During pregnancy, the expectant mother has to undergo a variety of studies from the earliest periods. Regularly before each inspection, a woman takes a blood and urine test. According to these indicators, the specialist determines the health status of the woman. About once every three months, the future mom visits the ultrasound diagnosis room. During such a study, occasionally revealed high water during pregnancy. The causes, consequences, treatment of this pathological process will be presented to you in the article. You will also be able to find out how this state affects the birth of the future baby.
Before you find out the causes of polyhydramnage during pregnancy, the consequences and ways to eliminate it, you need to say how the increase in the amount of water usually passes. Normally, the fetus is surrounded by amniotic fluid throughout the entire gestation period. At 12 weeks, its amount is about three tablespoons. During this period during the ultrasound does not pay special attention to the index of amniotic fluid.
With pregnancy, the amount of water increases. So, by 30 weeks its volume reaches a little more than half a liter. Before the very birth, which should take place on time, the amniotic fluid fills from one to one and a half liters of uterus. It is worth noting that for many representatives of the weaker sex, this volume decreases to the beginning of labor.
The causes, the effect on childbirth, the consequences of this condition will be described below. Before we give a definition and description of this term. The condition in pregnancy, when the amount of amniotic fluid is significantly exceeded, is called polyhydramnios. Note that the volume does not always go beyond the permissible limits. Sometimes the approach to higher norm is already characterized by the term “moderate water flow”.
There is a classification of the state described. An increase in the amniotic fluid index may be chronic or acute. The latter, in turn, is more dangerous. This condition can be diagnosed by external indicators, a woman’s complaints or by means of ultrasound diagnostics. The chronic form of pathology is characterized by a gradual increase in the volume of amniotic fluid. In acute polyhydramnios, the level of amniotic fluid increases rapidly over several hours or days.
Symptoms of polyhydramnios
It is not always possible to determine this state. Very often, a woman learns about her diagnosis only at the next ultrasound. Most often this happens in chronic course of pathology. However, there are other signs of a problem.
Intensive growth of the abdomen. With polyhydramnios, the height of the standing of the genital organ exceeds the norm for its duration. The circumference at the level of the navel is more than 100 centimeters. A woman may complain of shortness of breath, heaviness when walking, fatigue, the appearance of stretch marks.
Unusual symptoms. If you have had to deal with high water, then you probably know what a fluctuation is. With this syndrome, the expectant mother clearly hears in the silence gurgling sounds from her stomach. Also, the child may have reduced activity. The baby moves as it should be, but the woman does not feel these shocks due to the large volume of water.
Doubtful signs. Also, in the presence of polyhydramnios, symptoms may occur that sometimes accompany other pathological processes. These include leg swelling, increased blood pressure, headaches, impaired kidney function, and so on. It is impossible to make the diagnosis described above solely for these symptoms.
Why does it appear?
What are the reasons for pregnancy? The symptoms of this pathology are already known to you. The true situation, which led to an increase in the amount of amniotic fluid, is not always possible to find. Doctors say that polyhydramnios is diagnosed in one expectant mother out of a hundred. It can be concluded that this disease is not so common. Much more often pregnant women have to deal with low water.
Even with the development of modern medicine, most women are diagnosed with “high water of unknown origin”. Less commonly, the cause is established and appropriate therapy is prescribed. Typically, treatment of polyhydramics is carried out in the hospital. At the same time, the amount of liquid is daily monitored using an ultrasound scanner. Consider, what are the high water (moderate, chronic, acute) causes and methods of treatment.
The most common cause of the onset of pathology is infection. It may be a sexually transmitted disease. Also, often the cause of the problem is an inflammatory process in the pelvic organs in women. That is why doctors strongly advise before planning a pregnancy to go through all examinations and, if necessary, carry out treatment.
Adjustment of this reason is carried out under the supervision of doctors. Women are usually given antibiotic or antiviral therapy. However, before these types of infections are established.
The causes and consequences of polyhydramnios are interrelated. If the future mother has a negative Rh factor, and the father of the child has a positive one, then a conflict may arise. Usually this does not happen during the first pregnancy. After childbirth, antibodies can form in the blood of a woman who, during subsequent pregnancies, will try to destroy the alien body. At the same time often develops high water.
To fix an existing problem is quite difficult. However, prevention allows a woman not to face the development of Rhesus conflict. To do this, enter the immunoglobulin. Note that the procedure takes place at a certain time under the supervision of specialists. These funds are available exclusively by prescription.
Has other polyhydramnios during pregnancy causes. And the consequences of such a state will be appropriate. If during the formation of the organs and systems of the baby some kind of malfunction has occurred, then defects develop, which are later called congenital. Often this condition is accompanied by polyhydramnios.
Correction of congenital malformations of the baby is not always possible. But often, with timely detection and treatment is prescribed immediately after childbirth.
The situations described are the most frequent, which lead to the development of acute or chronic polyhydramnios. But there are other reasons for this pathology. Among them are:
- age of the woman (up to 18 or after 35 years);
- improper lifestyle (eating disorders, bad habits);
- diseases (diabetes, vascular diseases);
- multiple pregnancy and so on.
Polygene during pregnancy: causes and effects – is there a relationship?
Doctors say that, depending on what caused the development of the disease, we can talk about the outcome. If polyhydramnios occurs due to Rh-conflict, then later on a child can develop diseases such as jaundice of newborns, increased bilirubin. Less often, the embryo dies before it is born.
With intrauterine infection, the disease can go to the baby at the time of delivery. In this case, the severity of the child’s condition will be determined depending on the type of infection. If we are talking about diabetes, it often leads to preeclampsia, leading to hypoxia.
As you can see, if polyvigilance develops during pregnancy, the causes and consequences are interrelated. When this pathology is detected, it is necessary to proceed with its correction as soon as possible. If it was not possible to find out the reason, then the woman is prescribed medications that support the normal state of the baby: medicines to improve the blood supply, sedative medications, tonic, and so on.
How does the polyhydramnios influence the course of labor?
Often, in case of polyhydramnios (if the baby’s suffering is observed), early delivery is recommended. In most cases, a caesarean section is performed. If the condition of the woman does not pose a threat to the child, then natural childbirth is permitted.
Frequently, the contractions are mild. In this case, doctors resort to dissection of the fetal bladder. If the water departs on its own, then a strong stream can carry a part of the umbilical cord, leg, or arm of a child into the cervical canal. All this can end in a rather pitiable way.
In the process of childbirth, the weakness of labor activity may be noted during polyhydramnios. In this case, doctors resort to stimulation. Expectant mothers are given drugs that increase the contractile ability of the genital organ.
You already know what causes and consequences of pregnancy during pregnancy. It is worth noting that most of these genera begin with the help of specialists. Independent contractions may not begin until 42 weeks of gestation.
The most dangerous consequence of polyhydramnios is the detachment of the placenta, which occurs prematurely. In this case, the woman needs emergency medical assistance. Otherwise, there is a threat to the life of the mother and baby.
You have learned what a high water is. Diagnosis and treatment, consequences and causes are presented to your attention. Remember that now you are responsible for the health and life of the unborn child. Do not let the situation take its course. With skilled care and the timely use of suitable medicines, the problem usually does not lead to serious consequences. All the best to you!