Description

Potter's sequence describes a number of physical changes in a neonate associated with intrauterine oligohydramnios. A neonate with the physical features should be evaluated for visceral abnormalities.


 

Alternative terms: Potter's syndrome, oligohydramnios sequence

 

Clinical findings:

(1) "beak" nose" (flattened with tip curved down, like a bird's beak)

(2) low set ears

(3) receding chin

(4) joint contractures (arthrogryposis)

(5) abnormal bending of the lower extremities (talipes, equinovarus, other)

(6) pulmonary hypoplasia

 

Conditions associated with Potter's sequence - any cause of oligohydramnios:

(1) bilateral renal aplasia

(2) bilateral renal agenesis

(3) bilateral urinary tract obstruction

(4) bilateral renal dysplasia

(5) polycystic kidney disease with prenatal onset

(6) chronic leakage of amniotic fluid

 

The physical changes occur because of a loss of the cushioning effect provided by the amniotic fluid, allowing intra-uterine compression to occur.

 


To read more or access our algorithms and calculators, please log in or register.