Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of suspected polyhydramnios. Current gestational age: [weeks]. Reported symptoms include abdominal distension, dyspnea, lower extremity edema, and decreased fetal movement. Denies rupture of membranes or vaginal bleeding. Review of systems negative for gestational diabetes or fetal anomalies.
Clinical Examination Findings
Abdominal examination reveals fundal height significantly greater than gestational age. Leopold maneuvers demonstrate difficulty in palpating fetal parts due to increased amniotic fluid. Fetal heart tones are regular. Ultrasound assessment confirms AFI > 24 cm or single deepest pocket > 8 cm. No evidence of fetal hydrops or structural anomalies noted.
Treatment Protocol
Management plan: 1. Serial ultrasound monitoring for fetal growth and AFI. 2. Glucose tolerance test to rule out gestational diabetes. 3. Consider amnioreduction if maternal respiratory distress or preterm labor symptoms occur. 4. Monitor for signs of preterm labor. 5. Consult maternal-fetal medicine (MFM) for detailed anatomical survey.