The association between the severity of polyhydramnios and its causes and neonatal prognosis.

  • Akiyama Miyu
    Department of Obstetrics and Gynecology, Perinatal Medical Center, Kagoshima City Hospital
  • Maeda Takatsugu
    Department of Obstetrics and Gynecology, Perinatal Medical Center, Kagoshima City Hospital
  • Taniguchi Hiroko
    Department of Obstetrics and Gynecology, Perinatal Medical Center, Kagoshima City Hospital
  • Kirihara Nami
    Department of Obstetrics and Gynecology, Perinatal Medical Center, Kagoshima City Hospital
  • Hashimoto Takashi
    Department of Obstetrics and Gynecology, Perinatal Medical Center, Kagoshima City Hospital
  • Kamitomo Masato
    Department of Obstetrics and Gynecology, Perinatal Medical Center, Kagoshima City Hospital

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Other Title
  • 羊水過多の程度と原因疾患および児の予後に関する検討

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<p> We conducted a retrospective study to evaluate the association between the severity of polyhydramnios and its causes, neonatal prognosis, and the accuracy of prenatal diagnosis in singleton pregnancies with polyhydramnios.</p><p> This study included 84 singleton pregnancies with polyhydramnios, who delivered at our hospital between January 2015 and December 2019. Polyhydramnios was diagnosed if amniotic fluid index(AFI)was ≥25cm. All patients were classified into three groups based on the maximum value of AFI in the third trimester(mild: AFI between 25-30 cm, moderate: AFI between 30-35 cm, and severe: AFI >35 cm).</p><p> The incidence of fetal malformations was significantly higher in moderate or severe group(54%)than in mild group(20%). The mortality rate was significantly higher in infants those who required amnioreduction(55.6%)and those with chromosomal abnormalities(72.7%). The accuracy of prenatal diagnosis was 92%, which was slightly higher than that of previous reports.</p>

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