Frequency of Malpresentation in Patients Presenting with Polyhydramnios during Pregnancy at Tertiary Care Hospital

Abstract

OBJECTIVES To determine the frequency of malpresentation in pregnant women with polyhydramnios. METHODOLOGY This Cross-Sectional Study was conducted at the Department of Obstetrics and Gynecology of Lady Reading Hospital, Peshawar, from March 2021 to September 2021. A total of 175 pregnant women with polyhydramnios were included in the study. Ultrasound was done to make a diagnosis of malpresentation. RESULTS The age range of pregnant women in this study was from 18-40 years with a mean age of 31.137±3.67 years, mean gestational age of 34.022±2.78 weeks, mean parity of 2.537±1.69 and mean AFI level was 29.017±2.32 cm. A previous history of malpresentation was seen in 25.7% of patients. Malpresentation was observed in 10.3% of patients. The previous history of malpresentation and polyhydramnios had strong statistical significance with current malpresentation (p<0.01). CONCLUSION With the timely diagnosis of polyhydramnios with documentation on ultrasound by an expert radiologist and clinical examination by a gynaecologist, malpresentation can be reduced significantly by prompt treatment.

Keywords

• Pregnancy
• Polyhydramnios
• Fetal Malpresentation