Polyhydramnios management?

• A. Monitor with ultrasound and manage underlying cause; may require amniotic fluid reduction if indicated
• B. Immediate cesarean
• C. No intervention is needed
• D. Bed rest only

Answer: (A)

Managing polyhydramnios centers on assessing the pregnancy and addressing the underlying cause while watching for signs that require intervention. The main approach is serial ultrasound to monitor the amniotic fluid volume and evaluate fetal well-being, alongside identifying conditions driving the excess fluid (such as poorly controlled diabetes, fetal anomalies, or multiple gestation). If a treatable cause is found, correcting it can help reduce fluid production by the fetus. In more severe or symptomatic cases, or when the fluid volume poses risk to the mother or fetus, reducing the amniotic fluid by procedures like amniocentesis (amnioreduction) may be considered. Delivery planning depends on gestational age and fetal status, rather than polyhydramnios alone—cesarean delivery is not routinely indicated for polyhydramnios, and bed rest is not a standard remedy.