormalities
Feta anomalies
Duodenal atresia/TE fistula
Anencephaly
Twin- twin transfusion
When does polyhydramnios usually present?
What subjective information may a patient present regarding polyhydramnios
What objective finding would the clinician see
Fundal height measuring larger than expected for gestational age
Leopold maneuvers may reveal an easily ballotable fetus and an unstable lie my be noted
A fluid thrill can be elicited….
Placing the palm of one hand flat on one side of the uterus, tapping the other side of the uterus and noting vibrations on the palm of the palpating hand.
What are the various diagnostic criteria for polyhydramnios
Repeat GDM screen can be considered if sudden onset polyhydramnios occurs with a prior high-normal testing results
Serial doppler blood flow studies are typically obtained for a pregnancy confirmed to have polyhydramnios.
Fetal surveillance measures depend on the etiology of polyhydramnios, but include various schedules of NSTs, BPP or modified BPP, and fetal movement counting.
What are the components of a management plan for clients with polyhydramnios?
When and how does a WHNP involve other members of the health care team for a client with polyhydramnios?
What are the fetal cause for Polyhydramnios
GI disorders:
Duodenal atresia
Gastroschisis
Diaphragmatic hernia
Central nervous system abnormalities
anencephaly
other neural tube defects
Cystic hygromas
Nonimmune hydrops
Some genetic syndromes
Congenital infections
Toxoplasmosis
Rubella
Cytomegalovirus (CMV)
Herpes simplex
Parvovirus B19
Placental abnormalities
Twin to twin transfusion syndrome
What are the maternal cause for polyhydramnios
Idiopathic
Poorly controlled diabetes melltus
Maternal-fetal hemorrhage
What is mild polyhydramnios
AFI 24-29.9 cm
SDP 8-9.9 cm
Moderate polyhydramnios
AFT 30-34.9 cm
SDP 10-11.9 cm
