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Letter| Volume 283, P171-172, April 2023

Unexplained severe polyhydramnios: Remember Bartter syndrome

Published:February 14, 2023DOI:https://doi.org/10.1016/j.ejogrb.2023.02.011
      Polyhydramnios occurs in 1–2 % pregnancies [
      • Hill L.M.
      • Breckle R.
      • Thomas M.L.
      • Fries J.K.
      Polyhydramnios: ultrasonically detected prevalence and neonatal outcome.
      ]. In about 5 % of cases the polyhydramnios is severe. There are generally two major etiologies: reduced fetal swallowing and increased fetal urination. Severe and persistent polyhydramnios is an adverse sign for a pregnancy. This is largely due to two factors: the likely presence of an underlying abnormality associated with polyhydramnios and the increased incidence of preterm labor caused by increased uterine pressure. We herein report such a case, confirmed to have Bartter syndrome (BS) in utero by using rapid exome sequencing (ES).
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