I had Polydroamnios with DD, it was picked up at 24 weeks and I was measuring 29 weeks (so not as bad as your SIL). But what my OB did first was testing to find out the possible cause, I went straight in for the GTT, adn GD can be a cause, and Blood Tests for infection. All of which came back negative, so we didn't have a cause at all, just had to go with the flow as such. I made it to 33 weeks, but my fluid levels did fluctuate, I also have a septate uterus that is not very good at lasting to term, I had an amniotic band also know for PTL, and possible incompentant cervix, so many other factors that could have resulted in going into PTL and delivering a prem. They do have the option of inserting a needle and taking out some of the fluid, this comes at a risk and was never discussed with me as it wasn't deemed necessary.
The fluid levels are determined also by the amount of urine that the baby is producing, so they will be having a close look at bubs kidney function to see if there are any indicators there of a possible issue.
The excess fluid to the extent that your SIL is experiencing is putting a lot of extra pressure on the uterus and she may not make it to term, but the good things are that it has been picked up, and she will be monitored closely, they won't be able to predict if her membrance will rupture but they can keep an eye out on her cervix to see if that is changing due to the increased pressure on it, indicating whether she is likely to go into labour, they can also do swab tests to determine if her body is more primed and likely to go into labout in the next 10 days or so.
My levels did fluctuate, they dropped right back at 30 weeks, but then rose again and when my waters broke there was a huge amount Soaked through tracksuit pants, a towel and my car seat
Will be keeping wee little Issac in my thoughts are prayers along with your SIL, she must be very scared, but look at the positives it helps the mental and emotional side of the journey, she is being closely monitored, resting a lot and that the levels can fluctuate, so I pray that theyd rop for her.
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