Polyhydramnios Flashcards
1
Q
What is it?
A
increased liquor volume
2
Q
What is aetiology of polyhydramnios?
A
Idiopathic
Maternal disorders - established and gestational DM, renal failure
Twins - particularly TTTS
Fetal anomaly - particularly upper GI obstructions or inability to swallow, chest abnormalities, myotonic dystrophy
3
Q
what are clinical features of polyhydramnios?
A
- Maternal discomfort
- Large for dates
- Taut uterus
- Fetal parts difficult to palpate
4
Q
What are complications?
A
- Preterm labour
- Maternal discomfort
- Abnormal lie
- Malpresentation
5
Q
What are investigations?
A
To diagnose fetal abnormality: US
Diagnose DM: maternal BM testing
6
Q
What is antenatal management if less than 34w and it is severe?
A
amnioreduction or use of NSAIDs to fetal UO, consider steroids
7
Q
what is recommended mode of delivery, what are contraindications for this?
A
vaginal unless persistent unstable lie or other obstetric indication
