Objectives: To find out the perinatal outcome of pregnancies with polyhydramnios. Methods: This is a retrospective study carried out at ACPM Medical College Dhule. 100 pregnant women who were diagnosed with polyhydramnios by USG from 24 weeks onwards till 40 weeks were followed for risk factors, complications, incidence of fetal congenital anomaly, severity of polyhydramnios, mode of delivery and neonatal outcome. Result: Study showed that the incidence of polyhydramnios was higher in 20–30 years of age group. 83% were multi and 17% were primi. 65% were delivered at term, 35% were preterm labour. 63% patient delivered vaginally and 37% by C-section. 29% neonates were associated with congenital anomalies, of which 14% were associated with spina bifida, 6% with diaphragmatic hernia, 4% with hydrocephalus, 3% with anencephaly and 2% with oesophageal atresia. Perinatal death rate is 12%. Conclusion: A good clinical examination can usually identify subjects with polyhydramnios. Every case of polyhydramnios needs careful antenatal evaluation, parental counselling, individualized decision regarding timing and mode of delivery. Continuous intrapartum fetal monitoring and good neonatal care are necessary for better perinatal outcome.

Keywords: Polyhydramnios; Perinatal outcome; Preterm labor; Congenital anomalies.