Mathew Mariam, Saquib Shabnam, Rizvi Syed G
Department of Obstetrics and Gynecology, College of Medicine and Health Sciences, Sultan Qaboos University Hospital, Al-Khoud 123, Muscat, Sultanate of Oman.
Saudi Med J. 2008 Feb;29(2):256-60.
To determine the risk factors associated with polyhydramnios, and assess the maternal and perinatal outcome in these patients.
A prospective study of all deliveries complicated with polyhydramnios in Sultan Qaboos University Hospital, Sultanate of Oman between January 2005 and April 2006. Polyhydramnios was divided into mild and moderate to severe based on the amniotic fluid index values. The demographic data, antenatal complications, gestational age at delivery, mode of delivery, postpartum complications, and perinatal outcome were studied.
A total of 2648 singleton deliveries occurred during the study period. Two hundred and eight (7.8%) women with polyhydramnios formed the study group, and 2440 women with normal amniotic fluid formed the control. Polyhydramnios was mild in 179 (86.1%) and moderate to severe in 29 (13.9%) cases. Sixty-eight (32.7%) of these pregnancies were complicated with diabetes as compared with 12.4% of the controls. Preterm delivery occurred in 16 (7.7%) cases. Cesarean delivery rate was 27.9% in the study group compared with 17.3% in the control. Major congenital anomalies were found in 2.8% of newborns compared with 1% among the controls. Eighteen babies were admitted to the special care baby unit.
These data demonstrates a significant positive relation with maternal age, diabetes in pregnancy, and fetal macrosomia with polyhydramnios. Anemia during pregnancy, cesarean delivery rate, and congenital anomalies were significantly higher in the study group.
确定与羊水过多相关的危险因素，并评估这些患者的孕产妇及围产期结局。
对2005年1月至2006年4月在阿曼苏丹国苏丹卡布斯大学医院所有并发羊水过多的分娩进行前瞻性研究。根据羊水指数值将羊水过多分为轻度和中度至重度。研究人口统计学数据、产前并发症、分娩时的孕周、分娩方式、产后并发症及围产期结局。
研究期间共发生2648例单胎分娩。208例（7.8%）羊水过多的女性组成研究组，2440例羊水正常的女性作为对照组。179例（86.1%）羊水过多为轻度，29例（13.9%）为中度至重度。这些妊娠中有68例（32.7%）并发糖尿病，而对照组为12.4%。16例（7.7%）发生早产。研究组剖宫产率为27.9%，而对照组为17.3%。新生儿中发现重大先天性异常的比例为2.8%，而对照组为1%。18名婴儿被送入特殊护理婴儿病房。
这些数据表明孕产妇年龄、妊娠期糖尿病和巨大儿与羊水过多之间存在显著正相关。研究组妊娠期贫血、剖宫产率和先天性异常明显更高。
