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1 results

  • Case 84 - A 30-Year-Old Presents at 34 Weeks’ Gestation with Gestational Diabetes and a Fundal Height of 38 cm

  • from Section 10 - Complications of the Cord, Amnion, and Gravid Uterus
  • Edited by Peter F. Schnatz, The Reading Hospital, Pennsylvania, D. Yvette LaCoursiere, University of California, San Diego, Christopher M. Morosky, University of Connecticut School of Medicine, Jonathan Schaffir, The Ohio State University College of Medicine, Vanessa Torbenson, Mayo Clinic Alix School of Medicine, David Chelmow, Virginia Commonwealth School of Medicine
  • Book:
    Pregnancy Complications
    Published online:
    08 April 2025
    Print publication:
    01 May 2025, pp 261-263

  • Summary

    Polyhydramnios, an abnormal increase in amniotic fluid, is estimated to affect 1–2% of otherwise low-risk singleton pregnancies. Ranging from mild to severe, underlying causes of polyhydramnios include fetal anomalies related to both production and resorption of amniotic fluid, genetic syndromes, maternal conditions, and infections. Routine measurement of fundal height is the screening modality recommended to assess for possible polyhydramnios given the known adverse outcomes. Once diagnosed, detailed anatomic assessment followed by antenatal testing is warranted to reduce associated adverse outcomes, including risk of fetal and neonatal demise in more severe cases. Optimizing delivery timing and planning is paramount to reduce known risks including cesarean delivery, operative delivery, postpartum hemorrhage, and neonatal intensive care admissions.