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Chapter-27 Multiple Pregnancy and Polyhydramnios

BOOK TITLE: Essentials of Obstetrics

Author
1. Pandit Suchitra N
2. Pawar Vijay C
3. Rao Sanjay B
ISBN
9788184489095
DOI
10.5005/jp/books/11242_27
Edition
2/e
Publishing Year
2011
Pages
16
Author Affiliations
1. LT Medical College and LT Municipal, General Hospital, Mumbai, India, Surya Group of Hospitals, Mumbai; AICC RCOG (2017- 20); ISOPARB (2018-19; Medical Education SAFOG, Surya Group of Hospitals, Mumbai, Maharashtra, India; FOGSI, FOGSI, 2014; Surya Group of Hospitals, Mumbai, Maharashtra, India, FOGSI 2014; Surya Hospitals, Mumbai, Maharashtra, India, Kokilaben Dhirubhai Ambani Hospital and Research Centre, Mumbai, Maharashtra, India; FOGSI 2014, Kokilaben Dhirubhai Ambani Hospital and Research Hospital, Mumbai, Maharashtra, India, LT Medical College and LT Municipal General Hospital, Mumbai, Maharashtra, India, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India, Kokilaben Hospital, Mumbai, Maharashtra, India; FOGSI 2014, Kokilaben Dhirubhai Ambani Hospital and Research Center, Mumbai, Maharashtra, India; FOGSI (2014–2015) and MOGS (2013–2014); ICOG; FOGSI (2003–07), Kokilaben Dhirubhai Ambani Hospital and Research Centre, Mumbai, Maharashtra, India, Kokilaben
2. LT Medical College Hospital, Mumbai, India, LTMG Hospital, Sion, Mumbai, LT Medical College Hospital, Mumbai, Maharashtra, India
3. LT Medical College and LT Municipal General Hospital, Mumbai, India, LT Medical College and LT Municipal General Hospital, Sion, Mumbai, India, Severn Wessex and Peninssula Deanery, Bristol, UK, The James Cook University Hospital, South Tees NHS Foundation Trust, Middlesbrough, United Kingdom, LT Medical College and LT Municipal General Hospital, Mumbai, Maharashtra, India
Chapter keywords

Abstract

This chapter describes the incidence, etiopathology and the clinical diagnosis of each of the two conditions. The problems of multiple pregnancy and polyhydramnios pose a unique challenge in the practice of obstetrics. The practical problems encountered in the management strategies have also been outlined. The successful outcome of these high-risk pregnancies requires that the clinician coordinate with an experienced group including anesthetists and neonatologists. Despite difficulties, with modem treatment modalities the maternal and perinatal outcomes are good in most cases. Many obstetrical problems arise in multiple pregnancy like preterm labor, intrauterine growth restriction, hydramnios, maternal conditions like anemia, diabetes, hypertension increases thereby adding more problems. Hydramnios or polyhydramnios is a pathological condition characterized by an excessive accumulation of amniotic fluid, usually more than 2000 ml. The conditions associated with polyhydramnios include maternal (15%), fetal (18%) or placental (1%) causes. In the vast majority of the cases (65%) the etiology is idiopathic. Fetal anomalies account for 12.7% of the cases of polyhydramnios. Abnormalities of the central nervous system include anencephaly, encephalocele, spina bifida are some of the common defects giving rise to hydramnios, diabetes to be ruled out.

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