Polyhydramnios Flashcards
1
Q
What are the causes for polyhydramnios?
A
- Idiopathic is #1 cause
- Familial
- Macrosomia
- Obesity
- Diabetes
- Genetic/syndromic causes
- Anomaly
- seen in male fetuses more than female
2
Q
What are the risks of polyhydramnios to pregnancy?
A
- Malpresentation
- Preterm labor and contractions
- PPROM
- Abruption
- Cord prolapse
- PPH
- Operative delivery
3
Q
When do you deliver a patient with polyhydramnios?
A
At term (39 weeks - 39 weeks and 6 days)
4
Q
What are the two major causes for polyhydramnios?
A
- Reduced fetal swallowing
- Increased fetal urination
5
Q
What are examples of conditions that can cause reduced fetal swallowing in the setting of polyhydramnios?
A
neurologic issue like anencephaly. muscular issue like myotonic dystrophy or Beckwith-Weideman
obstruction issue like CDH, pulmonary disorders, TEF
6
Q
What are examples of conditions that can cause reduced fetal swallowing in the setting of polyhydramnios?
A
osmotic diuresis with maternal hyperglycemia
hyperdynamic circulation due to fetal anemia or fetal infection for example
