How should most amniotic fluids in weeks 37-39 be handled?

The article was consulted professionally by Specialist I Nguyen Thi Plum – Obstetrics and Gynecology Department – Share99 Da Nang International Health Hub. The doctor has more than 10 years of experience in the diagnosis, consultation and treatment in the field of Obstetrics and Gynecology.

Multiple amniotic fluid is the accumulation of excess amniotic fluid beyond normal levels. Amniotic fluid is extremely important for fetal development but excess amniotic fluid can pose a number of risks and affect maternity and fetuses especially for pregnancies at weeks 37-39.

1. What is multiple amniotic fluid?

  • Multiple amniotic fluid is an excess of amniotic fluid that exceeds the normal amniotic index
  • Amniotic fluid is the environment that surrounds the fetus, protecting the fetus from any collisions and inflammations from the external environment. The fetus swallows amniotic fluid, excreted through the urine and in this way controls the amount of amniotic fluid around him. Amniotic fluid is also an environment to help the fetal lungs grow
  • The amount of this liquid will gradually increase until there is about 1 liter at the 37th week. After that, the amount of amniotic fluid is usually reduced to about 0.5 liters in the 40th week of maternity. Your baby will regularly swallow amniotic fluid, then go out of the body in the form of urine. This is how the body controls the amount of amniotic fluid around the fetus. Once this balance is disturbed, the volume of amniotic fluid will likely increase rapidly, causing the pregnant mother to feel heavy and uncomfortable.
  • To diagnose multiple amnioticfluid, the doctor will perform an ultrasound and take the results of an indirect estimate of the volume of amniotic fluid. The mother was diagnosed with multiple amniotic fluid index (A.F.I) via ultrasound of more than 25cm.

2. What are the signs and symptoms of multiple amniotic fluid in pregnant women?

Mild amniotic fluid is usually asymptoatic. However, each woman may experience different symptoms. Symptoms may include:

  • The pregnant abdomen is larger than gestational age, it is difficult to hear the gestational heart rate.
  • The measurement of the abdominal ring (through the navel) is greater than 100 cm, the abdomen is glossy, abdominal pain, shortness of breath, indysic eating, breathing is also more difficult.

How should most amniotic fluids in weeks 37-39 be handled?

The measurement of the abdominal ring (through the navel) is greater than 100 cm, the abdomen is glossy, abdominal pain, shortness of breath, indysgestion, breathing is also more difficult
  • Dilated veins can lead to hemorrhoids during pregnancy.

3. Consequences of multiple amniotic fluid

3.1 Is it okay to have 38 weeks of amniotic fluid?

The earlier the amniotic fluid appears during pregnancy and the higher the amount of amniotic fluid, the higher the risk of complications. Amniotic fluid in week 38 may appear conditions such as:

  • Early amniotic rupture. Too high amount of fluid in the uterus will be at risk of premature amniotic rupture.
  • Unusual throne. Buttock birth or other unfavorable situations for the mother
  • Placenta bong
  • Umbilical cord prolapse
  • Fetal growth and development is limited, and there are problems with skeleton development.
  • To be safe the mother needs a cesarean section and so there is an additional risk compared to normal birth, which may experience post-production infections.
  • Does amniotic fluid affect the fetus? Amniotic residue can lead to premature birth. Babies are born prematurely so the parts functions are not yet complete, it is possible that the mother will be given steroid drugs to help the baby's lungs mature faster.
  • Multiple amniotic fluid is at risk of post-birth bleeding. This is because the uterus is pinched due to the large amount of amniotic fluid and is not able to shrink completely as usual.
  • Is multiple amniotic fluid dangerous? The most dangerous amniotic fluid excess for pregnancy is that it can lead to still still death, which is the worst possible case.

3.2. How should most amniotic fluids in weeks 37-39 be handled?

Outpatient treatment

  • <34 tuần: Tái khám mỗi 2 tuần, đo chiều dài kênh cổ tử cung, dùng thuốc hỗ trợ phổi
  • >= 34 weeks: Re-examination on time or earlier if there are abnormal symptoms, color Doppler ultrasound and non-stress test every week.

Health Hubization criteria

  • Signs of overload (Shortness of breath, abdominal pain, tachycardia…)
  • Signs of premature birth( abdominal pain, bleeding,…)
  • Multiple amniotic fluid 39 weeks or more
  • CTG group II or higher or abnormal color doppler ultrasound

Treatment of the cause( if any)

Symptomatic treatment

  • Reduce the amount of amniotic fluid by draining the fluid. If there are symptoms of overload in the maternity (shortness of breath, tachycardia, abdominal pain …). Suction at speed <1 lít/ 20 phút. The procedure may repeat depending on the rate of amniotic reabsorption.

How should most amniotic fluids in weeks 37-39 be handled?

How should most amniotic fluids in weeks 37-39 be handled?

Termination of pregnancy

  • Pregnancy of 39 weeks or more with mild to medium amniotic fluid, Non stress test normal
  • Pregnancy of 37 weeks or more with multiple severe amniotic fluid
  • Pregnancy 34-37 weeks has symptoms of severe overload in the mother and has been supported by fetal lungs.

Share99 International Health Hub offers a full maternity care program for women from the very beginning of pregnancy from the first months with a full range of pregnancy examinations, 3D ultrasounds, 4D routines and routine tests to ensure the mother is always healthy and the fetus develops comprehensively. Obstetrics and Gynecology will be consulted and checked under the close supervision of experienced and professional obstetrician, helping mothers have more knowledge to protect their health during pregnancy as well as minimize complications affecting mothers and children.

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

SEE MORE:

  • Evaluation of amniotic fluid volume via fetal ultrasound
  • Beware of late pregnancy amniotic fluid
  • How does severe amniotic deficiency affect?

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. 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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