An observational study aiming to evaluate maternal and fetal outcomes of pregnant women having polyhydramnios in a tertiary care center

Authors

  • Suman Bharti Department of Obstetrics and Gynecology, Seth G. S. Medical College and KEM Hospital, Mumbai, Maharashtra, India
  • Namrata Tiwari Department of Obstetrics and Gynecology, Seth G. S. Medical College and KEM Hospital, Mumbai, Maharashtra, India
  • Roocha Sonawane Department of Obstetrics and Gynecology, Seth G. S. Medical College and KEM Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20261255

Keywords:

Polyhydramnios, Deep vertical pockets, AFI, Congenital malformations

Abstract

Background: Aim of the study was to determine the effect of polyhydramnios in pregnancies that are more than or equal to 28 weeks on fetal outcome, maternal obstetrics complications and also to study the causes behind polyhydramnios.

Methods: A cross sectional retrospective and prospective observational research took place in Department of Obstetrics and Gynaecology of the Institute a tertiary care center on sample size of 90 cases in 3 years between January 2021 to January 2024.

Results: A significant association was found between amniotic fluid index (AFI) levels, gestational age, birth weight, APGAR scores at birth and fetal outcomes (p=0.001).

Conclusions: Early identification and management of pregnancies those with abnormal AFI levels are crucial for improving neonatal outcomes. Comprehensive antenatal care that includes regular monitoring of AFI, gestational age, antenatal care profile and fetal growth parameters, along with timely medical interventions, can help reduce adverse outcomes.

References

Magann EF, Chauhan SP, Barilleaux PS, Martin JN Jr, Morrison JC. Amniotic fluid index and single deepest pocket: weak indicators of abnormal amniotic volumes. Obstet Gynecol. 2000;96(4):737-40.

Chamberlain PF, Manning FA, Morrison I, Harman CR, Lange IR. Ultrasound evaluation of amniotic fluid volume. II. The relationship of increased amniotic fluid volume to perinatal outcome. Am J Obstet Gynecol. 1984;150(3):250-4.

Hamilton EF, Platt LD. Diagnosis and management of polyhydramnios. Clin Perinatol. 1993;20(3):715-28.

Arnab R. Survey Sampling Theory and Applications. 1st edition. Amsterdam: Elsevier. 2017.

Magann EF, Chauhan SP, Doherty DA, Lutgendorf MA, Magann MI, Morrison JC. A review of idiopathic hydramnios and pregnancy outcomes. Obstet Gynecol Surv. 2011;66(11):737-44.

Dashe JS, McIntire DD, Twickler DM. Maternal and perinatal outcomes of acute hydramnios. Obstet Gynecol. 2002;100(6):1001-6.

Zhang J, Troendle J, Meikle S. Reassessing the role of maternal age in obstetric outcomes: a population-based study. Am J Obstet Gynecol. 2010;203(1):49.e1-8.

Moore TR, Cayle JE. The amniotic fluid index in normal human pregnancy. Am J Obstet Gynecol. 1990;162(5):1168-73.

Hill LM, Breckle R, Wolfgram KR, O’Brien PC. Oligohydramnios: ultrasonically detected incidence and subsequent fetal outcome. Am J Obstet Gynecol. 2007;196(3):447-9.

Suri S, Singh M, Singh G. Clinical study of polyhydramnios in a tertiary care hospital. J Obstet Gynaecol India. 2013;63(1):71-4.

Sohail S, Hashmi A, Anwar F. Polyhydramnios and its fetal outcome. J Coll Physicians Surg Pak. 2010;20(11):716-9.

12. Suri S, Singh M, Singh G. Indications for cesarean section: a study from a tertiary care hospital. J Obstet Gynaecol India. 2015;65(1):45-9.

Phelan JP, Smith CV, Broussard P, Small M. Amniotic fluid volume assessment with the four-quadrant technique at 36–42 weeks’ gestation. J Reprod Med. 1987;32(7):540-2.

Begum F, Khan MA, Ferdousi S. Indications for cesarean section: an analysis of 150 cases. Bangladesh J Obstet Gynaecol. 2014;29(1):15-8.

Caughey AB, Sundaram V, Kaimal AJ, Cheng YW, Gienger A, Little SE, et al. Maternal and neonatal outcomes of elective induction of labor. Evidence Report/Technology Assessment No. 176. AHRQ Publication No. 09-E005. Rockville (MD): Agency for Healthcare Research and Quality. 2009.

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Published

2026-04-28

How to Cite

Bharti, S., Tiwari, N., & Sonawane, R. (2026). An observational study aiming to evaluate maternal and fetal outcomes of pregnant women having polyhydramnios in a tertiary care center. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 15(5), 1606–1611. https://doi.org/10.18203/2320-1770.ijrcog20261255

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Original Research Articles