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Polyhydramnios is present in approximately 2 % of pregnancies and has been associated with a variety of adverse pregnancy outcomes. The aim of our study was to evaluate the association between polyhydramnios and adverse pregnancy outcomes. This was a retrospective case control study of 288 singleton pregnancies delivered in Rotunda Hospital Dublin between 2013and 2014. Polyhydramnios was defined as i) AFI 25cm , ii) maximal vertical pocket (MVP) of 8cm. and iii) a gestational age specific threshold for AFI. Demographic information, obstetric and neonatal outcomes were obtained by review of hospital databases. Exclusion criteria included gestational or pre-existing diabetes, multiple pregnancies, a fetus with structural or chromosomal abnormalities, Rhesus isoimmunisation, TORCH screen positive. Outcomes were compared with outcomes of singleton pregnancies without polyhydramnios. A total of 8,798 deliveries occurred during the study period. The frequency of polyhydramnios was 1.6%. One hundred and forty four women formed study group, and 144 women with normal amniotic fluid were matched as the control group.