Polyhydramnios: Heterogeneity in presentation at tertiary care hospital.

Abstract

Objective: To determine the presentation and outcome of polyhydramnios in pregnancy at a tertiary care hospital. Study Design: Descriptive Cross-sectional study. Setting: Department of Obstetrics and Gynaecology, Independent University Hospital Faisalabad. Period: 1-Jan-2020 to 31-Dec-2022. Methods: All the cases diagnosed as polyhydramnios after confirmation on ultrasonography by measuring single deepest vertical pool were included. Results: The total number of patients included in the study were 80. The patients having age <35 years were 62 (77.5%) while the patients having age > 35 years were 18 (22.5%). 16 patients (20%) were primigravida while 64 patients (80%) were multigravida. The patients with Mild polyhydramnios were52 (65%), moderate polyhydramnios 21 (26.5%) and with severe polyhydramnios 7 (8.7%). The various maternal complications were as preterm labour in 11 patients (13.7%), gestational diabetes mellitus 8 patients (10%), Pre-PROM 7 patients (8.75%), PIH and its complications 3 patient (3.75%) and Placental abruption 2 patients (2.5%). while 49 patients (61.25%) had no complications. Regarding mode of delivery 13 patients (16.3%) were delivered vaginally while 67 patients (83.7%) underwent caesarean section. Fetal outcome was quite good. There were normal alive babies 67 (83.75%), anomalous 9 (11.25%) and 4 babies (5%) were diagnosed as IUD. Conclusion: In the present study, polyhydramnios had diversity in its presentation and maternal versus fetal outcome was associated with degree of polyhydramnios.