The Role of Indomethacin in Isolated Polyhydramnios
Objective: To study the role of Indomethacin in patients with Idiopathic Polyhydramnios who were symptomatic. Methods: A prospective study was conducted in Prathima Institute of Medical Sciences, Karimnagar from September 2017 to May 2019. Eighteen patients with Idiopathic Polyhydramnios who pr...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Prathima Institute of Medical Sciences
2020-08-01
|
| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | https://www.pimr.org.in/2020-vol8-issue-2/originalarticle9_v1.pdf |
| Summary: | Objective: To study the role of Indomethacin in patients with
Idiopathic Polyhydramnios who were symptomatic.
Methods: A prospective study was conducted in Prathima
Institute of Medical Sciences, Karimnagar from September 2017
to May 2019. Eighteen patients with Idiopathic Polyhydramnios
who presented with respiratory embarrassment, premature
opening of os or presence of uterine activity were given
Indomethacin orally at a dose of 25mg 6th hourly. The
significance of changes in AFI was tested by paired t test.
Results : There was significant improvement in the symptoms
in all the eighteen patients. The mean age of the patients in
our study was 26.4±5.5 years. The majority 14(77.7%) of
women were multigravida. Mean gestational age at
presentation was 30.78±1.56 weeks. Mean AFI at presentation
was 31.56±3.68 cm. Indomethacin was given orally at a dose
of 25mg, every 6th hourly for a mean duration of 22.5±6.38
days. Mean AFI at the end of treatment was 20.28±5.64 cm.
Pregnancy was prolonged by an average of 5.5±1.89 weeks.
The difference in AFI at the end of treatment was statistically
significant (p<0.05). Oligohydramnios was seen in one patient.
Mean gestational age at delivery was 36.28±1.41 weeks.
17(94.4%) of them had good neonatal outcome. There was
one neonatal death at< 7 days of birth.
Conclusion: Indomethacin significantly decreases amniotic
fluid volume in patients with Idiopathic Polyhydramnios and
relieves symptoms but close surveillance is necessary |
|---|---|
| ISSN: | 2348-1447 2348-229X |