Occurrence of polyhydramnios and oligohydramnios during prenatal ultrasonography in cases of detected fetal and neonatal developmental abnormalities

Aténé Simonyi, Fanni Rebeka Erös, Noémi Bíró, István Szabó, Artur Beke

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To investigate the proportion of the var-ious fetal anatomy disorders associated with polyhy-dramnios or oligohydramnios during prenatal ultra-sonography. STUDY DESIGN: In our study we processed the prenatalIsonographic and postnatal clinical and fetopatho-logical data of 1,200 fetuses with developmental disorders over a 7-year period. aWe studied the association of fetal disorders with poly-hydramnios or oligohydramnios. RESULTS: The fetal craniospinal malformations were significantly associated with polyhydramnios (28.49%). Although in some of the cardiovascular malformations (atrioventricular septal defect, double outlet right ven-tricle, tetralogy of Fallot) the association rate with poly-hydramnios was high, we found a moderate combined association rate (19.7%). For fetuses with abdominal and abdominal wall malformations, polyhydramnios occurred in 40% of the cases. In two-thirds of the cases of urogenital malformations, quantitative differences of the amniotic fluid occurred: oligohydramnios in 41.23%, while polyhydramnios in 28.25%. We found that, in addition to the urogenital and abdominal malformations, polyhydramnios has a significant association rate with bone and limb developmental malformations (25.32%). CONCLUSION: In cases of polyhydramnios and oli-gohydramnios, fetal echo-cardiography and the sonographic examination of the urogenital system, abdominal organs, skull and spine, and limbs should be performed.

Original languageEnglish
Pages (from-to)57-66
Number of pages10
JournalJournal of Reproductive Medicine
Volume65
Issue number1
Publication statusPublished - Feb 2020

Keywords

  • Amniotic fluid
  • Congenital abnormali-ties
  • Diagnostic imaging
  • Fetal developmental dis-order
  • Fetal heart
  • Fetal ultrasonography
  • Incidence
  • Oligohydramnios
  • Polyhydramnios
  • Pregnancy
  • Prenatal ultrasonography

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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