Amniotic fluid - a fluid that surrounds and protects the baby during pregnancy.Polyhydramnios - a pathological condition characterized by excessive accumulation of amniotic fluid in the womb during pregnancy.Polyhydramnios occurs in about one percent of pregnancies.
Pregnant with polyhydramnios should be under constant medical supervision in order to prevent complications.In the absence of express circulatory disorders and respiratory physicians seek to maintain the pregnancy until the completion of its physiological.Treatment depends on the severity of polyhydramnios pregnant state.Unexpressed polyhydramnios can disappear without medical intervention.For the treatment of acute and pronounced polyhydramnios may require amniotomy - autopsy fetal bladder to drain excess amniotic fluid.
polyhydramnios polyhydramnios Symptoms result from the increased pressure of the uterus on the nearby organs.Unexpressed polyhydramnios may be accompanied by mild symptoms or no symptoms.Severe and
- shortness of breath or difficulty breathing (normal breathing is only possible in a vertical position);
- swelling of the lower limbs, the vulva and the abdominal wall;
- reduction of urine formation.
Your doctor may also suspect polyhydramnios if the uterus is abnormally increased, and heard gurgling in the abdomen.In this part of the body of the fetus bad palpated, and the heartbeat is heard clearly.
For obvious reasons polyhydramnios in pregnant women include:
- congenital conditions affecting the development of the gastrointestinalgastrointestinal tract or the central nervous system of the child;
- maternal diabetes;
- multiple pregnancy, polyhydramnios in which a fetus is combined with another oligohydramnios;
- lack of red blood cells in the child (fetal anemia);
- conflict Rhesus blood of the mother and child.
cause of polyhydramnios often remains unclear.
Polyhydramnios in pregnancy can lead to the following complications:
- premature birth;
- high blood pressure Blood pressure - dangerous if his swing? ;
- urinary tract infections;
- premature rupture of membranes with prenatal amniorrhea;
- abnormal growth of the fetus;
- premature placenta exfoliation;
- prolapsed cord;
- wrong position of the fetus in the uterus, requiring a cesarean section;
- fetal death (stillbirth)%
- increased risk of postpartum hemorrhage due to poor uterine contractility.
polyhydramnios occurs sooner, the greater the amount of amniotic fluid accumulates in the uterus, the higher the risk of complications.
If you suspect polyhydramnios fetal ultrasound is performed.This method of research uses high-frequency sound waves to produce an image of the child on the monitor.
If the primary ultrasound picture shows signs of polyhydramnios, the doctor prescribes a more detailed ultrasound.In addition, it measures the amount of amniotic fluid in four different parts of the uterus.The sum of these measurements is an index of amniotic fluid index.Normal amniotic fluid index is from 5 to 20 centimeters.Detailed ultrasound helps diagnose or rule out birth defects and other pregnancy complications.
You may also need additional study, including:
- amniocentesis.Amniocentesis - a procedure in which a sample is taken for analysis of amniotic fluid containing fetal cells and chemicals of his life.
- test for glucose uptake Glucose: The energy source .Analysis of glucose uptake - a screening test for the diagnosis of gestational diabetes (the type of diabetes that develops during pregnancy).Pregnant woman drinks the syrup and an hour passes a blood test to measure glucose levels.If blood sugar levels blood sugar - one of the main indicators of human health above normal, appoint an additional test for glucose uptake to determine whether gestational diabetes.
- biochemical analysis of maternal serum.This blood test blood test mirrors health checks levels of substances associated with certain birth defects.
- karyotyping.Karyotyping - an analysis of the quality and quantity of chromosomes in all 23 pairs of chromosomes.Cells for analysis are taken from the sample of amniotic fluid or the placenta during amniocentesis or chorionic villus sampling.