DOI: 10.36347/sjams.2018.v06i04.087

Pages: 1804-1806

The aims of our study were to assess the correlation between the amniotic fluid index (AFI) value and the frequency and type of fetal anomalies. The material included 50patients at or beyond 28 weeks of gestation with AFI≥25, among them 34 diagnosed with mild polyhydramnios, 14 with moderate one, and 2 with severe one. Polyhydramnios was diagnosed if AFI was ≥25 cm. All patients were divided into three groups based on the value of AFI: 1) mild polyhydramnios with AFI between 25 and 29.9 cm, 2) moderate polyhydramnios with AFI between 30–34.9 cm, and 3) severe polyhydramnios with AFI ≥ 35 cm. The incidence of fetal malformations correlated significantly with the degree of polyhydramnios and was the highest in patients with severe polyhydramnios (100%). Congenital malformations of the gastrointestinal tract were the most frequent fetal anomalies in the whole group of patients (50%). Conclusions: 1. the incidence of fetal congenital anomalies significantly increases with the degree of polyhydramnios, being most frequent in severe one and rather rare in a mild one. 2. Congenital malformations of the gastrointestinal tract were the most frequent anomalies in patients with polyhydramnios, especially in women with severe polyhydramnios.