Tersiyer Bir Merkezde Polihidramnios Olgularının Retrospektif Değerlendirilmesi

INTRODUCTION: To evaluate our polyhydramnios cases regarding to fetal and maternal factors retrospectively.
METHODS: 149 polyhdramniotic pregnancies throughout 4 years were evaluated and maternal age, parity, mode of delivery, indication for cesarean section, delivery week, prematurity, 1st and 5th minute APGAR score, birth weight, end polyhydramnios etiology were recorded.
RESULTS: Polihydramnios rate was %1.09 (149/13624).Mean Maternal age 31.32±6.56, gravidity 5.49±3.03, parity 4.01±2.78, mean gestational week 34.06±4.16, mean birth weight 2298±873 grams, perinatal mortality rate %32.21 (n=48). Etiological factors were idiopathic %57.72 (n=86), fetal anomalies %25.50 (n=38), and gestational diabetes %11, 41 (n=17), respectively. Most frequent fetal anomaly was central nerve system anomalies %16.10 (n=24) with anencephaly as %7.38 (n=11). %1, 34 (n=2) had non immune hydrops fetalis, whereas %4.0 (n=6) had immune hydrops Fetalis. Mode of deliveries were cesarean (%47.65) and vaginal (%52.35), respectively.
DISCUSSION AND CONCLUSION: A programmed antenatal surveillance could result in early detection of etiological factors. Patients should be referred to tertiary centers to facilitate early interventions.