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Polyhydramnios

Excess amniotic fluid increases the risk of preterm labor.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Polyhydramnios?

Polyhydramnios is excessive accumulation of amniotic fluid seen in approximately 1-2% of pregnancies. It is classified as mild, moderate, and severe. About half of cases are idiopathic.

Causes: maternal diabetes (15-20%), fetal anomalies (CNS, GI obstruction, cardiac anomaly), fetal anemia, twin-to-twin transfusion syndrome (TTTS), and congenital infections.

Complications include preterm labor, premature membrane rupture, placental abruption, malpresentation, cord prolapse, and postpartum hemorrhage. Close obstetric follow-up is essential.

Symptoms

Rapid abdominal enlargement and tension
Shortness of breath and orthopnea
Abdominal pain and contractions
Edema in the legs
Fundal height greater than gestational age
Fetal heart sounds may not be heard clearly

Risk Factors

Uncontrolled maternal diabetes
Twin pregnancy (TTTS)
Rh isoimmunization
Fetal CNS or GI anomalies
Congenital infections (parvovirus B19)
Fetal anemia

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When abdominal enlargement suddenly accelerates
  • When shortness of breath and difficulty moving develop
  • When early contractions begin
  • When elevated AFI is detected on ultrasound
  • For routine follow-up in diabetic pregnancies

Treatment Methods

01
Identification and treatment of the underlying cause
02
Strict control of diabetes
03
Amnioreduction (amniotic fluid drainage) in severe cases
04
Indomethacin (before 32 weeks, short-term)
05
Preterm labor prophylaxis and corticosteroids
06
Delivery planning and neonatal resuscitation preparation

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.