It is a medical condition describing an excess of amniotic fluid in the amniotic sac. It is seen in about 1% of pregnancies. It is typically diagnosed when the amniotic fluid index (AFI) is greater than 24 cm. Causes include -Twin gestation with twin-to-twin transfusion syndrome (increased amniotic fluid in the recipient twin and decreased amniotic fluid in the donor) or multiple gestations Fetal anomalies, including esophageal atresia (usually associated with a tracheoesophageal fistula), tracheal agenesis, duodenal atresia, and other intestinal atresias CNS abnormalities and neuromuscular diseases that cause swallowing dysfunction Congenital cardiac-rhythm anomalies associated with hydrops, fetal-to-maternal hemorrhage, and parvovirus infection Poorly controlled maternal diabetes mellitus (Oligohydramnios may also be seen if severe vascular disease is present.) Chromosomal abnormalities, most commonly trisomy 21, followed by trisomy 18 and trisomy 13. Fetal akinesia syndrome with absence of swallowing Medication advised-Indocin 50mg Investigation needed-Fasting blood sugar