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Friday 14 June 2013

Disease of amniotic fluid, amniotic fluid Disease

Disease of amniotic fluid

Oligohydramnios

Amniotic fluid volume measurement is to assess whether or not an important indicator of normal pregnancy. But separated by a layer of belly, we really difficult to assess accurately how much amniotic fluid.

Currently, the hospital is mostly through the B-to understand the situation of amniotic fluid volume, take the "amniotic fluid index method" to determine whether the normal amniotic fluid volume. Method is: the uterus is divided into four quadrants, namely, the amount of amniotic fluid in each quadrant of the maximum depth, then as the total sum. Sum total of 8 to 24 cm in a normal state within the range of less than 8 oligohydramnios, amniotic fluid was greater than 24.

Oligohydramnios disease

Oligohydramnios, fetal abnormality or the mother is latent important manifestation of the disease. Even if the fetus was no unusual circumstances, such as after birth, such neonatal morbidity and mortality cyclical than the average baby. Therefore, when there is too little amniotic fluid phenomena should first find out the cause immediately.

Common cause

1. Mother's side: Mother exists insufficient water intake, low volume hyperlipidemia, the influence of drugs, pregnancy-induced hypertension and other conditions.

2. Fetus: the water breaks during early pregnancy, fetal growth retardation, fetal expired over cooked, fetal abnormalities (eg: fetal urinary system abnormalities), placental insufficiency.

3. Other areas: medical cause or for no apparent reason.

Corresponding treatment

When they find pregnant women have premature rupture of membranes occurs, you must be able to continue tocolysis detected, or the importance of early infection has serious production; when there is the case of fetal abnormality, you must determine the womb or early treatment of production, or the production of full-term re-treatment and so on.

If oligohydramnios and associated with fetal growth retardation, it must be considered for early production, because it means that there is already some degree of fetal distress, and to continue a pregnancy cannot ensure safety.

In addition, long-term oligohydramnios also cause fetal oppression, resulting in facial deformity or limbs posture, so if necessary, should be given the amniotic fluid perfusion, increased amniotic fluid volume.

Polyhydramnios

Normal pregnancy the amniotic fluid volume increased with increasing gestational age, Amniotic fluid embolism

Last 2 to 4 weeks gradually reduced amniotic fluid at term pregnancy is about 1000ml (800 ~ 1200ml), where any period of gestation sheep than 2000ml of water, called polyhydramnios (polyhydramnios).


Normal pregnancy the amniotic fluid volume increased with increasing gestational age, the last 2 to 4 weeks gradually reduced amniotic fluid at term pregnancy is about 1000ml (800 ~ 1200ml), where any period of gestation sheep than 2000ml of water, called as polyhydramnios (polyhydramnios). Up to 20000ml. Most pregnant women increase in amniotic fluid slowly, over a longer period of time to form, known as chronic polyhydramnios; few amniotic fluid of pregnant women increased dramatically in a few days, called acute polyhydramnios. The incidence of polyhydramnios reported in the literature of 0.5% to 1%, gestational diabetes, the incidence rate of up to 20%. Polyhydramnios amniotic fluid appearance, traits and normal not strange.

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