Complication of

Olygohidramnios and
Polyhidramnios on
Newborn
Hidayat

 Amniotic fluid is produced by the

fetal kidneys and lungs.
It can be resorbed by the placenta,
swallowed by the fetus, or leaked out
into the vagina

Amnion fluid
The range of normal volumes of fluid
present is wide and varies with the
duration of pregnancy
Average values for amniotic fluid are:
12 weeks: 50ml;
24 weeks: 500ml;
36 weeks: 1000ml;
The normal range at term in a
singleton pregnancy is 5001500ml.

amniotic fluid index (AFI)

The AFI is calculated by dividing the
maternal abdomen into quadrants,
measuring the largest vertical pocket of
fluid in each quadrant in centimeters, and
summing them.
An AFI of less than 5 is considered
oligohydramnios. < 500 mL
An AFI greater than 20 or 25 is used to
diagnose polyhydramnios, as more than
2,000 mL at any gestational age

Oligohydramnios
Oligohydramnios in the absence of rupture
of membranes (ROM) is associated with a 40fold increase in perinatal mortality.
without the amniotic fluid to cushion it, the
umbilical cord is more susceptible to
compression thus leading to fetal
asphyxiation.
It is also associated with congenital
anomalies, particularly of the genitourinary
system, and growth restriction

Polyhidramnios
More common in pregnancies
complicated by diabetes and
multiple gestation.
An obstruction of the
gastrointestinal tract (e.g.,
tracheoesophageal fistula, duodenal
atresia)

THANKS