Did Severity of Polyhydramnios affect Mode of Delivery?

Saima Perveen, Parveen Azim, Jamila Javed Shah


Background: In Pakistan, the incidence of polyhdramnios is 2.4%. The objectives of this study were to find out the frequency of severity of polyhydramnios and the frequency of different modes of delivery in pregnancies with polyhydramnios. Material and Methods: This cross sectional study was done in Department Obstetrics and Gynaecology, Khyber Teaching Hospital, Peshawar, from July 2010 to December 2011. Inclusion criterion was patients with pregnancies of more than 26 weeks of gestation with ultrasonographically confirmed polyhydramnios. Patients with twin pregnancies, fibroid uterus, any abdominal or gynecological malignancies were excluded from the study. Detail history was taken, per abdominal and per vaginal examinations were performed. Polyhydramnios were confirmed ultrasonographically and categorized as mild, moderate or severe on the basis of amniotic fluid index. Patients were followed till the end of labour. Results: The total number of patients was 532. Mean age of the patients was 30.30 ± 6.28 (20–42) years. The mean age of gestational amenorrhea was 35.6 ± 3.35 (28-41) weeks. The number and age% of mild polyhydramnios was 304 (57.5%), of moderate 123 (23.1%) and of severe polyhydramnios 105 (19.7%). Overall in 532 case, normal vaginal delivery was done in 423 (79.4%), instrumental delivery in 48 (9.1%) and cesarean section was performed in 61 (11.5%) cases. Normal vaginal delivery was the most common mode of delivery among the entire study population. Conclusion: Normal vaginal delivery was the commonest mode of delivery in any grade of severity of polyhydramnios.


Polyhydramnios; Obstetric delivery; Cesarean section

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Fawad A, Shamshad, Danish N. Frequency, causes and outcome of polyhydramnios. Gomal J Med Sci 2008;6:106-9.

Mathew M, Saquib S, Rizvi SG. Polyhydramnios. Risk factors and outcome. Saudi Med J. 2008;29:256-60.

Alexander ES, Spitz HB, Clark RA. Sonography of polyhydramnios. Am J Roentgenol. 1982;138:343-6.

Hill L, Breckle R, Thomas ML, Fries JK. Polyhydramnios: ultrasonically detected prevalence and neonatal outcome. Obstet Gynecol 1987;69:21-5.

Bundgaard A, Anderson BR, Rode L, Lebech M, Tabor A. Prevalence of polyhydramnios at a Danish hospital-a population based study. Acta Obstet Gynecol Scand 2007;86:1427-31.

Waheed N, Ashraf M. Fetal outcome in pregnancies with polyhydramnios. J Rawal Med Coll 2003;7:73-6.

Chen KC, Liou JD, Hung TH, Kuo DM, Hsu JJ, Hsieh CC, et al. Perinatal outcomes of polyhydramnios without associated congenital fetal anomalies after the gestational age of 20 weeks. Chang Gung Med J 2005;28:222-8.

Akram H, Nasir A, Rana T. Increaseing severity of polyhydramnios: a risk factor for congenital malformations. Biomedical 2006;22:5-11.

Dorleijn DM, Cohen-Overbeek TE, Groenendaal F. Idiopathic polyhydramnios and postnatal findings. J Matern Fetal Neonatal Med 2008:12:23-6.

Golan A, Wolman I, Sagi J. Persistence of polyhydramnios during pregnancy: its significance and correlation with maternal and fetal complications. Gynecol Obstet Invest 1994;37:18-22.

Kale A, Akdeniz N, Erdemoolu M, Yalankaya A, Yayla M. Retrospective analysis of polyhydramnios cases. Perinat J 2005;13:23-9.

Stoll CG, Alembik Y, Dott B. Study of 156 cases of polyhydramnios and congenital malformations in a series of 118,265 consecutive births. Am J Obstet Gynecol 1991;165:586-9.

Biggio JR, Wenstrom KD, Dubard MB, Cliver SP. Hydramnios prediction of adverse perinatal outcome. Obstet Gynecol 1999;99:773-7.

Magann EF, Chauhan SP, Doherty DA. A review of idiopathic hydramnios and pregnancy outcomes. Obstet Gynecol Surv 2007;62:795-9.

Murraym SR. Hydrmnios: a study of 846 cases. Am J Obstet Gynecol 1964;88:65-9.


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