Polyhydramnios: A warning sign in the prenatal ultrasound diagnosis of foetal malformation? - 30/03/13
, A.M. N’goan-Domoua a, Z. Nikiéma b, A.N. Konan a, K.E. N’guessan c, A. Sétchéou a, Z.O. Tra-Bi a, R.D. N’gbesso a, A.K. Kéita a
Corresponding author.
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
Artículo gratuito.
Conéctese para beneficiarse!
Abstract |
Purpose |
To propose polyhydramnios seen during prenatal diagnosis as a warning sign of foetal malformation.
Patients and methods |
A retrospective multicentre study over a three-year period carried out in Ivory Coast and Burkina Faso. We reviewed 3903 obstetric ultrasound reports. All cases of foetal malformation and polyhydramnios were counted. The instances of foetal malformation associated with polyhydramnios were compared to those of foetal malformation without polyhydramnios and to polyhydramnios only.
Results |
A list of 72 cases of polyhydramnios was made (equating to 1.8%). In 55 cases (76.4%), polyhydramnios was combined with foetal malformation. These were lethal abnormalities in 33 cases and non-lethal in 22 cases. In 17 cases, polyhydramnios was not associated with any foetal malformations and in eight cases, foetal malformation was discovered in the absence of polyhydramnios. Polyhydramnios had a positive predictive value of 76.4% for the presence of foetal malformation. The negative predictive value was 99.8%. Sensitivity was 87.3% and specificity was 99.5%.
Conclusion |
Polyhydramnios is a highly sensitive and specific sign for prenatal diagnosis of foetal malformation. If it is identified, then this should lead to a very careful search for foetal malformation.
El texto completo de este artículo está disponible en PDF.Keywords : Polyhydramnios, Foetal malformation, Prenatal diagnosis, Obstetric ultrasonography
Esquema
Vol 94 - N° 4
P. 433-437 - avril 2013 Regresar al número
Artículo precedente
- Wormian bones in a general paediatric population
- B. Marti, D. Sirinelli, L. Maurin, E. Carpentier
- Spontaneous cholesteatoma of the external auditory canal: The utility of CT
- S. Jerbi Omezzine, M. Dakkem, N. Ben Hmida, M. Saidi, K. Ben Rhouma, N. Driss, H.A. Hamza
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.