Pregnancy is a wonderful condition in a woman’s life, but, unfortunately, even it can sometimes be overshadowed by unpleasant pathologies.
One of these conditions is polyhydramnios during pregnancy, which must be treated.
Polyhydramnios during pregnancy - causes
Today, the causes of this condition are not well understood. All factors that affect its development can be divided into 4 groups:
Maternal factors
1. Diabetes mellitus. This disease is a common cause of accumulation of excess fluid.
2. Infections - are in second place. Regardless of the nature of their origin (acute, chronic), a serious complication can occur in which amniotic fluid will increase in volume.
3. Pathology of the kidneys and heart.
4. Gynecological pathology. Such diseases include uterine tumor, erosion, endometriosis.
Factors in complicated pregnancy
The presence of various complications can also cause excessive accumulation of amniotic fluid. These include the following:
1. There is a low level of hemoglobin in the blood.
2. Vascular damage, experts call it gestosis.
3. Conflict Rh factors.
4. Pathology of the placenta.
Fruit factors
1. The fetus develops with abnormalities.
2. Pregnancy is multiple, and polyhydramnios in one fetus is observed, and in the second, on the contrary, low water.
3. The kid is large enough.
Idiopathic polyhydramnios
This type of polyhydramnios arises without any reason. The main mechanism of its occurrence is, first of all, in violation of the exchange of amniotic fluid. The amount of amniotic secretion can be increased due to urine, which the baby will secrete in the later stages.
Regardless of what caused the development of polyhydramnios, it is necessary to take certain measures in order not to harm the child.
Polyhydramnios during pregnancy - consequences
Regardless of the treatment of polyhydramnios or not, a woman may face certain consequences, which, unfortunately, can be dangerous:
1. Termination of pregnancy or spontaneous miscarriage. According to statistics, approximately 28% of pregnant women face such unpleasant consequences.
2. Toxicosis. 30% of pregnant women suffer from severe toxicosis. This can lead not only to the painful suffering of the woman herself, but also to the loss of the fetus. After the occurrence of such a dangerous condition, it is necessary to pay attention to it. Today, there are many ways that can alleviate toxicosis.
3. Placental insufficiency. Serious changes will occur in the mother’s body, which, unfortunately, cannot benefit either her or her child.
4. Bleeding. Pregnant women with acute polyhydramnios often experience severe bleeding. If polyhydramnios is chronic, bleeding may not bother.
5. The placenta exfoliates. The aging process may change - the destruction of the placenta. The fetus will be in a dangerous position, because it is through the placenta that all nutrients enter it.
6. The occurrence of premature birth. In fact, there are few reasons for the occurrence of this condition, mainly due to placental abruption or late toxicosis. A child may be born prematurely.
7. Clan activities are weak. It is possible that doctors will have to have an emergency caesarean section.
Unpleasant consequences can arise not only with the expectant mother, but also with the baby. These include the following:
1. The presentation of the fetus is wrong. It usually happens that the fetus rotates obliquely or laterally. Approximately 6% of women had such a diagnosis. If the location is wrong, most likely the baby will be born using cesarean section. In no case do you need to panic, many women face this, as a result, they have a healthy and strong child.
2. A cord is wrapped around the fetus. This is a serious consequence, which can lead to disastrous results - if you do not help in time, the baby will die.
3. Hypoxia. The fetus experiences oxygen starvation, which in the end can also lead to his death.
4. Heart disease. The baby will be born, but at the same time he will have serious pathologies.
5. Infection of the fetus. This condition can occur only if the mother was infected, or she has a chronic disease.
6. With poor development at the time of birth, a part of the baby, umbilical cord, handle or leg may fall out.
Polyhydramnios is a rather dangerous pathology. If you treat this condition negligently and do not take any measures in time, everything can end badly enough.
Polyhydramnios during pregnancy - what to do
Before a specialist starts treatment for polyhydramnios, it is necessary to establish the exact cause of its occurrence. To do this, the doctor will direct the future woman in labor for examinations, which include ultrasound, a smear to detect infections, a blood test.
Once the reasons are identified, a further action plan will be developed. If there is a Rhesus conflict of the baby and mother, it is necessary to introduce immunoglobulin. Intrauterine infections are treated exclusively with antibiotics. The doctor prescribes them, it is impossible to buy medicines and drink on their own.
It is worth noting that in most cases it is not possible to find out the occurrence of polyhydramnios. Therefore, a set of special measures is applied, which includes the intake of vitamins, diuretics, diet, and the use of antibiotics.
But speaking in general, specialists direct their treatment to reduce the amount of anatomical fluid, as well as improve the general condition of the child. At the time of treatment, a woman is better to go to hospital, as her condition must be constantly monitored.
In most cases, doctors try to do everything to prolong the pregnancy and bring it closer to the expected date of birth. If there are no improvements, experts conduct an unscheduled cesarean section. If this is not possible, for example, when the gestational age is too short, specialists remove a certain amount of fluid by piercing the bladder. But, fortunately, this only happens in extreme cases.
During treatment, the main factor is whether the woman in labor promptly consulted a doctor. That is why you should not delay your visit to your gynecologist, especially if the first signs of polyhydramnios are observed - weakness, shortness of breath, malaise. The most important sign that you should pay attention to is that strong stretch marks begin to appear in the abdomen, and if you change position, water will feel in your stomach. Also with this, swelling of the legs will be observed.
If you began to notice that every day the volume of the abdomen is becoming more and more, the front abdominal wall is very swollen, then this is a clear sign of acute polyhydramnios. You need to call an ambulance as soon as possible.
If a pregnant woman has been diagnosed with polyhydramnios, she will have to spend a lot of time in the hospital, more often take tests.
Very often, treatment is carried out in the hospital, many women in labor spend almost the entire pregnancy in the hospital, since the pathology is far from harmless.
In no case should you be upset, because doctors will do everything necessary in order to avoid serious complications. The main thing is that you do not need to self-medicate, in no case do not use folk remedies, because this is not only about your safety, but also about the life of your child.
Polyhydramnios during pregnancy: prognosis for childbirth
If a pregnant woman was diagnosed with such an unpleasant diagnosis as polyhydramnios, then, most likely, labor will occur a little ahead of schedule. The fetal bladder may burst unexpectedly, because of this, amniotic fluid will begin to flow abundantly and abruptly. As mentioned above, this can lead to the loss of a leg or handle. As a result of such an outpouring, labor will weaken, and some women have no contractions at all.
In addition to all this, the uterus will stretch, and this, in turn, is fraught with detachment of the placenta, bleeding or other, no less serious consequences. If the space in the uterus suddenly increases, the baby may roll over or take a lateral position.
In order to prevent the occurrence of such a situation, experts pre-pierce the fetal bladder. Thanks to this, the water will pour out gradually, in a small trickle, the uterus will begin to shrink, which means that contractions will intensify. However, many doctors still insist on having a cesarean section.
In order to prevent the occurrence of polyhydramnios during pregnancy, it is necessary to undergo examinations. At the planning stage of pregnancy, treat existing infectious or gynecological diseases. It is also necessary to lead a healthy lifestyle, especially if you have obesity or diabetes.
Remember, if you have high water, try to take it seriously. If doctors recommend going to the hospital in advance, be sure to listen to their opinion and follow all the recommendations.
Listen carefully to your body, if it seems to you that the baby is not moving enough, or something else is alarming, be sure to consult a gynecologist.
