Idiopathic Recurrent Polyhydramnios: A Rare Case Report

Polyhydramnios complicates 1–2% of pregnancies and may be associated with adverse maternal and fetal pregnancy outcomes. More than 50% cases of polyhydramnios are labelled as Idiopathic polyhydramnios.

Incidence of Recurrent polyhydramnios is reported as 1 in 1720 pregnancies with a perinatal mortality rate of 16.2%
In comparison to normal pregnancies, perinatal mortality is reported to be two to five fold higher in pregnancies with idiopathic polyhydramnios. Here is a case of idiopathic polyhydramnios recurring in three pregnancies consecutively.

Case Report

A 24 year old Gravida 3 with history of polyhydramnios in the previous 2 pregnancies was supervised at antenatal clinic since early gestation. 1st pregnancy resulted in previable pPROM (preterm premature rupture of membranes) and had abortion at 24 weeks period of gestation (POG). This was an unsupervised pregnancy with history of early onset polyhydramnios at around 20 weeks POG. In the second pregnancy, polyhydramnios was detected at 22 weeks. Glucose tolerance test (GTT), TORCH serology, anomaly scan (level II) and fetal echocardiograpgy were normal...