Polyhydramnios during pregnancy
Encyclopedia Symptoms / / May 24, 2016
Polyhydramnios - a pathological condition that occurs during pregnancy, is characterized by an excess of amniotic fluid surrounding the fetus.
Amniotic fluid - a slightly yellowish liquid that surrounds the unborn baby (fetus) during pregnancy.Amniotic fluid is constantly moving, when the child breathes, and then it is released through urine.A child in the womb, floating in the amniotic fluid.The amount of amniotic fluid is greatest within 34 weeks of pregnancy.
Amniotic fluid helps:
- development of the child in the womb and the proper growth of his bones;
- the development of the baby's lungs properly;
- maintain a constant temperature around the child and protect him from the heat loss;
- Child Protection against external damage and mitigate sharp blows or movements.
This can occur if a child or pregnant woman has certain health problems, including:
- gastrointestinal disorders - such as, for example, duodenal atresia, esophageal atresia, gastroschisis anddiaphragm
- the problem of the brain and nervous system - such as anencephaly and myotonic dystrophy;
- Beckwith-Wiedemann syndrome.
- poorly controlled gestational diabetes;
- infectious diseases;
- kidney disease;
- cardiovascular diseases;
- Rhesus conflict in the mother and child.
Polyhydramnios may also be associated with an increase in fluid production that occurs when:
- some diseases of the lungs of the child;
- multiple pregnancies of women (for example, twins, triplets, etc.);
- edema of the fetus (child);
- large fruit;
- decrease in the excretory function of the fetus;
- violation of swallowing function (at the end of pregnancy, the baby every day consumes approximately 4 liters of amniotic fluid, which is fully updated every 3 hours);
- with fetal malformations.
Sometimes there is no specific cause for polyhydramnios.
Symptoms polyhydramnios in pregnant
- a feeling of heaviness and pain in the abdomen;
- malaise, and weakness;
- shortness of breath (due to the high standing of the diaphragm);
- increased heart rate;
- swelling of the feet;
- the volume of the abdomen at the navel up to 100-120 cm or more;
- belly with polyhydramnios may be hard coated stretch marks;often heard the distinct gurgling inside the abdomen (floating).
The dangerous polyhydramnios?
are acute polyhydramnios, in which the amount of amniotic fluid is rapidly and dramatically increases, which is very dangerous.Everything happens in a matter of hours or days: the size of the belly of a pregnant increases sharply, marked soreness in the groin and lower back, the tension of the walls of the uterus and a noticeable swelling of the anterior abdominal wall.In chronic polyhydramnios volume of water is increasing gradually, but it also causes a number of complications.
encourage women to consult a doctor if she is pregnant, and observes that her stomach too rapidly increases in size.
If this symptom is detected during pregnancy, the doctor or nurse will measure the size of the abdomen of each woman during her visiting clinics, checking her uterine size.If the uterus is growing faster than expected, and if it is greater than should normally be at gestational age of the child (age of the embryo and fetus, time spent by the child in the womb of his mother), the doctor may:
- to check a pregnant woman again;
- make the pregnant woman an ultrasound.
If the doctor finds a birth defect, you may need an amniocentesis to check the baby for genetic defects.
Easy polyhydramnios, which appears in the second half of pregnancy, often does not cause serious problems.More severe polyhydramnios can be treated with medication or by removing extra fluid.
Mostly diagnosed polyhydramnios is put on the results of ultrasound.Since the detection of pathology expectant mother should be under constant medical supervision.If there is no pronounced disorders of blood circulation and respiratory (mild to moderate polyhydramnios), physicians seek to maintain the pregnancy until its physiological completion.Otherwise, there is the need for early delivery, as the situation may pose a threat to a woman's life.If pregnancy is stored, it should establish the cause of polyhydramnios, because it threatens the development of chronic fetal hypoxia (oxygen deficiency).Depending on the identified causes of the disease and were under his care.polyhydramnios Treatment includes antibiotic therapy with a viral etiology, immunomodulatory therapy, the appointment of diuretics and vitamins, abdominal amniocentesis.As a rule, prescribed hydrochlorothiazide, B vitamins, in some cases - broad-spectrum antibiotics (except tetracycline) biyohinol.With the weakness of labor prescribe appropriate treatment.