Polyhydramnios

Question 1

What are some observations in polyhydramnios when trying to palpate the uterus?

Answer 1

Ballotable fetal parts
Fetal heart cannot be auscultated
Symphysial-fundal height large for dates
Fetal parts hard to palpate
Decreased fetal movements
Fluid thrill

Question 2

2 complications of polyhydramnios?

Answer 2

Malpresentation
Cord prolapse
Preterm labour

Question 3

2 maternal causes of polyhydramnios and why?

Answer 3

Gestational diabetes - fetal polyuria secondary to high glucose level
Renal failure - mum fails to reabsorb liquid produced by baby

Question 4

3 fetal causes of polyhydramnios

Answer 4

TORCH infection
Upper GI obstruction - i.e Duodenal atresia/trachea-oesophageal obstruction secondary to Down’s Syndrome
Twins (twin-twin transfusion syndrome)

Question 5

Surgical intervention for polyhydramnios?

Answer 5

Amnioreduction (if polyhydramnios is severe)