polyhydroaminos

nsg

1. TOPIC – POLYHYDROAMNIOS PRESENT TO: PRESENT BY: MRS. SNEHLATA PARASHAR RAHUL BAKLIWAL (LECTURER OF O.B.G.) BSC NURSING (4 th YEAR ) MITTAL COLLEGE OF NURSING AJMER

2. SPECIFIC OBJECTIVES :- After the completion of the topic student will be able to :- 1. Introduction of polyhydroamnios. 2. Definition of polyhydroamnios. 3. Enlist the cause of polyhydroamnios. 4. Clinical types of polyhydroamnios. 5 Describe the sign & symptoms of polyhydroamnios 6. Enlist the investigations for polyhydroamnios. 7. Complications of polyhydroamnios. 8. Discuss the management of polyhydroamnios.

3. POLYHYDROAMNIOS

4. INTRODUCTION :- Polyhydroamnios is a medical condition that occurs in pregnancy & charactorised by excess of amniotic fluid in amnion sac that is more than the expected level for the gestational age It is seen in about 1% of pregnancies .

5. Definition 1. Polyhydroamnios is define as a state where liquor amnii exceed 2000 ml. 2. Polyhydroamnios is a medical condition when the amniotic fluid index (AFI) is greater then 24cm. Normal level :- 600-800ml AFI:- 8-18 cm.

6. CAUSES OF POLYHYROAMNIOS Idiopathic . Fetal anomalies / genetic . - Anencephaly . - Facial cleft . - Esophagial Atresia . - Diaphragmatic hernia. Genitourinary tract system . Multiple pregnancy .

7. Clinical Types Of Polyhydroamnios Two Types Of Polyhydroamnios :- 1. Acute polyhydroamnios. Chronic polyhydroamnios. Acute Polyhydroamnios :- If amniotic fluid increase rapidly over days can cause severe symptoms is known as acute polyhydroamnios. 2 . Chronic polyhydroamnios :- If amniotic fluid volume increase progressively over months the symptoms are usually milder is known is chronic polyhydroamnios.

8. Signs And Symptoms Of Acute Polyhydroamnios :- Abdomen pain. 2. Nausea or vomiting. 3. Fluid thrill may be present. 4. Abdomen in hugely enlarged . 5. Fetal parts cannot be felt normal but the fetal heart sound is audible.

9. Sign And Symptoms Of The Chronic Polyhydroamnios :- Symptoms are mainly due to mechanical causes.. 1. Dyspnea is more common in supine position. 2 . Edema in legs. 3. Uterine Contractions. 4. Urterine Discomfortness.

10. Sign And Symptoms Of The Polyhydroamnios :-- 1. Difficulty in breathing. 2. Feeling tightness in the belly. 3. Swelling in the lower extremities. 4. Patient looks ill. 5. Absence of features of shock. 6. Fluid thrill is present.

11. Various Lab Investigation For The polyhydroamnios :- 1. Blood test :- Blood test for infection disease is associated with polyhydroamnios may be offered. 2. Amniocentesis :- Amniocentesis is a procedure in which a sample of amniotic fluid which contain fetal cell and various chemical produced by baby are removed from the uterus for testing.Testing may use to screen the chromosome for abnormality.

12. 3. Non stress test :- This test check how the baby's heart rate reacts when the baby moves. During the test patient will wear a special device on the abdomen to measure the baby's heart rate. A buzzer like device can be used to wake up the baby & encourage the baby for movement.

13. Diagnostic Tests For Polyhydroamnios :- Ultrasound :- (A).Fetal abnormalities (B). Excessive amniotic fluid. 2. Abdominal examination :- (A). Inspection. (B). Palpation.

14. Complications Of The Polyhydroamnios :- 1. Preterm labor. 2. Premature rupture of membrane 3. Placenta separated from uterus 4. Internal bleeding 5. Umbilical cord prolapsed.

15. Discuss The Management Of The Polyhydroamnios The patient who has symptomatic polyhydroamnios may need Hospital admission. Medical Management :- Antacids may be prescribed to relieve heartburn and nausea.

16. Prostaglandin Synthesis Inhibitor :- 1. Indomethacin :- Indomethacin cross the Placenta and can reduce the fetal urine production to treat the polyhydroamnios. It does so by reducing renal blood flow. Dose:- 25 mg/6 hrs/oral 2. Sulindac :- Dose:- 200 mg/12 hrs/oral

17. Nursing Responsibilities :-- Following conditions are assessed:- Assess the excess fluid volume. Assess patients general condition. Monitor intake and output every 4 hours. Assess fetal condition by electronic fetal monitoring. Assess the abdominal girth to assess uterine height and compare with the previous measurements.

18. THANK YOU