Malays Fam Physician

. 2023 Dec 21:18:70.

 doi: 10.51866/cr.377. eCollection 2023. https://pubmed.ncbi.nlm.nih.gov/38213388/

Unravelling the unseen threat of polyhydramnios in patients with gestational diabetes mellitus: A case report

Syamimi Nadiah A Wahab ¹, Abdul Hadi Said ², Wan Hasmawati Wan Ismail ³

Affiliations expand

• PMID: 38213388
• PMCID: PMC10781609
• DOI: 10.51866/cr.377

Free PMC article

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.

Keywords: Congenital Diaphragmatic hernia; Edwards syndrome; Gestational diabetes mellitus; Polyhydramnios.

© Academy of Family Physicians of Malaysia.