Second of all, your doctor may recommend delivering your baby early. While this may cause mixed emotions in you, the outcomes for babies born in the last month of pregnancy are excellent. The risks of continuing a pregnancy without enough amniotic fluid, on the other hand, are high. They may include stillbirth , cord compression, or meconium aspiration. Your doctor will advise you of the benefits and risks of early delivery, but many, many babies are born preterm or early term and have absolutely no adverse effects.
You just get to hold your precious bundle that much sooner! Some signs that warrant an immediate call to your doctor include feeling your baby move less than usual or fluid leaking from your vagina. If you do have low amniotic fluid, there are a number of treatments including delivery that can help keep your little one safe and healthy. Polyhydramnios is another name for having too much amniotic fluid.
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Health Conditions Discover Plan Connect. Medically reviewed by Debra Sullivan, Ph. Gabbe's Obstetrics: Normal and Problem Pregnancies. Philadelphia, PA: Elsevier; chap 1. Gilbert WM.
Amniotic fluid disorders. Philadelphia, PA: Elsevier; chap Amniotic fluid dynamics. Articles Cases Courses Quiz. About Recent Edits Go ad-free. Edit article. View revision history Report problem with Article. Citation, DOI and article data. Weerakkody, Y. Amniotic fluid index.
Reference article, Radiopaedia. Confidentiality of the collected data was ensured, and the information was only used for scientific research purposes. Medical records of patients were reviewed in this study, among them About Around Chronic medical illnesses were reported around 74 Majority of the cases i.
However, 14 2. The results Table 2 showed that almost half of the neonate were boys Only one case still born was identified 0. Majority of the patients were delivered at term While, the congenital anomalies were diagnosed in 31 6. There is no significant association between maternal age and the occurrence of amniotic fluid disorders. A statically significant association was found between gestational age at delivery and amniotic fluid disorders, polyhydramnios with late term deliveries.
Cardiovascular and renal congenital anomalies were diagnosed in neonates with polyhydramnios and oligohydramnios respectively with a non-significant P -value. Table 3. However, there was no significant association between oligo or polyhydramnios and hypertension, heart disease, bronchial asthma, hypothyroidism and anemia.
The above results were based on the data obtained from the electronic medical records of patients admitted in the department of obstetrics and gynecology at KAAUH, during January to October According to the results, Besides, 14 2. Regarding the mode of delivery, 10 The most significant maternal risk factors associated with amniotic fluid disorders include diabetes mellitus and gestational diabetes. Majority of the mothers had live born neonates, and only single case 0. Similarly, a study conducted at King Abdul-Aziz University Hospital in Jeddah showed that out of patients enrolled in the study had liveborn neonates, which represented Here, 6.
Although, no relation was established with amniotic fluid disorders, the percentage is significantly higher compared to the previous study where out of 2. In the present study, the maternal age was divided into two age groups i. However, most of the study participants Thus, no association was found between maternal age and amniotic fluid disorders.
Corresponding to another study done in Ondokuz Mayis University, Turkey, maternal age has no effect on perinatal and neonatal outcomes [ 8 ]. These results are in contrast with another research conducted in Spain, which stated that oligohydramnios and polyhydramnios cases were associated with shorter gestational age [ 9 ] It could be due to the mild cases of polyhydramnios or successful treatment that the mothers underwent. In addition, the rate of vaginal deliveries was greater among oligohydramnios cases.
These results are in contrast with those proposed by a research conducted in India which stated that the rate of vaginal deliveries was second highest after cesarean deliveries [ 11 ]. Also, 14 cases of polyhydramnios and 43 cases of oligohydramnios neonates weighted more than or equal to 2.
Same association was found in a previous research which proved that the amniotic fluid disorders are mostly associated with lower birth weight [ 9 ]. No obvious relation was established between high body mass index BMI above 25 and amniotic fluid disorders. Besides, more than half of the sample were obese Correspondingly, another research conducted in revealed that KSA is considered as the 15th most obese country with rate of However, there were increased cases of poly and oligohydramnios and congenital anomalies in this study, this could be because majority of them are obese or overweight as maternal obesity is linked to pregnancy complications and neonatal outcomes [ 13 ].
It has been noted that the occurrence of polyhydramnios was highly related to chronic disease of diabetes mellitus with P -value equal to 0. Similar value was shown with mothers who suffered from gestational diabetes mellitus, as outlined in one of the relevant articles that the most notable maternal risk factor behind polyhydramnios is diabetes mellitus [ 3 ] which was also associated with the cases represented oligohydramnios.
Hence, it can be said that past maternal history of diabetes mellitus is the main risk factor behind amniotic fluid disorders according to the research outcome. Other maternal chronic diseases showed no effect on amniotic fluid index although it might cause other risks on the fetus. Similarly, no association was found between hypertensive disorder of pregnancy and oligohydramnios, which could be due to the mild cases or treatment received by the mothers.
This study has important implications, as the findings may help medical experts in providing proper counselling regarding pregnancy related complications found among most of the Saudi women. It will further help medical experts to consider all the risk factors associated to the amniotic fluid disorders and its impact on maternal and fetal outcome.
These findings may serve as highly useful in reducing the risks associated to the amniotic fluid disorders [ 14 ]. The study was limited as it was a single center study. Also, the effects of treatment for chronic conditions of mothers and its impact on the amniotic fluid disorder was not studied due to the availability of limited data. Findings of this study confirms that maternal risk factors which were associated with amniotic fluid disorders included diabetes mellitus and gestational diabetes.
Regarding the mode of delivery, it was found that CS was higher among pregnancies which were complicated due to polyhydramnios while oligohydramnios was mostly associated with vaginal deliveries.
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