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prevention of polyhydramnios...srd/bedrest/indomethacin??From: Anu (avni@vsnl.com)Mon Jul 23 08:37:03 2001
hi all, i am a 32 year old pathologist from india.recently lost my own baby a week ago due to PROM at 30 weeks.was diagnosed as having mild polyhydramnios at 26 weeks which progressed to moderate polyhydramnios at 30 weeks and then premature labour.he succumbed to respiratory distress syndrome and query brain haemorrhage 3 days later.i saw the baby, he was totally normal , except for the weight, he was only 1600 grams.no developmental abnormalities. had a triple maternal screen done earlier too. all the causes of polyhydramnios were ruled out in my case, no gestational diabetes , no Rh incompatibility,etc etc. so it was most probably idiopathic.i was having pain in my vaginal region throughout pregnancy but was told by my gynaec that it was muscular pain. on ultrasound was told that i had a slightly short cervix.internal os remained closed throughout. am doing a lot of research on whether polyhydramnios recurrs the next time and what can be done to prevent its development. all i know is that salt restricted diet and complete bedrest help in atleast worsening already existing polyhydramnios i hear that indomethacin has been used for the treatment of polyhydramnios but still birth is a side effect limiting its use. therapeutic amnios are not that routinely done in india. would that have helped in my case? anyone with any inputs, please help, i am devastated and trying to come to grips with the loss. thanks for your time. Dr. Anuradha Singh India
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