1. Fetal Hydrops (≥2 Abnormal Fluid Compartments)
Generalized Fetal Skin Edema (≥5 mm)
๐ Fetal Ascites
๐ Pleural Effusion
๐ Pericardial Effusion
2. PLACENTAL & AMNIOTIC FINDINGS
๐ Placentomegaly
๐ Hydropic Placenta
๐ Polyhydramnios
๐ Oligohydramnios (Late / Terminal)
3. IMMUNE HYDROPS
๐ Immune Hydrops Fetalis
๐ Rh Isoimmunization–Related Hydrops
๐ Severe Fetal Anemia (Immune)
๐ Elevated MCA Peak Systolic Velocity (>1.5 MoM)
4. NON-IMMUNE HYDROPS : CARDIAC
๐ Structural Congenital Heart Disease with Hydrops
๐ Fetal Cardiomyopathy
๐ Fetal Arrhythmia–Related Hydrops
๐ High-Output Cardiac Failure
5. NON-IMMUNE HYDROPS : HEMATOLOGIC
๐ Severe Fetal Anemia (Non-Immune)
๐ Parvovirus B19–Related Hydrops
๐ Fetomaternal Hemorrhage
๐ Alpha Thalassemia–Associated Hydrops
6. NON-IMMUNE HYDROPS : LYMPHATIC / THORACIC
๐ Primary Chylothorax
๐ Lymphangiectasia
๐ Extensive Fetal Lymphedema
๐ Congenital Pulmonary Airway Malformation with Hydrops
7. NON-IMMUNE HYDROPS : CHROMOSOMAL / GENETIC
๐ Turner Syndrome–Associated Hydrops
๐ Down Syndrome with Hydropic Changes
๐ Trisomy 18–Associated Hydrops
๐ Trisomy 13–Associated Hydrops
8. NON-IMMUNE HYDROPS : CNS / VASCULAR
๐ Vein of Galen Malformation with Hydrops
๐ Large Arteriovenous Malformation
9. NON-IMMUNE HYDROPS : GI / ABDOMINAL
๐ Isolated Fetal Ascites
๐ Meconium Peritonitis with Ascites
๐ Intestinal Atresia with Secondary Hydrops
10. NON-IMMUNE HYDROPS : TWIN & PLACENTAL
๐ Twin Reversed Arterial Perfusion Sequence (TRAP)
๐ Twin-to-Twin Transfusion Syndrome with Hydrops
11. SEVERITY & TEMPORAL CLASSIFICATION
๐ Mild Hydrops
๐ Severe Generalized Hydrops
๐ Early-Onset Hydrops (Poor Prognosis)
๐ Late-Onset Hydrops
12. DOPPLER & HEMODYNAMIC FINDINGS
๐ Raised MCA PSV
๐ Absent / Reversed Ductus Venosus a-Wave
๐ Umbilical Vein Pulsations
13. OUTCOME / STATUS
๐ Progressive Hydrops on Serial Scans
๐ Partial Resolution of Hydrops
๐ Intrauterine Fetal Demise with Hydrops
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