Affiliations 

  • 1 MBBS, Department of Family Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia. Email: syanaawe24@gmail.com
  • 2 MD, MMed, Department of Family Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
  • 3 BMBS, MMed Klinik Kesihatan Paya Besar, Kuantan, Pahang, Malaysia
PMID: 38213388 DOI: 10.51866/cr.377

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.