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HYDRAMNIOS AND CONGENITAL ANOMALIES

HYDRAMNIOS AND CONGENITAL ANOMALIES A series of 74 patients with hydramnios was studied; 80% were multiparas and there were five sets of twins. There was a high rate of cesarean section (21.6%), breech deliveries (6.8%), diabetes (18.9%) and preeclampsia (14.9%). Among the 79 neonates delivered, there were 23 deaths and the perinatal mortality was 29.1%. There is a remarkable association of hydramnios and congenital anomalies; 21 infants (26.6%) had congenital anomalies and 14(17.7% ) had pathological conditions. Anencephaly and hydrocephaly were the most common lesions; 6 infants had gastrointestinal defects and 10 had anomalous lesions which would have obstructed swallowing or prevented the passage of fluid through the gastrointestinal tract while in utero. Special emphasis should be placed on lesions in which there is urgent need for correction of respiratory obstruction, early surgery, or both. Routine gastric catheterization and aspiration are therefore valuable diagnostic procedures. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

HYDRAMNIOS AND CONGENITAL ANOMALIES

JAMA , Volume 173 (14) – Aug 6, 1960

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1960.03020320032009
Publisher site
See Article on Publisher Site

Abstract

A series of 74 patients with hydramnios was studied; 80% were multiparas and there were five sets of twins. There was a high rate of cesarean section (21.6%), breech deliveries (6.8%), diabetes (18.9%) and preeclampsia (14.9%). Among the 79 neonates delivered, there were 23 deaths and the perinatal mortality was 29.1%. There is a remarkable association of hydramnios and congenital anomalies; 21 infants (26.6%) had congenital anomalies and 14(17.7% ) had pathological conditions. Anencephaly and hydrocephaly were the most common lesions; 6 infants had gastrointestinal defects and 10 had anomalous lesions which would have obstructed swallowing or prevented the passage of fluid through the gastrointestinal tract while in utero. Special emphasis should be placed on lesions in which there is urgent need for correction of respiratory obstruction, early surgery, or both. Routine gastric catheterization and aspiration are therefore valuable diagnostic procedures.

Journal

JAMAAmerican Medical Association

Published: Aug 6, 1960

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