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Moderate polyhydramnios: causes, signs, treatment

Moderate polyhydramnios - this is an excessive amount of amniotic fluid. Such a diagnosis can be made at any time of pregnancy. This is not a very common complication. It occurs in about 2-3 women out of 99. Future mothers during pregnancy need to monitor the amount of fluid. That is, you need to regularly visit ultrasound and regularly go to the gynecologist.

For normal development of pregnancy, the amount of amniotic fluid should not exceed 1-1.5 liters. It consists of proteins, calcium salts, sodium, chlorine and water, which is approximately 96%. Due to the amniotic fluid the child receives all the necessary substances for normal development. Another function of water is to protect the baby. In it, he can move and move without risking injury and other damage.

Properties of amniotic fluid

The amniotic fluid has the following properties:

  • It protects the fetus from external stimuli: noise, shock, shaking.
  • Prevents the cord from being squashed.
  • Reduces pain during labor.
  • Helps to open the cervix.
  • Prevents the ingestion of substances harmful to the fetus from the outside world.
  • Contains immunoglobulins.

Norm

The amount of fluid varies during pregnancy. There are norms for each trimester. What they are, you can find out from the table below.

Term (weeks)

Amount of water (ml)

Up to 16

25-65

17-20

70-250

20-25

250-400

25-34

400-800

34-38

800-1000

38-40

1000-1250

40-42

1000-800

From 39-40 weeks until the birth, the quantity of water is reduced. Doctors are guided by average indicators. And at a deviation from norm or rate in any direction diagnose a lack of hydration or moderate polyhydramnios.

The norm after the 30th week of pregnancy

The doctor can prescribe a diagnosis of polyhydramnios at any term of pregnancy. But talk about the rejection can only after 20 weeks. If the second ultrasound diagnosis was not confirmed, then the next time it will be detected only during the third planned ultrasound, moderate polyhydramnios. 32 weeks - the time when you need to constantly go to a women's consultation. An experienced doctor will help a pregnant woman to control her condition. He diagnoses the problem, even if the woman has no complaints.

By the way, it can be detected not only by ultrasound, but also with Doppler and during the examination. Moderate polyhydramnios during pregnancy (32 weeks) are placed when the amount of amniotic fluid reaches 1500-1900 ml. Thus the woman feels, as in a stomach water is rolled, and the child often moves. Such a discomfort pregnant can feel and at a later date. In the eighth month, she may be tormented by moderate watering. 34 weeks are another critical period. At this time, a similar diagnosis is made when the normal amount of fluid is exceeded by 200-400 ml.

The causes that can provoke polyhydramnios

At the present time, doctors have not yet studied the reasons for which mild polyhydramnios appear during pregnancy. But they highlight several presumptive factors that are capable of provoking a problem:

  1. Deviations in fetal development.
  2. Diseases of infectious nature that the woman suffered.
  3. Bacterial diseases.
  4. Some diseases of the system of blood vessels and heart.
  5. Conflict of Rh factor in the fetus and the mother.
  6. Increased sugar in pregnant women.
  7. Kidney disease (pyelonephritis and the like).
  8. When several fruits develop.
  9. If the baby is big enough.

Even if there is one reason, mild water can appear.

Symptoms

The appearance of abnormalities associated with polyhydramnios can be recognized by the following symptoms:

  • An enlarged abdomen that does not match the timing.
  • During auscultation, the child's heart is hard to hear.
  • Increased mobility of the fetus.
  • Dyspnea.
  • Weakness.
  • Puffiness.
  • Heartburn.
  • Pain in the abdomen.
  • The appearance of striae.

Upon examination and palpation, the doctor will notice the tension of the abdomen and the highly located presenting part. Most often, with this deviation from a pregnant woman, it's difficult to notice hydramnios alone.

Treatment

Moderate polyhydramnios are treated, eliminating the cause of its appearance. After the delivery of all necessary tests and examinations the doctor will be able to determine the causes of this pathology. Therapy is appointed in a complex manner. It includes diuretics (diuretics), antibiotics and vitamins. They help reduce the amount of water, destroy harmful microorganisms, improve immunity and improve health. If the treatment does not work, then in some cases it causes labor. It does not occur until 35 weeks of pregnancy.

Danger of pathology

Deviation is dangerous because it can cause serious consequences for both the mother and the child. These include:

  1. Premature birth.
  2. Detachment of the placenta.
  3. Death of the fetus.
  4. The appearance of abnormalities in the development of the baby.
  5. Infectious infection of mother and child.
  6. Loss of umbilical cord or limb of fetus.
  7. Unpublished and unfixed preposition.
  8. Bleeding.
  9. Gestosis of different nature.

Also, the child can not occupy a normal position, because it is in constant motion because of the large number of waters.

Prevention of pathology

In order to prevent its appearance, you need to apply a few simple rules. A future mother is recommended:

  • Move more.
  • Normalized use of liquid.
  • Balanced eat.
  • Drink vitamins and medications prescribed by a doctor.
  • Timely and regularly undergo examinations, take tests.
  • Visit a doctor.

Also in the early stages it is necessary to exclude the conflict of Rh factor in the mother and fetus. If you follow all the recommendations and adhere to these simple rules, then the probability of occurrence of a deviation will decrease as much as possible. By the way, pathology arises most often because of infections and conflict of the Rh factor. Therefore, before pregnancy, go through the examination and, if necessary, treatment.

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