Inclusion criteria: Pregnant females with singletons and polyhydramnios with more than 21 weeks of gestational age. Two radiologists (with more than five years of experience) reviewed the ultrasonography. Ltd., Seoul, South Korea ) and GE Voluson P8 (GE Healthcare, Little Chalfont, United Kingdom) ultrasonography machine with a 5MHz curvilinear electronic array. USG was performed using a SAMSUNG HS 70A (Samsung Electronics Pvt. All the examinations were carried out under ethical standards which were approved by the Declaration of Helsinki in 1964, and its revisions occurred due to the course of time. Informed consent from the patients was taken. The study was carried out at the department of Radio-diagnosis in collaboration with the Department of Obstetrics and Gynaecology, Era’s Lucknow Medical College from September 2020 to September 2021 after getting clearance from the Institutional Ethical Committee (approval no. This is a prospective study, the total 104 patients that were recruited in this study were pregnant females with polyhydramnios from the urban and rural zone. The biggest vertical pocket assessment includes measuring the biggest pocket freed from the fetal systems or a cord with the ultrasound probe located parallel to the sagittal plane. The accuracy of this evaluation will depend strongly on the experience of the sonographer. The subjective technique includes visually estimating the amniotic fluid pockets at the same point of an ultrasound examination. The assessment of amniotic fluid at some point of an ordinary ultrasound test may be executed in three ways: the subjective way, the dimension of the single biggest vertical pocket, or the assessment of the amniotic fluid index. Ultrasound assessment of amniotic fluid volume A disturbed equilibrium may be the result of compromised swallowing features or accelerated urination and might cause polyhydramnios. The relative attribution of every one of those mechanisms varies all through being pregnant. Amniotic fluid is reabsorbed through fetal swallowing and intramembranous and intravascular absorption. Fluids are stimulated through fetal urination and fetal lung liquid manufacturing. Under physiological conditions, there may be a dynamic equilibrium between the production and resorption of amniotic fluid. Typical signs of polyhydramnios encompass maternal dyspnea, early labor, untimely rupture of membranes (PPROM), bizarre fetal presentation, cord prolapse, and postpartum hemorrhage. The diagnosis of polyhydramnios relies upon its reason and severity. The analysis is acquired through ultrasound. Common reasons for polyhydramnios encompass gestational diabetes, fetal anomalies with disturbed fetal swallowing of amniotic fluid, fetal infections, and other, rarer reasons. Polyhydramnios is described as a pathological growth of amniotic fluid extent in being pregnant and is related to accelerated perinatal morbidity and mortality. Approximately 15% of pregnancies with hydramnios arise amongst ladies with diabetes. There is a well-defined affiliation between diabetes mellitus and pregnancy complications through hydramnios. We observed that by reducing oral intake of sugar, the amniotic fluid index drops down in pregnant females Early prediction of gestational diabetes can be made by amniotic fluid index even before glucose concentration. Out of 104 pregnant females with polyhydramnios, 82 were diagnosed with gestational diabetes after 28 weeks.Ĭonclusion: In this study, we have concluded that the earliest and most sensitive predictor for gestational diabetes is a rise in the amniotic fluid index which could have been prevented by avoiding oral intake of sugar. Polyhydramnios is more common in the urban zone and among older pregnant females. In our study, we observed that after avoiding oral intake of sugar in pregnant females with polyhydramnios, it was concluded that the amnionic fluid index lies towards the lower side. Results: This is a prospective study, all 104 patients that were recruited in this study were pregnant females with polyhydramnios mainly from the urban and rural zone with different age groups (between 21 and 37 years). We measured amniotic fluid index and took a blood sample for hemoglobin (Hb)A1C, fasting blood glucose, post-prandial and random blood glucose, and also performed a glucose tolerance test in pregnant women. Ltd., Seoul, South Korea) and a GE Voluson P8 (GE Healthcare, Little Chalfont, UK). Methods: The research was performed on pregnant women with polyhydramnios (n=104 ) after 28 weeks. Purpose: To study the association and correlation between the amniotic fluid index, random glucose concentration, and serum glucose concentration after avoiding oral intake of sugar in a pregnant female with polyhydramnios.
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