Mild polyhydramnios: no problem?
Amniotic fluid are the habitat of the fetus, so it is important the number and qualitative composition.Amniotic fluid create a space for free movement in the ever-increasing volume of the fruit to protect it from injury, maintain a constant temperature, prevent compression of the umbilical cord at birth, are the source of certain nutrients (such as protein) to the fetus.
What is moderate polyhydramnios and the reasons for its formation
hydramnion called excessive accumulation of amniotic fluid (1500 mL at term).In some foreign countries, it is the presence of polyhydramnios Bole 2000 ml of amniotic fluid.Hydramnion occurs in approximately one of 300 sorts.
The reasons for polyhydramnios:
- variety of acute and chronic diseases of the mother, including kidney disease, cardiovascular disease, diabetes mellitus - threatening and incurable disease ;
- toxicosis second half of pregnancy;
- underdevelopment of the gastrointestinal tract in the fetus - it prevents him from swallowing amniotic fluid (he does have 18 weeks);
- malformations of the central nervous system of the fetus;
- hereditary disease of the fetus and some other pathology;
- violation of the state of the placenta;
- idiopathic polyhydramnios, when its cause can not be established;
- initial increased secretion epithelium membranes components;amniotic fluid and the violation of their absorption;
- intrauterine infection;
- Rh blood incompatibility of mother and fetus.
Polyhydramnios can occur in acute and chronic form, it can also be mild and severe.Acute polyhydramnios - it is usually a serious condition, but it is rarely found.In acute polyhydramnios amniotic fluid volume increases and reaches a critical value in just a few days.Women have such unpleasant phenomena as abdominal pain Abdominal pain: Types and Symptoms , shortness of breath, swelling, a state of constant anxiety.Pregnancy ends, as a rule, premature birth, miscarriage, stillbirth and birth of a child with a variety of developmental defects.
With moderate chronic polyhydramnios amniotic fluid volume increases gradually and often unnoticed by the woman.This may result in polyhydramnios delivery on time, but the baby is often born with a developmental disability of certain organs.Stronger than other organs affected the central nervous system, as a moderate polyhydramnios in one degree or another always suffering placental circulation and the brain of the child is not getting enough oxygen.
Diagnostics moderate polyhydramnios
About a woman has polyhydramnios obstetrician-gynecologist of female consultation may suspect after her examination.The uterus is greatly increased when polyhydramnios, stomach taut and tense, with palpation of the fetus can be seen that it often changes its position.With moderate polyhydramnios can probe movable head of the fetus.
most reliable evidence of polyhydramnios can be obtained using ultrasound.In addition to routine ultrasound when using different methods are being identified amount of amniotic fluid is held still and determining the speed of blood flow in the placenta and umbilical cord (Doppler).If you find polyhydramnios conduct an additional examination of the child by CTG.
Do I have to treat moderate polyhydramnios
treat polyhydramnios it is necessary, because even with a moderate within his child suffers.Of great importance is the identification of the causes of the formation of polyhydramnios and its elimination.After that, a woman prescribed antibiotics Antibiotics - whether they will help you in the foreseeable future? for the prevention of intrauterine infection, diuretic medications, restorative treatment.In order to help the child, prescribed drugs, reducing utero-placental blood flow.With an increase in the amount of the amniotic fluid can be removed with a very thin catheter is introduced into the amniotic sac (amnion).
Genera with moderate polyhydramnios also have their own characteristics.They tend to start a little bit ahead of schedule with premature rupture of membranes, and are accompanied by a primary or secondary uterine inertia.If labor has begun, and the water had not yet departed, the fetal bladder is opened (not in the center and side) with extreme caution and slowly release the amniotic fluid without removing your hands from vagina to prevent the loss of the umbilical cord, or handle the fruit.
In order to prevent the formation of polyhydramnios, you must promptly identify and treat all diseases that can cause this disease.And for this you need to visit an obstetrician-gynecologist of female consultation.