Polyhydramnios is defined as an excessive amount of amniotic fluid (more than 2000 ml) in the uterus during pregnancy. It occurs in 0.3-1.6% of pregnancies and is usually noticed in 1 in 1000 pregnancies. There are two types - acute and chronic. Potential causes include fetal anomalies, infections, maternal conditions like diabetes, and idiopathic causes. Common symptoms are shortness of breath, abdominal pain, nausea and back pain. Diagnosis involves ultrasound, physical exam, and tests like blood sugar and blood group testing. Treatment options include draining excess fluid, medical management with drugs before 31 weeks, and surgical procedures like amniotomy. Complications can include uterine at

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3. CONTENTS
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4. INTRODUCTION
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5. DEFINITION
POLYHYDRAMNIOS IS DEFINED AS THE
EXCESSIVE LEVEL OF AMNIOTIC FLUID
(MORE THAN 2000 ML) IN THE UTERUS
WHERE BABY TAKES PLACE DURING
PREGNANCY
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6. INCIDENCE
● IT RANGES FROM 0.3 TO 1.6 PERCENTAGE OF ALL
PREGNANCIES
● USUALLY THE SYMPTOMS ARE NOTICED IN 1 OUT OF
1000 PREGNANCIES
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7. TYPES
A. ACUTE POLYHYDRAMNIOS :-
B. CHRONIC POLYHYDRAMNIOS :-
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8. SEVERITY F POLYHYDRAMNIOS
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9. ETIOLOGY OR CAUSES
• IDIOPATHIC (ACTUAL CAUSE IS UNKNOWN)
• FETAL CAUSES
a. FETAL ANOMALIES
b. FETAL INFETIONS
c. SPINA BIFIDA
d. FETAL MUSCULAR DYSTROPHY
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10. • PLACENTAL CAUSES
• MATERNAL CAUSES
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11. PREMATURE BIRTH
MTERNAL
SUBSTANCE ABUSE
DIFFERING BLOOD TYPES (IF
MOTHER IS CARRYING RH
NEGATIVE BLOOD GROUP AND
BABY IS CARRYING RH POSITIVE
BLOOD GROUP)
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12. SHORTNESS OF BREATH
ABDOMINAL PAIN
PROTENURIA
HYPERTENTION
NAUSEA ,VOMITING
FETAL MALPOSITIONS
INDIGESTION
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13. DIAGNOSTIC EVALUATION
• HISTORY COLLECTION
• PHYSICAL EXAMINATION
- ABDOMINAL EXAMINATION
- VAGINAL EXAMINATION
• INVESTIGATIONS
- ABDOMINAL ULTRASOUND
- X RAY
• BLOOD GROUPING
- RH TYPING
- HAEMOGLOBIN
- BLOOD SUGAR
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14. TREATMENT
1. MEDICAL MANAGEMENT
a. DRAINAGE OF EXCESS AMNIOTIC FLUID
b. INDOMETHACIN CAN BE GIVEN BEFORE 31 WEEKS
2. SURGICAL MANAGEMENT
a. AMNIOFUSION
b. AMNIOTOMY CAN BE DONE PARTIALLY DURING
PREGNANCY
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15. 3. NURSING
MNAGEMENT
a. LOW FAT
DAIRY
PRODUCTS
b. PLENTY OF
WATER
c. BEDREST
d. EXTRA
MONITORING
e. CONTROL
DIET
f. REGULAR
FOLLOW-UP
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16. COMPICATIONS
UTERINE ATONY
UMBILICAL CORD
PROLAPSE
PREMATURE RAPTURE
OF MEMBRANES
POSTPARTUM
HAEMARRHOGE
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