Polyhydramnios

⁃ This is the problem when the volume of amniotic fluid exceeds 2000 ml during last half of pregnency.
⁃ TYPES:-
⁃ Two types of this disese are acute and chronic which are mentioned below;
⁃ Acute polyhydramnios:- it occurs suddenly between 20 and 24 weeks gestation and is marked by a rapid increase volume.
⁃ Chroni polyhydramnios:- this is a continous gradual increase in volume throughout the last trimester is more common. uterine overdostention may result of preterm labour.
⁃ CAUSES:-
⁃ The exect cause of polyhydramnios is unknown; but the disease occurr more frequently in association with congenital fetal anomalies that interfere with swallowing .
⁃ Inanecephaly in monozygotic multiple gestation.
⁃ 10% of pregnancies in diabetic females.
⁃ SIGNS:-
⁃ Increased of fundal hieght out of proportion to gestation.
⁃ Taut gestation.
⁃ Difficulty in auscultating the fetal heart rate .
⁃ MANAGEMENT:-
⁃ Ultrasonography helps to confirms the polyhydramnios.
⁃ Aminocentesis is performed to reduce the amniotic volume in women .
⁃ provide comfort and safety to the women.
⁃ Encourage bed rest in left lateral position placental perfusion and diuresis.
⁃ Administer antibiotic therapy.
⁃ Provide nutiritional therapy , supportive and psychological therapy to the woman.