In this article, you will learn on what basis the diagnosis of "water deficiency" is made and how dangerous it is for a woman and her baby. And also what are the causes of this deviation, how is infertility treated and what measures should be taken to prevent the onset of complications?
Contents
- What does hypochlorism mean in pregnancy?
- Moderate anhydrone in pregnancy
- Severe water retention in pregnancy
- Signs of hypoabrasion during pregnancy
- Causes of hypochlorism in pregnancy
- What threatens hypochlorism in pregnancy?
- Dried water during pregnancy, what should I do?
- How to treat hypochlorism in pregnancy?
- Index of infertility in pregnancy
- Nutrition in case of hypochondriasis during pregnancy
- Tendency to hypochlorous pregnancy: how to determine?
- How to treat hypochlorism in pregnancy: advice and feedback
- VIDEO: Dried water during pregnancy
- There is such a diagnosis of "low water".This means that the amount of amniotic fluid is less than the norm at a certain period of pregnancy.
- Now, thanks to ultrasound examinations, it is easy to detect the lack of hydration, and this diagnosis is put only 5% of pregnant women
- . But unfortunately, it still exists and this deviation should be treated andas early as possible to avoid unwanted complications, including vices in the physical development of the fetus.
What does hypochlorism mean in pregnancy?
- The amniotic fluid contains many substances necessary for the child, for example, salts, hormones, oxygen and vitamins. Also, the amniotic fluid protects the fetus from many harmful external factors
- But there is such a deviation when the amniotic fluid is small and this seriously complicates the healthy bearing of the child
- At different times the amount of liquid is different, so in the last trimester, it should be 0.8-1,5 liters. If the amount of water is less, then it is a question of the low water level
- There is a separation of low and moderate water levels, to determine the severity of the deviation, the degree of lack of fluid is important.
Moderate hypochlorism in pregnancy
With moderate hypotension the fluid volume is slightly less than it should be in normal pregnancy,and is about 400-700 ml.
Treatment of such an inadequacy is to establish a diet, you need to adhere to a special diet rich in vitamins and minerals, lead a healthy lifestyle, visit a doctor regularly to monitor the dynamics of the disease and not miss a deterioration. As a rule, this is enough and moderate water shortage does not harm the fetus.
Severe water retention in pregnancy
Severe malnutrition means a strong deviation from the normal volume of amniotic fluid. With expressed aridity, urgent and radical measures must be taken, sincethis condition is very dangerous for the life and health of the baby.
Treatment is usually conducted in a hospital under the constant supervision of doctors. If you are diagnosed with this, it can affect your unborn child - due to lack of water, a fetal developmental lag may occur, hypoxia, which in turn will cause problems with the central nervous system, incorrect formation of the skeleton and tissues, and even interruptionpregnancy.
Women suffering from severe malnutrition, only 0,3-0,5%.
Signs of hypochondriasis in pregnancy
The pregnant woman usually does not feel that she has such a deviation as lack of water. The only thing that can alert, is the appearance of sharp pain in the abdomen, when the baby is pushed. This may indicate a lack of fluid in the fetal bladder.
A doctor on examination can reveal the probability of lack of hydration due to the following indicators:
- of abdominal volume growth
- measurements of the uterine fundus
According to these data, the doctor can make an assumption of a deviation from the norm, must necessarily send the pregnant woman to an ultrasound examination, where the diagnosis will be accurate.
The ultrasound machine makes it possible to measure the amount of amniotic fluid and determine whether it is sufficient or not.
If on ultrasound you have moderate hay fever, do not rush to grieve, it is better to re-do ultrasound in another place, maybe the doctor is wrong or the device is not accurate enough, and the results will be different.
Causes of infertility in pregnancy
All causes that cause aridity are not fully understood, but experts identify the following:
- Leakage of amniotic fluid or scientific - amnion hydrotherapy. Leakage of water occurs long before the PDR due to rupture of the fetal membrane. Doctors believe that this happens because of infection of the shell or its premature aging, which leads to its thinning and the appearance of a gap. This deviation is treated by bed rest, while the liquid has time to recover and its loss does not harm the child.
- . Disturbances in the development of the membranes. There are many such violations and the reasons for their occurrence, too, to the most common include genetic disorders and the harmful effects of the environment
- Infection of the bladder. There are a number of viruses from which the placenta can not protect the baby and infection of the fetal bladder occurs, its proper functioning is disrupted, which leads to anhydrimony
- Fetal reductions. The placenta and fetal membrane no longer work at full capacity, the child does not receive the nutrients he needs, and his body's condition worsens, blood circulation in the shells also becomes difficult, which in turn leads to a decrease in the production of amniotic fluid
- . Underdevelopment of the tissues of the bladder or their poor secretory work
- Pathologies in fetal development. Here the doctors allocate genetic abnormalities of the face and kidneys
- Bacterial infections are rarely able to penetrate not only into the birth canal of the woman, but also into the amniotic fluid
- In case of multiple pregnancy, there are cases that blood is not distributed correctly in the placenta and therefore one child receives less necessary substances, and the other gets them too much
What threatens hypochlorism in pregnancy?
- Malnutrition during pregnancy can cause quite a lot of complications. If water is not enough, the walls of the uterus begin to strongly compress the fetal bladder, which exerts excessive pressure on the child
- . The baby will be bent in an uncomfortable and unnatural position for him. This development leads to a curvature of the spine in the child and clubfoot, and the skin can also fuse with the fetal membrane of the
- . Simontic ligaments can also form, which wrap around the fetus and restrict its movement, may even lead to injuries to the
- . If these ligaments wrap around the umbilical cord, the babywill not receive nutrients, fetal hypoxia may occur, a violation of blood flow, which will lead to a delay in development and possibly even death of the fetus.
- Amelong water, moreover, is protected by smallOutside the environment, which can harm it, and their lack will lead to unreliable protection or lack of it.
- If there is a lack of water, the cervix of the uterus during delivery can slowly open, the labor activity becomes weak. Contractions are painful, but not strong enough. After childbirth, bleeding may occur
If severe fluid retention is detected late and has irreversible impairment of fetal development, doctors insist on early termination of pregnancy.
Moderate hypochondria can never be said to have a negative impact on the baby, unless, of course, the diet and lifestyle of the pregnant woman are adjusted.
Dried water during pregnancy, what should I do?
If the doctor has diagnosed you with "low water", he will definitely prescribe you treatment and tell you what to do.
First thing is not to worry. Delivered on time diagnosis, this is 50% of the success of treatment. Follow the doctor's instructions strictly, if you need to go to the hospital, do not even think about it - lie down, because the health of your future baby depends on it and, in some cases, even his life.
How to treat hypochlorism in pregnancy?
A woman should understand that even with the diagnosis "moderate infertility" she should not self-medicate or even ignore it.
The doctor will prescribe additional tests: general blood and urine tests, infection tests, fetal CTG( cardiotocography), ultrasound, a smear on water if there is a suspicion that they leak.
These examinations will help to assess the condition of the child and the severity of the deviation. According to their results, the gynecologist will prescribe the necessary treatment. You also need to try to determine the cause of the low water, this will help to choose the right treatment.
- If the cause of malnourishment is obesity and metabolic disorders in the body, then you need the right diet, taking vitamins and medicines that improve the blood supply of the placenta. If the water is moderate, treatment can be done at home, but if it is severe,
- should be hospitalized. If the cause of malnutrition is a viral infection, then antiviral drugs are prescribed and general restorative therapy is performed. The doctor will definitely appoint a vitamin complex and medications that improve blood microcirculation.
- If the cause lies in the development of a fetal bladder, doctors try to keep the pregnancy and prevent infection of the fetus. In this case, the treatment is carried out exclusively in the hospital and the woman is prescribed additional examinations to assess the condition of her body and the fetal condition of
- . When overdosing, the doctors make a puncture of the fetal bladder and the stimulant drugs cause the birth of
- . It is also important to reduce physical activity, reduce motor activity and adhere to bed rest
- In case of malnutrition, doctors send a woman to do ultrasound and dopplerography more frequently to monitor the dynamics of the deviation and for changes in the better andwhether the worst side in the mother's body and the state of the child
- If the gestation period is already long and the baby is full, then the doctor can recommend premature births that will be caused by special stimulating medications
Do not forget to tell your doctor if in the previous pregnancy you already had such a diagnosis,and it is better to conduct a couple of additional ultrasound examinations to exclude this deviation or detect it as early as possible.
Index of infertility in pregnancy
On the ultrasound examination, a diagnosis of "malnutrition" based on the index of the amniotic fluid index( IOL), which is calculated by the ultrasound apparatus, is diagnosed. The device measures the amount of water in several places and calculates the IOL.
In the third trimester:
- if the index is within 5-8 cm, then the amount of water is normal
- if the index is 2-5 cm, then this "moderate malodour"
- at an index below 2 cm is putthe diagnosis is "marked lack of water"
However, it is worth noting that the IAP changes depending on the gestational age:
- at 16 weeks is the norm from 73 to 201 mm
- at 20 weeks from 86 to 230 mm
- at 25 weeks from 89 to 240 mm
- in30 weeks from 82 to 258 mm
- at 35 weeks from 70 to 279 mm
- at 40 weeks from63 to 240 mm
The amount of amniotic fluid varies due to the fact that the fetus grows, swallows fluid and urinates. But do not worry about the baby's condition, tk.amniotic fluid is renewed every 3 hours, and every 3 days they completely change.
Nutrition in case of hypochlorism in pregnancy
Nutrition in case of malnutrition should be correctly and balanced:
- try to eat several times a day( more than 5 meals), but in small portions
- products must contain many vitamins and minerals, be nutritious
- choose natural products with minimal processing
- exclude from the menu fast food products( hamburgers, hot dogs and t.dd)
- reduce the amount of sugar and salt consumed
- eliminate fatty foods from your diet
- try to use less spices and spices
- avoid foods containing preservatives, flavorsand dyes
- meat, fish and seafood should be well thermally treated, do not eat them raw or semi-finished
- refrain from consuming cheese with mold, unboiled milk and raw eggs
- do not drink strong tea, try to do without coffee and completely eliminatealcohol
- instead of sweets and sugar, use more fruit
Be sure to watch for weight gain, tk.a rapid collection of it can also lead to low water level or deterioration of an already existing deviation.
The tendency to hypochlorous pregnancy: how to determine?
A woman may be prone to hypochlorism in pregnancy in the following cases:
- a future mother smokes
- multiple pregnancy
- a woman has metabolic disorders in the body
- there are abnormalities in the development of the fetal bladder
- gestosis - toxicosis in later periods
- dehydration due to vomitingor diarrhea
- there is a bacterial or viral infection
- a woman suffers from diabetes
- the presence of chronic diseases in a future mother
- pregnancy retardation
- there are defects in the kidneys of the fetus
- there was low blood pressure in previous pregnancies
If you fall into the category of risk, the doctor will give you additional tests and tests to detect deviations from normal amniotic fluid in time and start treatment as early as possible.
How to treat hypoecnosis in pregnancy: advice and feedback
Let's sum up and define the basic measures for the prevention of aridity:
- Proper fractional nutrition, the products should be most useful
- Compliance with the diet if there are problems with excess weight
- Extra intake of complex vitamins
- Exclusion of physicalloads, replace them with walks in the open air
- Timely visit to the gynecologist, passing tests, passing the necessary tests
- If the EUs endocrine disorders( diabetes, for example, or obesity) need to undergo the appropriate treatment
When I was pregnant, everyone could not be happier that I have a little belly, as it turned out in the US - oligohydramnios. But, probably, it was moderate, becausethe doctor did not prescribe any medications and only said that they would not allow me to move around, but my son did not wait too long, he was born a little earlier than the time - the birth was easy, there were no problems with the child's health.
Masha, 24 years old.
In fact, doctors are exaggerating everything, there is nothing wrong with lack of water. Well, it's understandable, they are reinsured. But here my friend was persuaded for premature birth, she did not agree and carried the child. Sonny was born healthy and on time. It grows and grows stronger.
Diana, 32 years old
In both pregnancies, I was given "moderate infertility", and both times 30-32 weeks. In the first pregnancy treatment was not prescribed, they said that at this time the moderate is not terrible, but in the second they did injections. The doctors were different. Both girls are healthy, and this is the most important thing! Kristina, 27 years old