Acute Polyhydromnios: A Rare Entity

Acute Polyhydramnios is defined as accumulation of amniotic fluid rapidly complicating approximately 0.2 TO 1.6% of all pregnancies, whereas gestational diabetes (GD) is glucose intolerance in pregnant women, a major health issue in pregnant women. The prevalence rate of glucose intolerance in pregnant women is between 4.6%–14% in well developed areas and 1.7%–13.2% in rural areas. Pregnancies conceived by in vitro fertilisation (IVF) have been associated with higher risk of gestational diabetes mellitus (11.7%), gestational hypertension (9.3%), preeclampsia (4.0%), ICP (11.8%), placenta previa (7.1%), placental abruption (1.6%), PROM (9.9%), placental adherence (7.7%), postpartum haemorrhage (7.3%), and polyhydramnios (2.2%), as compared to spontaneously conceived pregnancies.

Case Description: A 35 years primigravida, 33 weeks gestational age with IVF conception with preeclampsia with breech came with pain in abdomen since 2-3days.On clinical examination, polyhydramnios was diagnosed. On admission she presented with deranged sugar level which was abnormal and sudden rise in Glycosylated hemoglobin seen. Patient was managed conservatively by termination of pregnancy and successful outcome of pregnancy was obtained despite of liquor more than adequate and deranged sugar levels.

Objectives: We examined the routine antenatal profile, radiological changes as well as doppler changes in IVF conceived pregnancies and further management on the basis of clinical, haematological and radiological investigations will be planned accordingly.

Conclusion: Acute polyhydramnios and Gestational diabetes is common in patients conceived through in vitro fertilisation and is associated with poor foe to maternal outcome. Regular antenatal investigations and radiological investigations done to keep her pregnancy in check and reduce the long term effects by modifying treatment modality and by following healthy lifestyles in such patients.