The article was consulted professionally by Dr. Nguyen Anh Tu – Doctor of Obstetrics ultrasound – Pre-birth diagnosis – Obstetrics department – Share99 Hai Phong International Health Hub.
According to statistics, about 1% of pregnant women are at risk of facing the problem of excess amniotic fluid. Multiple amniotic fluid usually occurs from week 30 of pregnancy 10 days 20 weeks, however there are cases in which a 20-week fetus has appeared multiple amniotic fluid.
1. Overview of multiple amniotic fluid
In the first weeks of pregnancy, amniotic fluid is produced to move fluid from the blood into the amniotic sac. When the fetus is 3 months old, the baby begins to swallow fluids and excrete urine back into the amniotic fluid.
Amniotic fluid plays a very important role for the survival and development of the fetus, creating ideal conditions for the fetus to develop safely throughout pregnancy.
Usually, the amount of amniotic fluid gradually increases with the week of pregnancy and gradually decreases close to the day of labor. Therefore, if your amniotic fluid index (AFI) results compare with the average amount of amniotic fluid at the corresponding gestational age, it is possible to determine the amount of amniotic fluid more or less than usual.
If the fetus is 16-32 weeks old,the amount of amniotic fluid will be about 300-600ml. When the amniotic fluid rises higher than normal, it is called multiple amniotic fluid (if increased less) or multiple amniotic fluid (if increased much). The body of the mother and the fetus will regulate the amount of amniotic fluid continuously, however in order for the baby to grow and be born healthy, the mother should maintain a normal amount of amniotic fluid and increase at a stable level.
2. Signs of multi-amniotic recognition
The best way to recognize amniotic fluid problems is to have regular pregnancy check-up. However, in some cases, pregnant mothers can estimate that they have multiple amniotic fluid if they see the following typical signs:
- The pregnant abdomen is larger than the gestational age, it is difficult to hear the gestational heart rate.
- The measurement of the abdominal ring (through the navel) is greater than 100cm. The tense abdomen causes pain, difficulty breathing, ingestion, difficulty breathing, or shortness of breath.
- Leg edema, varicose veins, back pain.
- Dilated veins can lead to hemorrhoids during pregnancy.
3. Causes of multiple amniotic fluid during pregnancy
Multiple amniotic conditions weeks 24-28 can come from a variety of causes. Most of which is due to abnormalities in the metabolism between the fetus and the sub-part of the fetus (amniotic fluid, placenta, umbilical cord …); or also due to genetic problems of pregnancy (cleft palate, narrowing of the position …), due to the mother's gestational diabetes, twin pregnancy/multiple pregnancies, anemia or fetal infections … Usually pregnant mothers will have multiple amniotic fluid at the 30th week circulating, but if they see signs of multiple amniotic fluid weeks 22 10 years on, this is also a sign that pregnant mothers should pay special attention.
4. Is most amniotic fluid dangerous?
Normally amniotic fluid is produced by the mother's body and re-absorbed, the fetus also swallows amniotic fluid, so the amount of amniotic fluid will usually change after 24 hours. In fact, a little more amniotic fluid will not affect the fetus and the health of the mother. However, if the amniotic fluid is more than normal (twice, three times..) it is necessary to see a diagnostic doctor and give specific advice.
At the warning level, multiple amniotic fluid and amniotic fluid can lead to some dangerous complications such as premature amniotic rupture causing premature birth, nervous amniotic sac causing the pregnancy to be turned upside down, prolonged labor causing difficulty giving birth, weak uterus contractions that make pregnant women more susceptible to post-birth bleeding …
5. Methods of diagnosis and treatment
For multiple amniotic fluid weeks 22-28, it is best to have regular pregnancy examinations to assess whether fetal development and amniotic fluid are dangerous. If you see any abnormal symptoms such as a large abdomen, glossy abdominal skin, fatigue, shortness of breath … it is necessary to go to reputable specialized establishments for timely inspection and remediation. Besides, pregnant women need to pay more attention to rest because multiple amniotic fluid will make mothers more tired than usual. Besides, pregnant mothers need to follow a reasonable diet and sleep such as:
- Eat small amounts regularly
- Avoid foods and beverages such as fats, coffee, alcohol
- Ensure the amount of protein and protein in the daily diet
- Eat plenty of greens but limit watery vegetables
- Focus on eating fruits high in fiber, vitamins such as apples, pears, bananas, papaya,… and limit succulent fruits such as oranges, grapefruits, watermelons.
- Absolutely avoid salty eating due to salt's ability to retain water
- Do not lie down after meals
- Do not eat before sleep
- Pillow height when sleeping
Amniotic fluid if detected and remedied early will not affect the health of the mother and fetus. Therefore, pregnant women need to be active in learning and receiving useful information related to amniotic fluid – the habitat in the womb of the child, to prevent as well as overcome most quickly if abnormalities occur.
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.
Dr. Nguyen Anh Tu has 6 years of experience in obstetrics and gynecology ultrasound, especially researched and trained in pregnancy ultrasound – pre-birth diagnosis. Dr. Tu has completed courses on ultrasound – pre-birth diagnosis of the FMF International Society of Fetal Medicine; be trained in consulting and implementing diagnostic intervention techniques in fetal medicine and participate in many in-depth conferences and seminars on Fetal Medicine. Currently a doctor in obstetrics and gynecology department of Share99 Hai Phong International Health Hub.
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