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Transient Polyhydramnios during Pregnancy Complicated with Gestational Diabetes Mellitus: Case Report and Systematic Review

Polyhydramnios is an obstetrical condition defined as a pathological increase in the amniotic fluid and is associated with a high risk of maternal-fetal complications. Common causes of polyhydramnios include fetal anatomical and genetic abnormalities, gestational diabetes mellitus, and fetal viral i...

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Autores principales: Preda, Agnesa, Ștefan, Adela Gabriela, Preda, Silviu Daniel, Comănescu, Alexandru Cristian, Forțofoiu, Mircea-Cătălin, Vladu, Mihaela Ionela, Forțofoiu, Maria, Moța, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9221944/
https://www.ncbi.nlm.nih.gov/pubmed/35741150
http://dx.doi.org/10.3390/diagnostics12061340
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author Preda, Agnesa
Ștefan, Adela Gabriela
Preda, Silviu Daniel
Comănescu, Alexandru Cristian
Forțofoiu, Mircea-Cătălin
Vladu, Mihaela Ionela
Forțofoiu, Maria
Moța, Maria
author_facet Preda, Agnesa
Ștefan, Adela Gabriela
Preda, Silviu Daniel
Comănescu, Alexandru Cristian
Forțofoiu, Mircea-Cătălin
Vladu, Mihaela Ionela
Forțofoiu, Maria
Moța, Maria
author_sort Preda, Agnesa
collection PubMed
description Polyhydramnios is an obstetrical condition defined as a pathological increase in the amniotic fluid and is associated with a high risk of maternal-fetal complications. Common causes of polyhydramnios include fetal anatomical and genetic abnormalities, gestational diabetes mellitus, and fetal viral infections. We present the case of a 30-year-old Caucasian woman with transient polyhydramnios associated with gestational diabetes mellitus and obstetric complications. The diagnosis was based on the ultrasound assessment of amniotic fluid volume during a common examination at 26 weeks. Two weeks prior, the patient had been diagnosed with gestational diabetes mellitus. After 4 days, the patient was examined, and the amniotic fluid index returned to normal values. At 38 weeks, the patient presented to the emergency room due to lack of fetal active movement. Ultrasound revealed polyhydramnios, the patient was admitted for severe fetal bradycardia, and fetal extraction through emergency cesarian section was performed. Six weeks after birth, the patient underwent an oral glucose tolerance test with normal values, confirming gestational diabetes mellitus. We performed a systematic review of the literature on polyhydramnios, from January 2016 to April 2022, to analyze all recent published cases and identify the most common etiological causes and important aspects related to maternal-fetal outcomes.
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spelling pubmed-92219442022-06-24 Transient Polyhydramnios during Pregnancy Complicated with Gestational Diabetes Mellitus: Case Report and Systematic Review Preda, Agnesa Ștefan, Adela Gabriela Preda, Silviu Daniel Comănescu, Alexandru Cristian Forțofoiu, Mircea-Cătălin Vladu, Mihaela Ionela Forțofoiu, Maria Moța, Maria Diagnostics (Basel) Case Report Polyhydramnios is an obstetrical condition defined as a pathological increase in the amniotic fluid and is associated with a high risk of maternal-fetal complications. Common causes of polyhydramnios include fetal anatomical and genetic abnormalities, gestational diabetes mellitus, and fetal viral infections. We present the case of a 30-year-old Caucasian woman with transient polyhydramnios associated with gestational diabetes mellitus and obstetric complications. The diagnosis was based on the ultrasound assessment of amniotic fluid volume during a common examination at 26 weeks. Two weeks prior, the patient had been diagnosed with gestational diabetes mellitus. After 4 days, the patient was examined, and the amniotic fluid index returned to normal values. At 38 weeks, the patient presented to the emergency room due to lack of fetal active movement. Ultrasound revealed polyhydramnios, the patient was admitted for severe fetal bradycardia, and fetal extraction through emergency cesarian section was performed. Six weeks after birth, the patient underwent an oral glucose tolerance test with normal values, confirming gestational diabetes mellitus. We performed a systematic review of the literature on polyhydramnios, from January 2016 to April 2022, to analyze all recent published cases and identify the most common etiological causes and important aspects related to maternal-fetal outcomes. MDPI 2022-05-28 /pmc/articles/PMC9221944/ /pubmed/35741150 http://dx.doi.org/10.3390/diagnostics12061340 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Preda, Agnesa
Ștefan, Adela Gabriela
Preda, Silviu Daniel
Comănescu, Alexandru Cristian
Forțofoiu, Mircea-Cătălin
Vladu, Mihaela Ionela
Forțofoiu, Maria
Moța, Maria
Transient Polyhydramnios during Pregnancy Complicated with Gestational Diabetes Mellitus: Case Report and Systematic Review
title Transient Polyhydramnios during Pregnancy Complicated with Gestational Diabetes Mellitus: Case Report and Systematic Review
title_full Transient Polyhydramnios during Pregnancy Complicated with Gestational Diabetes Mellitus: Case Report and Systematic Review
title_fullStr Transient Polyhydramnios during Pregnancy Complicated with Gestational Diabetes Mellitus: Case Report and Systematic Review
title_full_unstemmed Transient Polyhydramnios during Pregnancy Complicated with Gestational Diabetes Mellitus: Case Report and Systematic Review
title_short Transient Polyhydramnios during Pregnancy Complicated with Gestational Diabetes Mellitus: Case Report and Systematic Review
title_sort transient polyhydramnios during pregnancy complicated with gestational diabetes mellitus: case report and systematic review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9221944/
https://www.ncbi.nlm.nih.gov/pubmed/35741150
http://dx.doi.org/10.3390/diagnostics12061340
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