How to detect multiple amniotic fluid during pregnancy

Article by Dr Truong Nghia Binh – Obstetrics and Gynecology Department – Share99 Danang International Health Hub

Amniotic fluid is the amount of fluid that surrounds and protects the fetus throughout pregnancy, the pregnant woman is diagnosed with multiple amniotic fluid in case the amount of amniotic fluid is 2 liters or more, if the amniotic fluid increases to 3 liters, the pregnant woman has a severe amniotic fluid and needs to be carefully monitored.

1. Understanding multiple amniotic fluid during pregnancy

Multiple amniotic fluid appears during about 1% of pregnancy. Multi-amniotic diagnosis is determined based on ultrasound. Most researchers define: Amnionic fluid index (AFI) greater than 24 – 25cm; or when older than the 95th or 97th place of the cypress by gestational age.
How to measure AFI: Divide the uterus into 4 equal parts, measure the greatest depth of each amniotic cavity, AFI is the total of the above 4 measurements.
Multiple amniotic fluid is a high-risk pregnancy for women with multiple amniotic causes and warns of the risk of premature birth during pregnancy.

2. Diagnosis of multiple amniotic fluid during pregnancy

Multiple amniotic fluid can progress quickly within a few days with urgent symptoms such as abdominal pain, shortness of breath, sometimes cyanosis, tachycardia,vomiting, general edema (2 est.,, abdominal wall, face). More rare is the ureteral oliguria pinched by the uterus. Multiple amniotic fluid in case of pregnancy can cause mirror syndrome, first described by Ballantyne in 1892: the condition of the mother "imitates" the fetus, such as edema, urinary protein; and as a result, pre-production.
With multiple amniotic fluid, amniotic fluid increases gradually, so the pregnant woman can tolerate abdominal tension. The first clinical sign suggests a case of multiple amniotic fluid is that the uterus is very large compared to gestational age, straining, which leads to difficulty palpation of the fetal parts and hearing the gestational heart. The diagnosis distinguishes multiple amniotic fluid from the obstruction neck or large ovarian tumor by images on the pregnancy ultrasound.

Amniotic AFI

Diagnosis of multiple amniotic fluid during pregnancy by ultrasound

3. Direction of multi-amniotic treatment during pregnancy

Mild to medium-level amniotic fluid rarely requires interventions. Health Hubization is necessary when the pregnant woman has difficulty breathing, abdominal pain or walking difficulties.
Pregnant women need to rest in bed, weeds, limit infusions and salts do not bring a pronounced effect. Sucking out amniotic fluid also improves the symptoms of iatility in the pregnant woman while taking amniotic fluid for genetic testing or determining the lung m maturity of the fetus. This procedure can cause complications such as amniotic rupture, infection,or young peeling vegetables.
It should be noted that multi-amniotic fluid of unknown causes in nearly half of amniotic cases is an increase in the amount of amniotic fluid unacular to congenital abnormalities, mage diabetes, immune diseases, infections, fetal tumors or multiple pregnancies. However, even when surveying normal fetal image, it is still advisable to prioritize with caution due to fetal malformations and possible chromochromogenic abnormalities.

3.1. Multiple amniotic fluid appears three months between pregnancy

  • Ultrasound is in place to survey the in-depth fetal erthogenic form to find possible birth defects.
  • Sugar tolerance test for pregnancy 24-28 weeks
  • Consult the pre-birth diagnostic center for counseling, consider conducting genetic tests to find the causes of NST abnormalities, pregnancy infections.
  • High-risk pregnancy monitoring and management (pre-maternity examination) should continue


Genetic testing during pregnancy

3.2 Multiple amniotic fluid in the last tri tri tri month of pregnancy

  • Check the fetal growth chart
  • Exclusion of mian's medical causes
  • Depending on the results of the screening test in quarter 1 and 2: advice on the direction of genetic testing for the fetus
  • Pulmonary adult drugs due to the risk of premature calving
  • Intervention (suction of amniotic fluid) when acute multi-amniotic symptoms affect the patient's condition (shortness of breath, cardiopulmonary compression). Advise on the complications of the procedure for pregnant women and their families.

3.3 Labor

Or encounter the risk of difficult calving such as abnormal pregnancy, difficult calving due to disorders of the uterus contraction, compliance with the amniotic sbolism in which the amniotic fluid is in place. Precautions for young peeling vegetables, post-birth blood bandages.

4. Complications of multiple amniotic fluid during pregnancy

The most common complications for pregnant women in pregnancies with multiple amniotic fluid are juvenile peeling, disorders of the uterus mound or post-birth blood bandages. In addition, there are complications of umbilical cord prolapse, abnormal throne, post-calving uterine phlegm or surgical intervention. Fetal abnormality, diagnosed during pregnancy or post-calving

Pregnancy examination

To avoid complications of multiple amniotic fluid during pregnancy, pregnant women should see a doctor and have a regular pregnancy check-up

At Share99 International Health Hub, there is a full maternity service as a solution to help pregnant mothers feel secure because there is a team of doctors throughout the pregnancy. When choosing a full-service maternity, a pregnant woman can:

  • The process of pregnancy is monitored by a team of specialists
  • Regular examination, early detection of abnormalities
  • Package maternity for the convenience of childbirth
  • Infants receive comprehensive care

To register for examination and treatment at Share99 International Health Hub, you can contact us on the website.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE


  • Can most amniotic fluid give birth or have to have a cesarean section?
  • Suitable time for a labor
  • Assisted birth using Forceps settings: What to know

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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