Amniotic fluid is the cure for everything
Too much and too little amniotic fluid
Too much amniotic fluid (polyhydramnios)
A. Polyhydramnios or hydramnios denotes the excessive accumulation of amniotic fluid around the fetus and is a complication that usually occurs in the middle or late stages of pregnancy occurs. Polyhydramnios is diagnosed in less than 0.5 percent of all pregnant women.
In most cases that is Cause of this disorder though unknown, however, affects them Women with diabetes mellitus or multiple pregnancies more often than others. It also occurs when the baby is due to a child malformation cannot swallow properly. Such malformations exist, for example, as constrictions or obstructions in the digestive system, on the spine, the head, the brain or the muscles. In nine out of ten cases, no cause at all can be found. The more severe the polyhydramnios, the more likely a malformation is.
The Symptom include abdominal discomfort, tense abdominal muscles, shiny and tight skin on the abdomen and an unusually large uterus for the respective stage of pregnancy, increased water retention, especially in the legs, shortness of breath and indigestion. Polyhydramnios can lead to premature labor due to the increased tension in the uterus, but also to a breech position of the child due to the increased space available.
For clarification one first becomes one Ultrasound examination perform and check for diabetes mellitus to find the cause of the disorder. If your case is mild polyhydramnios with no signs of malformation of the fetus, you may be given medication to relax the uterus. This is to reduce the risk of premature labor.
In severe cases Amniotic fluid may be drawn to provide temporary relief and reduce the risk of premature labor. If the pregnancy is already at an advanced stage, the birth can also be induced artificially.
Too little amniotic fluid (oligohydramnios)
A. Sufficient amount of amniotic fluid is necessary for the unborn child and its maturation very important. If there is too little amniotic fluid, the lung function is not sufficiently stimulated and the baby's bones can become deformed due to the confined space. If there is not enough amniotic fluid at the beginning of pregnancy, amniotic bands can form in the uterus, which can rarely lead to mild, sometimes severe, congenital malformations, especially of the limbs.
By Ultrasonic measurements The specialist gynecologist can determine the so-called amniotic fluid index: A value between 8 and 18 cm is normal, below this one speaks of oligohydramnios, above that of polyhydramnios or hydramnios.
Possible causes Oligohydramnios can be malformations of the child's kidneys and lower urinary tract with reduced urine output, or premature rupture of the urine with loss of amniotic fluid. Even if the calculated due date has already passed, i.e. the child is transferred, the amount of amniotic fluid decreases, as is generally the case with a dysfunction of the placenta, e.g. B. from high blood pressure or smoking. The kidneys of the unborn child are then less well supplied with blood and produce less amniotic fluid.
The decreased amount of amniotic fluid makes initially through one for the pregnancy week too small uterus and through less noticeable child movements. Your gynecologist will do an ultrasound to confirm the oligohydramnios. Then the cause has to be looked for: A special ultrasound of the malformation can, for example, detect a fetal kidney malformation or a narrowing of the urinary tract (ureter and urethra), and a Doppler ultrasound can detect a placenta disorder.
Will be a Malformation found is one Chromosome analysis appropriate to rule out a complex genetic syndrome. For some urinary tract malformations, treatment can be carried out before birth. For most, however, an operation in infancy is sufficient.
To a Oligohydramnios to to treat, the amniotic fluid space can be filled with a sugar-saline solution. Under an ultrasound view, a long, thin needle is inserted through the abdominal wall into the amniotic sac, through which the warmed solution is injected. Then it can be observed at the same time whether a premature rupture of the bladder is the cause of the amniotic fluid loss. If the pregnancy is advanced enough, it can be useful to induce the birth.
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