PDF(Pubmed)
Abstract：
Polyhydramnios is defined as an increase in the amount of amniotic fluid during pregnancy. This article presents the case of a 35-year-old G4P3 lady at 28 weeks of gestation with suboptimised gestational diabetes Mellitus (GDM). Routine transabdominal ultrasound showed the presence of polyhydramnios, initially thought to be due to suboptimal glucose control. Further evaluation revealed a congenital diaphragmatic hernia with multiple soft markers. Identifying the underlying causes of polyhydramnios can be challenging in primary care settings, which can be attributed to various factors. Although primary care medical officers may not be required to perform detailed scans, they have a crucial role in identifying gross foetal abnormalities. This study highlights the potential for missed diagnoses in primary care settings and the importance of comprehensive prenatal assessments to ensure early detection and appropriate management of polyhydramnios-related conditions in women with GDM.
摘要：
羊水过多定义为怀孕期间羊水量的增加。本文介绍了一名35岁的G4P3女士在妊娠28周时患有未优化的妊娠糖尿病（GDM）的情况。常规经腹超声显示羊水过多,最初认为是由于血糖控制欠佳。进一步评估显示先天性膈疝有多个软标记。在初级保健环境中，确定羊水过多的根本原因可能具有挑战性，这可以归因于各种因素。虽然初级保健医务人员可能不需要进行详细的扫描，它们在识别胎儿严重异常中起着至关重要的作用。这项研究强调了在初级保健机构中漏诊的可能性以及全面的产前评估的重要性，以确保早期发现和适当管理GDM女性羊水过多相关疾病。
