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Moderate polyhydramnios at 34 weeks gestation

Polyhydration is a pathology during pregnancy, which is characterized by an excess of amniotic fluid in the amniotic bladder. Amniotic fluid is the natural environment for embryo development. It protects the future child from external physical exposure, provides a suitable temperature (about 37 °), freedom of movement. In addition, the amniotic fluid contains nutrients that the fetus needs for normal development.

If the volume of amniotic fluid exceeds the norm, then we are talking about a dangerous complication. A similar problem is faced by 1% of women at 33–34 weeks of pregnancy. To avoid serious consequences or prevent this condition, you need to learn more about the disease.

Polygonology - pathology information

As already mentioned, polyhydramnios is characterized by excessive accumulation of amniotic fluid in the uterus. It protects the embryo from external damage, infectious diseases, provides it with food. The fruit systematically swallows a small portion of the liquid, then it is excreted with the urine from the body. So the volume of amniotic fluid is regulated. But sometimes this balance is disturbed, and the amount of fetal fluid exceeds the norm.

In order to calculate the volume, physicians use the amniotic fluid index, which is determined during an ultrasound examination. During the study, the uterus is conventionally divided into 4 squares, the largest space in each is measured, and the results are summarized. Thus, the amniotic fluid index is equal to the sum of four values.

The rate of amniotic fluid changes at different stages of pregnancy. If the values ​​exceed the norm, then we are talking about high water.

The norms of the amniotic fluid index are presented in the table:

Based on the amniotic fluid index, the following types of polyhydric water are separated:

1. Acute is a condition in which the amount of amniotic fluid increases dramatically, which is very dangerous. Pathology develops within a few hours, while the state of health of the pregnant woman deteriorates dramatically. This type of polyhydramnios is diagnosed early, and there is a risk of uterine rupture.

2. Chronic polyhydramnios has a moderate course, does not manifest severe symptoms and is detected in the 3rd trimester. For this reason, it is difficult to diagnose the disease. The consequences of chronic polyhydramnios can also be negative.

3. Moderate polyhydramnios in pregnant women is determined in the absence of external signs. In this state, the deviation from the norm is minimal, the volume of amniotic fluid increases gradually. In this case, a woman can give birth in a natural way, although a certain risk does exist.

To prevent pathology, it is important to understand why high water develops.

Causes of disease

Doctors still can not answer the question of what causes polyhydramnios in pregnant women. According to statistics, in more than 30% of cases they remain unknown. But there is a risk group, which includes pregnant women with a high susceptibility to polyhydramnios:

• Diabetes.
• Impaired renal function.
• Infectious diseases (cytomegalovirus infection, rubella, herpes, etc.).
• Severe diseases of the cardiovascular system.
• Rhesus conflict.
• Pregnancy with more than one fetus.
• Disruption of fetal development (genetic abnormalities, pathologies of the central nervous system, heart, stomach, intestines, etc.).

The likelihood of high water increases when the embryo swallows too much fetal water that does not have time to be updated. It is important to diagnose pathology as early as possible so that a woman can bear and give birth to a child normally. That is why it is necessary to remember the characteristic symptoms of polyhydramnios in the initial stages of development.

Symptomatology

Amniotic fluid constantly moves and is periodically updated. And therefore its volume at different stages of pregnancy is different:

• 10 weeks gestation - 30 ml of amniotic fluid,
• 14 weeks - 100 ml,
• By week 37–38, the volume of amniotic fluid reaches from 1 to 1.5 liters.

If this figure is higher, then they diagnose polyhydramnios.

Identify problems can help certain symptoms, in the event of which you should consult with a gynecologist:

• heaviness, discomfort in the stomach,
• constant weakness and malaise, which before the birth acquires a chronic course,
• shortness of breath,
• increased heart rate,
• swelling,
• abdominal circumference at the level of the navel reaches 100-120 cm or more,
• coarse stretch marks appear on the abdomen,
• specific gurgling in the abdomen, which doctors call fluctuation.

In addition, before delivery, the uterus is constantly strained during polyhydramniosa, its size deviates from the normal, the activity of the embryo increases. During the examination, the gynecologist will identify an increase in the height of standing of the uterus. It is important to be attentive to your condition in order to recognize these symptoms as early as possible.

Consequences of polyhydramnios

Many women at risk are interested in the question of what is dangerous in pregnant women. Pathology threatens dangerous complications for the mother, especially in the 3rd trimester of pregnancy:

• miscarriage,
• severe bouts of vomiting, due to which the body is dehydrated,
• Incorrect embryo presentation,
• giving birth from 28 to 37 weeks,
• uterine hemorrhages before and after childbirth,
• late toxicosis,
• premature maturation or detachment of the placenta.

Consequences of polyhydramnios for the fetus:

• violation of the functionality of the placenta, which causes oxygen starvation of the fetus, until its death,
• impaired development of the nervous and digestive systems,
• infectious diseases,
• early birth, with low body weight (about 2.5 kg and less than 45 cm tall),
• weakening of the immune system.

To protect the woman and the unborn child from negative consequences, doctors recommend giving birth by cesarean section.

If a woman insists on giving birth on her own, she should become familiar with the complications that await her:

• preterm birth (from 28 to 37 week),
• rupture of fetal membranes before the onset of labor,
• loss of small parts (arms or legs) of the embryo or umbilical cord,
• improper presentation of the fetus (transverse, buttock, etc.),
• weak labor activity
• severe uterine bleeding,
• overstretching of the uterus and premature separation of the placenta.

To avoid such complications, it is necessary to carry out timely diagnosis and proper treatment.

Treatment methods

If the diagnosis “polyhydramnios” was confirmed after the ultrasound, the pregnant woman should be under the supervision of doctors. The method of therapy depends on the cause of the pathology:

• If the Rh-conflict between the mother and the fetus is revealed, then the woman is given immunoglobulin.
• In case of an infectious disease of a pregnant woman, antibacterial drugs are prescribed.
• If diabetes is diagnosed, a woman is selected for treatment that corrects her blood glucose levels.

However, to determine the cause of the disease is not always possible. In this case, the treatment of polyhydramnios in pregnant women is carried out according to the standard scheme, which consists of a set of procedures. Therapy is carried out with the use of the following drugs:

• Vitamin complexes, which must include elements of group B, E, C.
• Magnesium preparations.
• Diuretic drugs.
• Antibacterial drugs with a wide spectrum of action.

In addition, patients need to follow a diet.

If polyhydramnios becomes chronic, then at 33–34 weeks of gestation there may be a question about conducting an amniotomy. This is an operation during which the amniotic bubble is opened and the amniotic fluid is released. The fact is that the uterus with polygamy over-expands and cannot normally contract during childbirth.

In case of spontaneous rupture of a bubble, the fetal waters will rapidly flow out, which increases the probability of the extremity of the fetus or umbilical cord falling out. Amniotomy allows you to regulate the release of amniotic fluid and prevents complicated labor.

For multiple periods of time from 36 to 41 weeks, the doctor will decide on the stimulation of delivery. In some cases, it is necessary to stimulate labor activity at 34 or 35 weeks. However, physicians are trying to keep the pregnancy up to 37 weeks, since at this time the embryo is already full term.

Thus, polyhydramnios is a dangerous condition that threatens the life of the mother and child. This pathology indicates that the pregnancy is proceeding unsuccessfully or that the pathology is present in a woman or fetus. To save the life of mother and child, you need to identify the disease in time and treat it.

Moderate Polyhydramnios during Pregnancy: Dangerous or Not? Symptoms and Treatment

Often, women carrying a child, put a moderate polyhydramnion during pregnancy. If you take appropriate measures, this phenomenon does not bring danger to the fetus. Often this pathology is determined by ultrasound at 32, 33 and 34 weeks of pregnancy. There are cases when a woman is diagnosed in the first trimester. It is very important to confirm the pathology.

Why does mild water appear during pregnancy?

Moderate polyhydramnios during pregnancy occurs more often with edema and varicose veins.

An unfavorable course of pregnancy, associated with moderate polyhydramnios, often carries certain causes on the basis of which treatment is prescribed. The most common and well-known medical consequences to the appearance of moderate hydration in pregnant women, starting from week 20, are:

  • multiple pregnancy,
  • intrauterine infections
  • fetal developmental pathologies (disorders in the central nervous system and brain),
  • inherited genetic diseases
  • large fruit,
  • abnormal structure of the uterus (bends).
Moms note! You should not immediately panic and take any measures yourself, if you set a moderate high water during pregnancy. Most often this phenomenon is temporary and does not harm the baby.

Why does a moderate high water occur during pregnancy?

The reasons for the occurrence of polyhydramnios during pregnancy, including moderate, may be a great many, and often they are idiopathic (almost a third of all cases), that is, they have an unidentified nature. Among other factors, an excess of the permissible amount of amniotic fluid may be affected:

  • intrauterine infections
  • placental disorders,
  • rhesus conflict of the fetus and the mother
  • various female diseases (cardiovascular, renal, systemic),
  • preeclampsia,
  • anatomical features (saddle uterus),
  • various pathologies in fetal development (underdevelopment of the gastrointestinal tract, CNS defects),
  • genetic disorders and other pathologies,
  • large fruit,
  • multiple pregnancy.

How does moderate high water occur during pregnancy?

In spite of the fact that such a diagnosis is made in many women already in the first trimester of pregnancy, one can speak about polyhydramnios only after completion of the formation of the placenta, that is, after 16 weeks.

Moderate polyhydramnios is diagnosed, as a rule, during the passage of a planned ultrasound by a pregnant woman. Often suspect a deviation from the norm can a doctor during a full-time examination. Sometimes a woman herself feels a “high tide”: the uterus becomes edematous, the abdomen becomes elastic and taut, you hear “water stilts” when you change your body position, the baby shows excessive activity (because there is where to swim!).

If you suspect a high water flow, a pregnant woman is sent for an examination:

  • examination by a gynecologist,
  • Ultrasound,
  • dopplerometry,
  • cardiotocography (with confirmation of the diagnosis).

A little advice: when you undergo a re-ultrasound examination, do not admit to a specialist that you have been given a moderate amount of water. Often, this diagnosis is erroneous, much, for example, depends on the position of the child at the time of "examination". It also happens that when expressed, the Uzist sees no deviations from the norm.

What is dangerous moderate polyhydramnage during pregnancy?

Moderate water release is not as dangerous as pronounced and especially acute. In moderate polyhydramnios, the volume of the amniotic fluid increases slightly and gradually, so there is time for observation and action.

However, inaction in this case can be quite dangerous. Even moderate polyhydramnios can cause weak labor, preterm delivery, replanning, development of defects and pathologies in a child, and even its intrauterine fading. But mainly with further progression and lack of control over the situation!

Dear mummies, do not immediately panic if you have such a diagnosis, and read scare stories a little less. Quite often, moderate high water during pregnancy is temporary and does not pose a threat to either the baby or his mother. The main thing is to be examined and to keep the situation under medical supervision. If necessary, you will receive a treatment.

Everything will be fine! Moderate polyhydramnios is far from the worst of the many complications of pregnancy. With such a diagnosis, women give birth to beautiful healthy children!

What it is

An amniotic fluid surrounds the baby in the womb. It performs several functions at once: it protects, provides freedom of movement, takes part in metabolic processes, and is also responsible for developing the basic skills of the fetus (swallowing, motor). They say that it smells like milk, and this explains how a newborn baby finds the breast so quickly.

It is intended by nature that this fluid is regularly updated. That is why its volume is different at different times:

  • at 10 weeks is about 10 ml
  • in 14 - 100 ml,
  • 21 - 22 - 400 ml,
  • in 30 - 32 - 700 ml,
  • 37 - 38 - up to 1500 ml (this is the maximum figure),
  • in 39 - 40 - about 800 ml.

This is the ideal. And if the volume significantly exceeds the norm, set polyhydramnios. As a rule, physicians are alarmed by precisely substantial excess - by 1.5 - 2 times. The most interesting thing is that modern medicine distinguishes several types of polyhydramnios, sometimes making a borderline diagnosis, which sounds like a “tendency towards polyhydramnios”. In other words, there is no pathology yet, but the risk of its development has been identified.

How to suspect and identify

To answer this question, it should be recalled that there are two stages of polyhydramnios: acute and chronic. Moreover, the signs in both cases are the same, the difference is only in the speed of their manifestation.

In the first case, the amount of amniotic fluid increases sharply and quickly, literally a day, or even a matter of hours. Changes are visible to the naked eye, as the tummy of a woman is also growing. The situation is aggravated by the appearance of painful sensations in the perineum, lower back, swelling of the abdominal wall, and finally, by a sharp increase in pressure, due to which the fetal heartbeat is not heard well.

But in the later periods it is not worth worrying about: acute polyhydramnios is most often diagnosed in the first trimester, which cannot be said of the chronic. It is from him that the future mothers are suffering at demolitions. What is it characterized by?

  • Slow and gradual increase in the volume of water.
  • As a result, a gradual increase in the size of the abdomen, to which a woman may not even pay attention.
  • More rarely - edema in the lower extremities, nausea, abdominal pain.

Can also occur:

  • weakness,
  • deterioration
  • feeling of heaviness in the stomach
  • shortness of breath.

At this time, you can often hear gurgling in the stomach. In case of polyhydramnios, he himself reaches 100–120 cm in volume. Many stretch marks appear on it.

If you suspect these symptoms in yourself, you should not postpone your visit to the doctor. Just because the state is dangerous not only for the mother, but also for the child. But first things first.

Why does

Modern medicine can name the main reasons for the development of high water, but not all. In about 30% of cases, it is not possible to understand why this happened. Most often, a situation arises when a woman herself is not large (she is small and fragile), and the child she is carrying is a hero.

But there are other factors, including:

  • rhesus conflict (leads to the development of pathology in 95% of cases)
  • diabetes (it is the cause in every third case),
  • intrauterine infection,
  • diseases of the cardiovascular system
  • placental disorders,
  • kidney disease
  • preeclampsia and the very nausea in the later stages,
  • multiple pregnancy,
  • infectious diseases carried in an interesting position
  • fetal malformations (problems with the central nervous system, reduced excretory function, problems with ingestion).

Few people know that almost before childbirth the baby absorbs up to 4 liters of fluid a day, and so on a daily basis. But worry about this is not worth it, because it is updated every three hours.

Than dangerous

The consequences of the development of polyhydramnios can be disastrous if not to take action. First of all, the condition is dangerous for the crumbs, which is now becoming more active and runs the risk of “earning” the entanglement of the umbilical cord.

What is more dangerous condition?

  • The development of late gestosis, if they were not. This happens, for example, if the amount of amniotic fluid increases by 32–33 weeks.
  • Preterm birth due to early discharge of water.
  • Плацентарной недостаточности, которая может спровоцировать хроническую гипоксию плода и, как следствие, угрозу его нормальному развитию.
  • Осложнений в родах.

It is proved that polyhydramnios prevents the child from taking the correct position immediately before delivery. As a result, the diagnosis is “presentation”, which is sent to a caesarean section, of course, if the situation does not change.

Other possible consequences:

  • The weakness of labor, due to excessive stretching of the uterus. Under such conditions, the placenta may detach prematurely, which will lead to the development of bleeding.
  • The loss of the umbilical cord at the time of delivery or the handle, the baby’s legs, which, on the one hand, will increase the risk of injury to him, and on the other, will complicate the work of the medical staff and prolong the process. At the same time, asphyxia sometimes occurs, which in the future may affect mental development. At risk - women who have been diagnosed with polyhydramnios at 36–37 weeks.

But the worst thing is that high-water at any time, including at 38 - 39 weeks, can cause the appearance of intrauterine pathologies, which, at least, threaten the health of the child, and as a maximum - his life.

Diagnostics

Reveal polyhydramnios during additional ultrasound, where the doctor sets the amniotic index, that is, the volume of fluid.

There are rules for different terms. So:

  • at 16 - 18 weeks, the indicator should be between 73 - 220 ml,
  • at 22–26 weeks — 89–238 ml,
  • in 32 - 34 weeks - 77 - 278 ml.

Polyhydramnios is an insidious pathology, so if at 34 - 35 weeks, when the mother feels fine, she is given the upper limit of the norm and is recommended hospitalization, we must agree. This pathology must be constantly monitored to prevent the terrible! Remember this!

Sometimes the diagnosis of “Polyhydramnios” is preceded by the diagnosis of “Moderate Polyhydramnios”. What does he mean? The presence of the problem and its slow, rather than a sharp development. That is, the amount of water is increasing, although not as fast as it could be, but there is a time to correct the state.

When the pathology is revealed, it's time to find its causes, because treatment depends on them. Therefore, mom is prescribed:

  • Screening test for the presence of gestational diabetes. What for? To find out if her glucose is well absorbed.
  • Blood chemistry. Just to exclude the presence of problems in the maternal organism (infections, viruses).
  • Amniocentosis. Procedure for taking amniotic fluid for analysis. Its results are quite valuable, because there are also products of vital activity of the fetus, the study of which will allow to draw conclusions about its condition.
  • Karyotyping Sometimes carried out during the previous one and allows you to set the quantity and quality of chromosomes in the cells of the fetus.

Cardiotocography may be indicated to confirm the diagnosis.

Prevention and treatment

Ideally, therapy is prescribed, depending on the identified cause of the pathology. So:

  • in Rh conflict, immunoglobulins are injected,
  • intrauterine infection - prescribed antibiotics allowed for women in an interesting position,
  • diabetes - diet and additional therapy for the correction of sugar levels.

However, due to a third of the unidentified causes of pathologies, the question of how to treat polyhydramnios in each case sometimes does not even arise, because there is a “universal scheme” to get rid of the problem for sure.

What does it mean? That the future mom is prescribed everything at once:

  • antibiotic therapy with broad-spectrum drugs,
  • diet
  • diuretics,
  • preparations containing magnesium.

To maintain immunity, improve the general condition of the mother and fetus, vitamin complexes containing vitamins B, C, and E are also prescribed.

In extreme cases, at 33 - 34 weeks, an amniotomy can be done for chronic pathology. This is a procedure in which a bubble is opened to discharge part of the water. Thus, physicians can protect themselves and pregnant women from rupture, in which water flows rapidly, taking with them the umbilical cord or limbs of the crumbs and endangering his life and health.

In the later periods, at 36 - 41 weeks, they may decide to stimulate labor activity.

All these problems can be prevented by planning a pregnancy (this is a test before conception) by regularly examining and listening to the recommendations of the doctor.

Reviews of those who had

In the forums of young mothers a lot of comments regarding the hydrological, including moderate water. Women write:

“In the 33rd week, the acute respiratory disease got sick, besides there were problems with the kidneys, as a result, they set a lot of water. They have prescribed antibiotics and so far nothing else. ”

“With such a diagnosis was in the hospital. There were antibiotics for 5 days, CTG twice a day, after which they were discharged and told to wait quietly for the delivery. ”

"It was a moderate polyhydramnios, treatment was not prescribed, gave birth to a healthy baby."

The fact that the prognosis is favorable when there is a lot of water is also evidenced by feedback from the mothers Therefore, after identifying it with you, do not wind yourself. Listen to the doctors, and everything will be fine!

What is polyhydramnios in pregnant women?

Polyhydramnios is considered obstetric pathology, a complication of pregnancy. Another name for polyhydramnios is polyhydramnion. This Greek word fully reflects the essence of this disorder: a large (poly-) accumulation of water (-hydra-) in the amniotic, or fetal, bladder (-amnion).

By the end of uncomplicated pregnancy, the amniotic waters have a volume of not more than 1.5 liters. They accumulate gradually, simultaneously with the growth of the uterus. They are not just a liquid in which the fetus is temporarily located, but also perform important functions: they participate in metabolism, help maintain optimal pressure and temperature, and protect from infections. Amniotic fluid contains nutrients, hormones, salts, antibodies. In the early stages of pregnancy, it is absorbed through the skin of the fetus, in the later stages the child begins to swallow it. By the end of pregnancy, he drinks and releases up to 800 ml per day.

The waste products of the baby also fall into the amniotic fluid, so they are constantly updated. The liquid is completely replaced by the purified every 3 days. Naturally, the high water can not affect the functioning of this well-established mechanism, so during pregnancy the water level is repeatedly monitored.

The norms of amniotic fluid are determined at different periods:

Deviation from these norms in a big way is considered a high water. Typically, this pathology occurs in 2-3 trimester, but can sometimes be diagnosed in earlier periods.

The causes of the violation

Polyhydrite is formed during pregnancy under the influence of 2 differently directed causes: increasing the production of amniotic fluid and reducing its absorption. Water is produced by the amniotic membrane, which covers the placenta from the inside. The lungs and the baby’s gastrointestinal tract are involved in the absorption of water; the reverse absorption is performed by the same amniotic membrane. In half of pregnant women with polyhydramnios in the placenta, one can find the causes of this disorder: multiple foci with poor blood circulation, hemorrhages, non-functional areas, lack of villi penetrated by blood vessels.

In the third trimester, hydrology is aggravated if the fetus has impaired absorption, that is, it swallows the amniotic fluid less or less than what nature intended. Such violations are quite frequent, they make up every fifth case of polyhydramnios. The cause may be obstruction of the gastrointestinal tract in a child, defects of the nervous and cardiovascular systems, chromosomal abnormalities, brain damage, anemia.

Up to half of the cases of polyhydramnios are idiopathic, that is, their cause cannot be established not only during pregnancy, but also after childbirth.

There are known factors that significantly increase the probability of detecting high water in the last stages of pregnancy:

  1. Metabolic disorders in women: diabetes, metabolic syndrome. The risk is higher if the woman does not receive adequate treatment.
  2. Diseases of the kidneys, heart and blood vessels. After exacerbation of chronic pyelonephritis, polyhydramnios is diagnosed in 17% of pregnant women.
  3. Rhesus-conflict pregnancy.
  4. Viral infections in the mother, which can be transmitted to the fetus: rubella, herpes, cytomegalovirus infection. Parasitic disease - toxoplasmosis.
  5. Untimely treatment of infection of the genital tract. The share of bacterial vaginosis and candidiasis accounts for 25% of all cases of polyhydramnios of infectious origin.
  6. Influenza and acute respiratory viral infections, transferred after the middle of pregnancy in a severe form, with bacterial complications, become the cause of polyhydramide in a quarter of the ill pregnant women.
  7. Flux can be a consequence of a regular negative impact on the mother's body. To him lead cigarettes, alcohol, drugs, malnutrition, work in hazardous industries, frequent contact with aggressive household chemicals.

Symptoms and signs of polyhydramnios

In order to diagnose polyhydramnios in time and have time to reduce its consequences for the child, you need to pay attention to the symptoms of polyhydramnios during pregnancy:

  1. Preeclampsia, accompanied by severe nausea, profuse vomiting, is the most frequent sign of polyhydramnios. The combination of preeclampsia and polyhydramnios usually accompanied by swelling of the legs and abdomen, an increase in pressure.
  2. Slipping of the amniotic fluid during movement, change of posture can be a sign of its excess volume.
  3. The size of the uterus is ahead of the average for this period. Closer to the birth circumference of the abdomen can reach 1.2 m.
  4. Due to the strong increase in the uterus, pressure on the organs is increasing. How to recognize polyhydramnios given the fact that all women have signs of such a condition by the end of pregnancy: frequent urination and digestive problems are normal, shortness of breath, abnormal heart function, abdominal pain, perineum, lower back can be caused by polyhydration.
  5. Signs of excessively large uterus pressure on the inferior vena cava are intermittent dizziness, weakness, and dark spots before the eyes. Symptoms are worse when a woman lies on her back.
  6. The growth of the abdomen exceeds the elastic capacity of the skin, so multiple stretch marks appear on it - the best stretch marks cream.
  7. The fetus may exhibit increased locomotor activity in the abnormally large membranes of the fetus. Symptom of polyhydramnios can be repeated changes in the position of the child in the later periods. What is fraught with increased space for a child? First, there is a growing risk of pelvic presentation, and hence a cesarean section. Secondly, the probability of intrauterine hypoxia in a baby is higher because of the entanglement of its umbilical cord.

The above symptoms are indirect. The diagnosis is made only on the basis of ultrasound data. During the study, either the volume of water is calculated by measuring the transverse and longitudinal size of the uterus, or the OPV index is determined.

The OPV index is considered a more accurate way to diagnose polyhydramnios, it is calculated in cm or mm. For each gestational age there are norms with which this value is compared:

Why does it appear?

A healthy pregnancy is accompanied by the optimal formation of the right amount of amniotic fluid. There should not be too many or few. Such deviations from the norm and contribute to the fact that the future mother or her baby begin to form pathology.

Amniotic fluid may also be called amniotic. In a liquid medium, it is easier to dissolve all the necessary components that are vital for the baby to fully grow and develop. Also in such conditions it is much easier for the baby to make his first active movements.

Amniotic fluid in multiple pregnancies is essential. It allows you to create in the mother's tummy "separate" space for each baby. This contributes to the fact that both babies are well developed and simply do not interfere with each other to grow.

Liquid medium is also a kind of hydraulic cushion. It protects the baby from the effects of external mechanical influences.

In order for the baby to develop well, an optimal temperature is maintained in the amniotic fluid. This allows all organs of the baby to work in the required mode.

There are many reasons for the increased amount of amniotic fluid inside my mother's tummy where the baby lives. Reviews of many women who have already become moms show that they have often recorded this clinical condition.

The most common reasons for the development of this pathology in expectant mothers are:

  • Infected infections. Most often the culprits of the development of this condition are various viral or bacterial infectious diseases. If a pregnant woman falls ill in early pregnancy, then this situation is the most dangerous. It is at this time that all fetal membranes begin to form.
  • Pathology of the placenta. Doctors allocate a lot of different conditions that are accompanied by the development of placental insufficiency. This pathology is extremely unfavorable, as it contributes to the violation of the growth and development of the baby. The placenta is the main organ of pregnancy through which the baby receives all the necessary components for its growth and development.
  • Rhesus-conflict state. In this situation, the Rh factors in a pregnant woman and her baby are different. This situation significantly complicates pregnancy, especially repeated.

There are other reasons:

  • Severe pathologies of the internal organs of a pregnant woman. Chronic diseases of the kidneys, liver, cardiovascular system, diabetes mellitus and diseases of the thyroid gland increase the risk of developing this pathology.
  • Actively forming anomalies of fetal development. A defect in the structure of the digestive organs, congenital pathologies of the central nervous system often provoke the appearance of a large amount of amniotic fluid.
  • Certain chromosomal and gene diseases. They are characterized by the fact that any breakages occur in the genetic apparatus of the baby. Such pathologies can be suspected during the screenings conducted during different periods of pregnancy.
  • Various features of the structure and location of the reproductive organs in women. Future mothers with a saddle womb are at increased risk.
  • Large mass of the fetus. In the area of ​​increased risk for the development of this pathology are also women who are carrying too large babies.
  • Gestosis. This pathology significantly worsens the course of pregnancy. Much harder, it proceeds when carrying several babies at the same time. In such a situation, more careful medical observation of the future mom is required.

Symptoms and diagnosis

The pathology of moderate polyhydramnage during pregnancy is determined by ultrasound.

If you have been diagnosed with polyhydramide for up to 30 weeks, you need to be further examined, preferably from other specialists. It is better to do an ultrasound diagnosis in another clinic. You can also determine for yourself the possible increase in amniotic fluid by the following symptoms:

  • you have drowsiness, weakness and general malaise,
  • possible temperature rise
  • breathing becomes difficult (characteristic after 20 weeks of gestation),
  • the stomach becomes more rounded and elastic
  • there are very active movements of the fetus (as the child has where to swim).

A pregnant woman may have problems with urination and constipation, which is due to the strong pressure of the uterus on other internal organs. If there are similar signs, be sure to undergo a medical examination. The specialist can confirm the risk of moderate hydration during pregnancy, and can refute it for various reasons.

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The video clip tells about TORCH infections, which are the cause of moderate hydration.

Pathological consequence of dangerous for the developing fetus is acute polyhydramnios, which is determined by the indicators of permissible values ​​of amniotic fluid, corresponding to the duration of pregnancy.

We propose to look at the table, how the amniotic fluid should look by weeks and determine the allowable deviations in the indicators.

Check out the amniotic fluid rate during pregnancy.

Treatment of mild hydration during pregnancy

Depending on the course of the pathology (acute and moderate) it is customary to prescribe treatment. If the amount of amniotic fluid does not increase with time and growth of the fetus, talk about moderate polyhydramnios. In this situation, treatment can be prescribed only when the risk for the development of the fetus is determined.

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Acute polyhydramnage during pregnancy should be accompanied by drug therapy in the hospital or on an outpatient basis, depending on the state of the pregnant woman. When detecting abnormalities in the development of the fetus and impaired blood flow, prescribe vasoconstrictor drugs: Curantil, Trental, Ginipral, Actovegin. As a supplement to this, pregnant women can use vitamins B and C for better glucose uptake.

Attention! С отклонениями в развитии будущего ребенка беременных обязательно госпитализируют в родильный дом под постоянное врачебное наблюдение.

Еще определить умеренное многоводие при беременности можно при измерениях окружности живота, как на фото

При проявлении положительной динамики после умеренного многоводия при беременности, женщина способна родить естественным путем и доносить беременность до нужного срока.

Possible consequences of polyhydramnios

It happens that a moderate high water during pregnancy does not always affect the fetus, and often does not cause abnormalities in its development. However, you should still beware of the following effects:

  • retardation in child development after birth,
  • disorders of the nervous system (problems with vision and hearing),
  • hydrocephalus occurs,
  • increases intracranial pressure
  • poor weight gain
  • possible disability of the child.

In some cases, preterm delivery occurs with poor labor. Also, physicians often record fetal fading in the later stages of pregnancy.

Tip! If you notice an excessive increase in the limbs and their swelling, you should immediately contact a specialist. In these cases, antibiotics and diuretic drugs are often prescribed.

We recommend to watch a video about moderate polyhydramnage during pregnancy.

Moderate high water pregnancy 36 weeks

Good afternoon, dear Elena Petrovna and the clubboy.

I appeal again (before that I asked a question about cysts of the chorial plexuses of the ventricles of the brain, which really resolved by the 24th week of gestation).

Now, according to the protocol, ultrasound is put in custody:

  1. Pregnancy for a period of 35-36 weeks
  2. Moderate Polyhydramnios (IAG - 22.8 cm)
  3. Compensatory hypertrophy of the placenta (degree of maturity -2, thickness 42 mm, not swollen, the edge of the placenta 70 mm above the internal pharynx)
  4. The blood flow in the uteroplacental complex and fetal hemodynamics are not changed, gross fetal malformations were not detected, h / s 142 beats / min, Roman, motor and respiratory activity - N, (although blood flow was disturbed in the uterine gland during 32-33 weeks -placental complex grade 2. primary and secondary placental insufficiency on the background of unchanged fetal hemodynamics !!).

Naturally, the chiming clock was immediately registered (without asking what my usual pressure was 90/60), which I certainly did not drink, but just walked a lot and ate foods that promote blood thinning. And lo and behold!)))).

Elena Petrovna, my question is this: how consistent are these conclusions? I myself, no matter how hard I tried, cannot independently interpret the graph of a normal indicator of the amniotic index.

After reading the article Old Placenta, I concluded that taking the thickness of the placenta of 4 cm as the upper limit of the norm, a diagnosis of compensatory hypertrophy of the placenta was made.

The reason for these diagnoses was attributed to ARVI, which I had had with the 28th week.

Thank you in advance for your response.

Hazards arising from moderate water intake

In the presence of moderate polyhydramnios, the amniotic fluid, or rather its volume, increases slightly, which cannot be said of the particularly acute and pronounced polyhydramnios. The fluid arrives gradually, therefore there will be enough time for the diagnosis of this phenomenon and the subsequent treatment. With polyhydramnios, premature labor may occur, there is a weakening of labor activity, the development of pathologies and defects in a baby, and its intrauterine fading.

If you are diagnosed with mild hydration, do not panic and worry. Very often, this phenomenon is temporary in nature, passes over time and does not pose a great threat to the future mother and child. The main thing is to consult a doctor in time and, if necessary, to undergo a certain treatment. After that, be patient and wait for the beautiful moment - the birth of a child.

What is a moderate high water flow?

The baby spends the first nine months of life in the womb, namely, in the amniotic sac, filled with amniotic fluid (amniotic fluid). Amniotic fluid has a complex chemical composition and creates ideal conditions for the growth and development of the child. Amniotic fluid baby comfortable temperature (37 degrees), neutralize noise and environmental influences, contain immunoglobulins that protect the fetus from viruses, give the baby the opportunity to actively move and swim, especially in the early stages.

Almost 97% of the amniotic fluid is water, which contains various nutrients: proteins, mineral salts. In addition, it contains aromatic substances - alkaloids. It is believed that the smell of amniotic fluid resembles the smell of mother's milk, which helps a newly born baby accurately determine where the mother’s breast is. By the end of the term, the amniotic fluid is completely renewed every three hours. and one third is processed by the baby

The norms of the amount of amniotic fluid at different stages of pregnancy

It is important to note that the quantity and quality of amniotic fluid has a great influence on the course and outcome of pregnancy. A normal amount of amniotic fluid indicates proper development of the fetus. So, what is the amount of water and at what time is the best?

At 10 weeks of pregnancy, the amount of amniotic fluid averages 30 ml, by 14 weeks it increases to 100 ml, and at 18 weeks it is 400 ml. The largest volume is noted by the end of pregnancy, ranging from 1000 to 1500 ml. Before childbirth, the amount of amniotic water can be reduced to 800 ml due to more intensive removal of fluid from a woman’s body. Deviation of the amount of amniotic fluid from the norm is a pathology. Malovodie characterized by the amount of amniotic fluid less than 500 ml, and polyhydramnios the amount of more than 1.5 -2 liters. Polywater is much more common than low water. To determine the amount of water in a pregnant woman, you must undergo an ultrasound.

Symptoms of mild polyhydramnios

With moderate polyhydramnios, the amount of amniotic fluid is 1500 - 1800 ml. This pathology often passes unnoticed by the expectant mother, as the increase in fluid occurs gradually, so the woman has time to adapt to all changes in her body. Suspect a deviation from the norm can a local doctor at the next reception. Sometimes a woman herself feels how the uterus becomes edematous, the abdomen is hard and taut, and sometimes even water overflows when the future mother moves. Very often, moderate hypoxia is accompanied by pain in the perineum and lower back, nausea, malaise, edema. Because of its excessive size, the uterus puts pressure on the internal organs, preventing their normal functioning. This pathology often provokes premature labor, which is accompanied by an early outpouring of amniotic fluid and placental abruption. There may be a weak labor activity due to overstretching of the uterus.

Causes of moderate polyhydramnios:

  • intrauterine infections
  • diseases of a pregnant woman before conceiving or while carrying a baby,
  • preeclampsia,
  • negative mother Rh,
  • anatomical features of the uterus,
  • large fruit,
  • twin pregnancy, etc.

Treatment of mild polyhydramnios

After identifying the cause of the formation of moderate polyhydramnios, the doctor chooses one or another treatment strategy. Often the patient is prescribed antibiotics for the prevention of intrauterine infection, diuretics and fortifying drugs. Also prescribed drugs that restore the uteroplacental blood flow. Sometimes a portion of the amniotic fluid is removed using a very thin catheter that is inserted into the sac. For the period from 24 to 38 weeks pregnant prescribe indomethacin. If the patient's condition worsens, signs of fetal distress appear, it is necessary to resort to early delivery.

To prevent the development of polyhydramnios. it is necessary to identify and treat all diseases that cause this pathology. To do this, you must regularly go to an appointment with a gynecologist at the antenatal clinic.

Sources: http://klubkom.net/posts/103321, http://natural-medicine.ru/beremennost/9454-chem-opasno-umerennoe-mnogovodie-pri-beremennosti.html, http: // deti-mam. ru / beremennost / pri-beremennosti / chto-takoe-umerennoe-mnogovodie /

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Moderate Polyhydration at 37 weeks gestation

The baby spends the first nine months of life in the womb, namely, in the amniotic sac, filled with amniotic fluid (amniotic fluid). Amniotic fluid has a complex chemical composition and creates ideal conditions for the growth and development of the child. Amniotic fluid baby comfortable temperature (37 degrees), neutralize noise and environmental influences, contain immunoglobulins that protect the fetus from viruses, give the baby the opportunity to actively move and swim, especially in the early stages.

Almost 97% of the amniotic fluid is water, which contains various nutrients: proteins, mineral salts. In addition, it contains aromatic substances - alkaloids. It is believed that the smell of amniotic fluid resembles the smell of mother's milk, which helps a newly born baby accurately determine where the mother’s breast is. By the end of the term, the amniotic fluid is completely renewed every three hours. and one third is processed by the baby

The norms of the amount of amniotic fluid at different stages of pregnancy

It is important to note that the quantity and quality of amniotic fluid has a great influence on the course and outcome of pregnancy. A normal amount of amniotic fluid indicates proper development of the fetus. So, what is the amount of water and at what time is the best?

At 10 weeks of pregnancy, the amount of amniotic fluid averages 30 ml, by 14 weeks it increases to 100 ml, and at 18 weeks it is 400 ml. The largest volume is noted by the end of pregnancy, ranging from 1000 to 1500 ml. Before childbirth, the amount of amniotic water can be reduced to 800 ml due to more intensive removal of fluid from a woman’s body. Deviation of the amount of amniotic fluid from the norm is a pathology. Malovodie characterized by the amount of amniotic fluid less than 500 ml, and polyhydramnios the amount of more than 1.5 -2 liters. Polywater is much more common than low water. To determine the amount of water in a pregnant woman, you must undergo an ultrasound.

Symptoms of mild polyhydramnios

With moderate polyhydramnios, the amount of amniotic fluid is 1500 - 1800 ml. This pathology often passes unnoticed by the expectant mother, as the increase in fluid occurs gradually, so the woman has time to adapt to all changes in her body. Suspect a deviation from the norm can a local doctor at the next reception. Sometimes a woman herself feels how the uterus becomes edematous, the abdomen is hard and taut, and sometimes even water overflows when the future mother moves. Very often, moderate hypoxia is accompanied by pain in the perineum and lower back, nausea, malaise, edema. Because of its excessive size, the uterus puts pressure on the internal organs, preventing their normal functioning. This pathology often provokes premature labor, which is accompanied by an early outpouring of amniotic fluid and placental abruption. There may be a weak labor activity due to overstretching of the uterus.

Causes of moderate polyhydramnios:

  • intrauterine infections
  • diseases of a pregnant woman before conceiving or while carrying a baby,
  • preeclampsia,
  • negative mother Rh,
  • anatomical features of the uterus,
  • large fruit,
  • twin pregnancy, etc.

Treatment of mild polyhydramnios

After identifying the cause of the formation of moderate polyhydramnios, the doctor chooses one or another treatment strategy. Often the patient is prescribed antibiotics for the prevention of intrauterine infection, diuretics and fortifying drugs. Also prescribed drugs that restore the uteroplacental blood flow. Sometimes a portion of the amniotic fluid is removed using a very thin catheter that is inserted into the sac. For the period from 24 to 38 weeks pregnant prescribe indomethacin. If the patient's condition worsens, signs of fetal distress appear, it is necessary to resort to early delivery.

To prevent the development of polyhydramnios. it is necessary to identify and treat all diseases that cause this pathology. To do this, you must regularly go to an appointment with a gynecologist at the antenatal clinic.

Symptoms of polyhydramnios

With multiple waters, pregnant women may experience several symptoms. First, there is a heaviness and pain in the abdomen. Secondly, in pregnant women the belly grows very quickly. Its circumference near the navel is over 100-120 centimeters.

You may also experience shortness of breath, increased heart rate, varicose veins, general weakness and indisposition. When there is a lot of water in the stomach, gurgling is often heard, the so-called fluctuation.

Danger of polyhydramnios

Amniotic fluid is a vital medium for the fetus. At 37 weeks of pregnancy, the amount of amniotic fluid should be about 1-1.5 liters. Polyhydrate is dangerous for women and children. In 28% of women, this condition ends with spontaneous abortion and premature birth.

In addition, with mnogovodii women may experience severe vomiting, which leads to dehydration. The increase in amniotic fluid gives more space for the baby. Therefore, he can freely roll over.

With polyhydramnios, there is a strong stretching of the walls of the uterus, which can lead to detachment of the placenta, and as a result of premature birth and a premature baby.

Treatment of polyhydramnios

The disease is transmitted when they find its cause. Therefore, if an ultrasound revealed high water, a woman is sent to the glucose-tolerant test. If, according to its results, the sugar level exceeds the permissible rate, the woman is sent to the endocrinologist.

Also with the help of ultrasound, you can find out the abnormalities in the child. If everything is in order, then the woman is prescribed the necessary research. According to their result, treatment is prescribed.

Moderate polyhydramnios.

I had a huge belly with the second one, I was teasing myself with the airship, and with the 38th I even began to walk more slowly, interfered with horror, I thought that I would be the first and only such to remain pregnant forever until I burst. I did not set the polyhydramnios, and a large fruit from the 32nd week was prophesied. As a result, son 4240 and polyhydramnios and a single entanglement and a large placenta. but gave birth quickly and relatively easily. baby healthy. By the way, the third daughter was born 4020 (and this is the 39th week) - these were my easiest childbirth.

But with ketone bodies I came across regularly: they appear in the body against the background of Orz or Orvi, move the analysis and if they still exist, but also protein, then you should definitely agree to a doctor for hospitalization. Of course, it is difficult to decide on this, but we understand what the outcome of the pregnancy is and why, for someone else, who are we trying to! Hold on a bit!

Good luck and easy delivery! Everything will be great!

I have the same so it was a large fruit + polyhydramnios. The waters themselves did not depart, made a puncture, perehozhivala up to 42 weeks. Just a lot of them were. Childbirth on their own, child 4200. Regarding ketone bodies and protein, should give direction to the urologist. In my last weeks, from time to time they appeared, then everything was fine. I was told that because of the weight of the fetus and the high water levels, the kidneys are naughty, because they have double pressure and in all senses.

It was the last time the same thing - and the fruit is large and full of water. Ended up by the fact that the waters moved away before the labor began. She began to give birth herself, and the COP ended. They couldn’t cause any clan activity in any way, and the fetus didn’t come either out of a tuta or syud, Most importantly, everyone is alive and well) The kid was born in 4160.

I was put in the first b with 22 weeks, frightened at 35 that the child was already 4 kg, as a result I gave birth to 3530 at 39 weeks. Look only for swelling carefully.

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