Polyhydramnios - treat the cause rather than a consequence of
Despite the fact that we live in the twenty-first century, when medicine has leaped forward, a woman during pregnancy and childbirth are always in danger.To make the situation got out of control and she was able to successfully give birth to a healthy baby, it should be under constant medical supervision - this basic truth is known in all civilized countries.
What is polyhydramnios and the reasons
Polyhydramnios - a painful condition in which in the amnion (periconceptional bag, which concluded the fetus and amniotic fluid) is an excessive amount of amniotic fluid (over 1.5 liters).Polyhydramnios occurs in 0.3 - 0.6% of births.
polyhydramnios reasons not well understood.It is believed that polyhydramnios may occur in pregnant women with diabetes mellitus - threatening and incurable disease , kidney disease, cardiovascular and other diseases, after infectious diseases, as well as due to incompatibility of blood between mother and fetus byRh factor Rh factor - is still a medical mystery .Polyhydramnios develops in violation of suction and secretory capacity of amnion is usually in the middle or the second half of pregnancy.
course of pregnancy and the effect on the fetus polyhydramnios
Polyhydramnios may be acute or chronic.In acute polyhydramnios amount of amniotic fluid increases quickly, sometimes within a few days.Pregnant appear malaise, anxiety, shortness of breath, difficulty breathing, increased heart rate, abdominal pain, edema.In acute polyhydramnios pregnancy is usually aborted prematurely and the fruit often dies or is born with malformations.
Chronic polyhydramnios amount of amniotic fluid increases gradually.Shortness of breath, heart disorders and other symptoms may be expressed mild or absent.In chronic polyhydramnios during pregnancy depends on the severity of pathological changes: pregnancy may stop prematurely or the fetus to term wears timely delivery.Sometimes the fetus is born with malformations.
Polyhydramnios often develops in monozygotic twins, while in the amnion of a fruit notes an excessive amount of amniotic fluid, the fetus in the amnion another - water scarcity, while the second fetus is less developed.
On the basis of what is diagnosed polyhydramnios
Diagnosis is based on research data of the uterus: an increase in uterine size does not correspond to the duration of pregnancy, the uterus becomes normal testovatoy consistency becomes supple and tense.When probing it has a round or barrel-shaped (normal ovoid shape).The fruit mobile, often changes its position, probing its parts is difficult.Mild polyhydramnios can determine the movable head of the fetus, when polyhydramnios strong expression of the fruit can not be felt at all.
diagnosis is confirmed by ultrasound, including Doppler (to assess the nature and speed of blood flow), also carried out a study dopoln6itelnoe fetal status - cardiotocography (CTG) to find out how hydramnion affect its development.In addition, when examining staorayutsya always identify the cause of polyhydramnios - this is very important for treatment.
Treatment polyhydramnios and labor management tactics
Treatment begins with treating the underlying disease causing polyhydramnios (chronic inflammation, endocrine disease, preeclampsia, and so on).
Chronic polyhydramnios, occurring with mild expression of characteristics treated conservatively prescribed antibiotics Antibiotics - whether they will help you in the foreseeable future? (to prevent the development of intrauterine infection), diuretics, vitamins, medical prophylaxis fetal hypoxia fetal hypoxia - the consequences of lack of oxygen in the body and so on.In acute polyhydramnios, as well as in severe chronic polyhydramnios, especially in the growing cardiovascular and respiratory disorders, pregnancy is terminated.In some cases, to improve the overall condition of the woman and child carried amniocentesis - the introduction of a thin catheter amniotic cavity and remove part of the amniotic fluid.
Births when polyhydramnios often begin with untimely premature rupture of membranes, they are often compounded by the weakness of labor force due to distension of the uterus, prolapse of the umbilical cord, small parts of the fruit, the wrong position, premature detachment of the placenta, bleeding and hypoxia (lack of oxygen) of the fetus.
Prevention of polyhydramnios is the timely treatment of women preceding or accompanying pregnancy, systematic observation and treatment of pregnant women with kidney disease, cardiovascular system, prevention of exacerbations of diabetes mellitus and other.