A comprehensive overview on idiopathic polyhydramnios and associated complications.
Review article.
Department of Obstetrics and Gynaecology, First Faculty of Medicine, Charles University and Hospital Na Bulovce, Prague, Czech Republic; Department of Obstetrics and Gynaecology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.
Literature search using the databases Web of Science, Ovid, Cochrane, Medline databases and an analysis of articles published in peer-reviewed journals with impact factor in the years 1958-2020.
Polyhydramnios occurs in 0.2-2% of pregnancies. Pregnancies with polyhydramnios are more often complicated by abnormal foetal lie or presentation and, moreover, should be associated with adverse pregnancy outcomes, particularly with the higher incidence of intrauterine foetal death, placental abruption, labour induction, caesarean sections, prolonged first stage of labor and shoulder dystocia.
The moderate and severe forms of idiopathic polyhydramnios are associated with the higher risk of adverse pregnancy outcomes that implies the need for intensive monitoring of a pregnant woman and the foetus both in pregnancy and during the delivery itself.
对特发性羊水过多及相关并发症进行全面概述。
综述文章。
捷克布拉格查理大学第一附属医院妇产科;捷克布拉格查理大学第二附属医院和莫托利大学医院妇产科。
使用 Web of Science、Ovid、Cochrane、Medline 数据库进行文献检索,并分析 1958 年至 2020 年间发表在具有影响因子的同行评议期刊上的文章。
羊水过多在 0.2-2%的妊娠中发生。羊水过多的妊娠更常伴有异常胎儿位置或表现,而且,应与不良妊娠结局相关,特别是胎儿宫内死亡、胎盘早剥、引产、剖宫产、第一产程延长和肩难产的发生率更高。
中重度特发性羊水过多与不良妊娠结局的风险增加相关,这意味着需要对孕妇和胎儿进行妊娠和分娩期间的强化监测。