All rights reserved. Treatment may include:After treatment, your doctor will still want to monitor your amniotic fluid level approximately every one to three weeks.If you have mild to moderate polyhydramnios, you'll likely be able to carry your baby to term, delivering at 39 or 40 weeks. When examining the fetus, faint fetal heart sounds are also an important clinical sign of this condition. A single case may have one or more causes, including intrauterine infection (A recent study distinguishes between mild and severe polyhydramnios and showed that (M/C for polyhydramnio is fetal anomalies 'Williams Obstetrics, 24th Edition – Cunningham, Leveno, Bloom et al.
Semin Perinatol 2008; 32:288. Before you start treatment with Asacol 800mg tablets you will have a blood and urine test to check how well your kidneys are working and what your blood is doing. During treatment your doctor will check how well your liver, kidney and blood is working by taking blood and urine sample periodically during your treatment. Aviram A, Salzer L, Hiersch L, et al. Treatments for Polyhydramnios including drugs, prescription medications, alternative treatments, surgery, and lifestyle changes. 2007; 86(12): 1427–31. Advertising revenue supports our not-for-profit mission.Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Kramer WB, Van den Veyver IB, Kirshon B. He or she will estimate the amniotic fluid volume (AFV) by measuring the single largest, deepest pocket of fluid around your baby. Here's some information to help you get ready for your appointment and what to expect from your doctor.Preparing a list of questions will help you make the most of your time with your doctor. Your health care provider will also use a detailed ultrasound to diagnose or rule out birth defects and other complications. If symptoms are severe or if painful preterm contractions occur, treatment may also include manual reduction of amniotic fluid volume. It is typically diagnosed when the amniotic fluid index (AFI) is greater than 24 cm. Fetal swallowing. Fetuses with polyhydramnios are at risk for a number of other problems including In most cases, the exact cause cannot be identified. Mild polyhydramnios that develops around the middle of pregnancy usually reduces by itself without treatment. but these anomalies include: Mechanisms affecting amniotic fluid volume include: 1. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. Bed rest is advised for a few days. He or she may also ask you a number of questions, such as:Mayo Clinic does not endorse companies or products. Driving and using machines . An AFV value of 8 centimeters or more suggests polyhydramnios.An alternative way of measuring amniotic fluid is measuring the largest pocket in four specific parts of your uterus. Testing will be based on your risk factors, exposure to infections and prior evaluations of your baby.
For polyhydramnios, some basic questions to ask include:Your doctor will likely perform a physical exam and run some tests, including an ultrasound exam. Bundgaard A, Andersen BR, Rode L, Lebech M, Tabor A, Prevalence of polyhydramnios at a Danish hospital—a population-based study.
"Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Monitoring may include the following:Mild cases of polyhydramnios rarely require treatment and may go away on their own. Your health care provider may offer additional testing if you have a diagnosis of polyhydramnios. Additional tests may include:If you're diagnosed with polyhydramnios, your health care provider will closely monitor your pregnancy. It has a number of purposes, including protecting the fetus from trauma and infection, allowing lung development and facilitating the development and movement of the limb and other skeletal parts. Acta Obstet Gynecol Scand. Obstet Gynecol 2015; 125:825. Association of isolated polyhydramnios at or beyond 34 weeks of gestation and pregnancy outcome. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Mild asymptomatic polyhydramnios is managed expectantly. If you have severe polyhydramnios, your health care provider will discuss the appropriate timing of delivery, to avoid complications for you and your baby.Polyhydramnios can be a worrisome finding during pregnancy. A single copy of these materials may be reprinted for noncommercial personal use only. This test uses high-frequency sound waves to produce images of your baby on a monitor.If the initial ultrasound shows evidence of polyhydramnios, your health care provider may do a more detailed ultrasound. Harman CR.
If your health care provider suspects polyhydramnios, he or she will do a fetal ultrasound. By term, the fetus swallows 210-760 ml of amniotic fluid per day. Discuss treatment options with your healthcare providers to decide what care you want to receive. Physiologically, the volume of fluid increases with gestation to a maximum at 36-37 weeks. In the mother, the physician may observe increased abdominal size out of proportion for her weight gain and gestation age, uterine size that outpaces gestational age, shiny skin with stria (seen mostly in severe polyhydramnios), dyspnea, and chest heaviness.
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