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Journal Information

Online ISSN
1305-3124

Established
1993

Editors-in-Chief
​Cihat Şen, ​Nicola Volpe

Editors
Daniel Rolnik, Mar Gil, Murat Yayla, Oluş Api

Statistics Editor
Resul Arısoy

Article info

Early neonatal outcomes of idiopathic polyhdramnios. Perinatal Journal 2014;22(3):SE26-27 DOI: 10.2399/prn.14.S001084

Author(s) Information

Ertugrul Karahanoglu,
Safak Ozdemirci,
Erdem Fadıloglu,
Ayşegül Akyol,
Serdar Yalvaç,
Ömer Kandemir

  1. Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Eğitim ve Araştırma Hastanesi- Ankara TR
Correspondence

Ertugrul Karahanoglu, Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Eğitim ve Araştırma Hastanesi- Ankara TR,

Publication History
Conflicts of Interest

No conflicts declared.

Objective
Polyhdramnios is seen nearly 0.4%-%1.7 of the obstetric population after 24th week. About 45% of these cases etiology can not be defined. Nearly 5% of the idiopathic polyhdramios post natal structural anomaly is detected. Gastro intestinsl system, urinar system and cardiovascular system anomalies are the most seen ones. Risk of having aneuploidy is higher in idiopathic polyhdramnios. Stuides have showed that early neonatal outcomes is not well when compared with healthy one. In this study post natal anaomlies and early neonatal outcomes of idiopathic polyhdramnios were analyzed.
Methods
A case control study was conducted at Etlik Zubeyde Hanım Women’s Health Research and Training Hospital. 207 idiopathic polhydramios cases and 336 control group pregnant are included in the study. With postnatal anomaly early neonatal outcomes are also investigated. Early neonatal outcomes are defined as 5 minute apgar score, NICU admission, ventilator requirement, TTS, newborn hypoglycemia.
Results
Rate of post natal structural anomaly is higher in idiopathic polyhdramnios group when compared with control group (%5.3 vs %0.6 p=0.001). Patients with I.P. have increased rate of TTN(%1.9 vs %0.0, p=0.021), new born ressutation, (%3.4 vs %0.3 p=0.007), need for NICU (%6.8 vs %0.3 p=0.00),need for ventilator (%2.9 vs %0.0 p=0.03), new born jaundice (%6.3 vs %0.9 p=0.00) and new born hypoglycemia (%5 vs %1.2,p=0.006).
Conclusion
In idiopathic polhydramnios,although antenatal follow up do not show any abnormality postnatally, there is higher rate of having structural anomalous fetus. In our study we found that higher rate of structural anomaly at postpartum period. Although prior studies did not find higher rate of early neonatal complication, in our study we found that higher.
Keywords

Idiopathic polyhdramnios, early neonatal outcomes