Lesson 8 Vs Lesson 9: The Story Of Little Amniotic Fluid – Amniotic Fluid

Yesterday afternoon, a pregnant patient complained, "It's been so hot these days - you don't drink a lot of water, you don't know if your baby is lacking amniotic fluid?" How shaky then - its amniotic fluid is less. I'm not very satisfied with the expectation about having a "I have a prenatal check-up at BV X" - the doctor said because I rarely drink water and my amniotic fluid is about to run out "- then there will be" fevers "in the world of pregnant mothers. Unfortunately, some more headline newspaper "Do not because I drink less water but I am running out of amniotic fluid" ..

. Oh well, the prospect even though a bit too much imagination is terrible. So sit down to write this article.
Little amniotic fluid (Amniotic fluid)
Normally, the volume of amniotic fluid about 1 liter at 36 weeks gestation, about 100-200 ml before birth reduction In some cases, the volume is greatly reduced compared to this average, sometimes only a few 5-10 ml, in this case called amniotic fluid.



Very rarely, a normal pregnancy is reduced by early amniotic fluid, if any then "not very happy". If the decline 1-2 weeks before birth is less worried.
How do doctors know whether amniotic fluid is sufficient or not?
You know - measured by ultrasound. In ultrasound, an amniotic fluid index (or amniotic fluid index) is required. To measure this index, the doctor divided the mother's abdomen into four sections with a horizontal line and a central vertical line, measuring the amniotic fluid of these four sections, adding it to AFI (which is difficult to say, though. because choose that place properly). Pregnancy 16 - 41 weeks, normal AFI about 12-16, this is the average value
Amniotic fluid decreased or rarely conceived
This case is of great concern for the fetus, as only about a quarter of cases are sufficiently mature to mature.



The doctor will look to see if the fetus has a urinary system abnormality or if the fetus has a kidney. The space around the baby is too cramped, sometimes causing deformed bones. If you notice a lot of abnormal vaginal discharge, you must notify your doctor for antenatal care, as there may be a leaking of amniotic fluid which gradually decreases gradually.
Some abnormalities related to amniotic fluid
From the fetus: chromosomal abnormalities, birth defects, fetal growth retardation, amniotic fluid ...
From placenta: placenta, twins blood transfusion syndrome.
From the mother: hypertension, pre-eclampsia, diabetes.




From drugs: inhibiting prostaglandin synthesis, inhibiting ACE (in the treatment of hypertension).
And ... idiopathic (meaning not knowing why).
Some birth defects related to amniotic fluid
(This part is a little difficult to understand, because technical terms, if I need to explain, I would like to answer separately)
Amniotic strip syndrome
Heart malformations: Fallot quadriplegia
Chromosomal abnormalities: trisomy 18, Turner syndrome
Memory impairment
Congenital pathology: renal aplasia, renal dysplasia, ...




More children, but much rarer than the aforementioned pathologies, although the above mentioned are quite rare.
Amniotic fluid decreases after 34 weeks: When AFI <5 at this gestational age, you need to have regular fetal heart check. You should consult your healthcare provider about the possibility of cesarean delivery sooner than expected. Treatment of how little amniotic fluid Really - very sadly - is unable to do anything. If the baby's abnormality is found, it depends on the specific situation. The only reading I could read was "intravenous" but during labor to avoid pinching the umbilical cord. Left, during pregnancy, infusion into the amniotic chamber with the risk of infection, amniotic rupture, premature birth should not see application. It is true that you do not want to scare you, but if the doctor unfortunately says "amniotic fluid is too little" then spend a few seconds of breathing, then find the possible cause.


Drinking water is "psychotherapy" only because a few hours after the water is excreted in the urine already. But with the weather like this, we also need to drink a lot of water, because after losing our country, we are not feeling well, tired and upset, and the doctor said that everyone listened to the west, then complained to him on facebook, and everyone "went up." fever"…
Oh a lot
In this world, something "too" is not good! After reading this sentence, I find it useful a lot. For example, back to the story of amniotic fluid, if too little then you understand, missed too much ...
When the volume of amniotic fluid is> 2000ml, you are classified as "well-off" - amniotic fluid, limited, over 3000 ml, you are called "quite abnormal" - poly amniotic fluid. For every 1,000 pregnant mothers, there were 10 people with amniotic fluid, out of those 10, all of them only had a slight increase, 1.



5 (at its statistics) increased on average and 0.5 increased. too much (severity).
Where does amniotic fluid come from?
In the first half of pregnancy, amniotic fluid is made up of fetal skin and partly from maternal blood. The more important source is from the baby itself, about after the 20th week onwards. At this time, your baby can swallow, urinate and these activities help regulate amniotic fluid. It sounds terrible, both self-peeing and drinking in a "private pool" - but it's okay - because this tank is surrounded and protected by amniotic fluid so no bacteria get in, water ensure "sterile and delicious". If this self-regulation process fails somewhere, such as not swallowing but peeing a lot, it is left over.



Only the case of mothers often accompanied by multiple amniotic fluid is difficult to explain. Most easily understood, mothers have high blood sugar so their blood sugar also rises, when blood sugar rises, people urinate a lot, so amniotic fluid is also high. It sounds "simple" and that's what it really is.
Do s.

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