How does amniotic fluid form
It can cause a breathing problem called meconium aspiration syndrome that occurs when the meconium enters the lungs. In some cases, babies will require treatment after they are born. Amniotic fluid is responsible for :. Normally, the level of amniotic fluid is at its highest around 36 of pregnancy, measuring around 1 quart. This level decreases as birth nears. When the waters break, the amniotic sac tears.
The amniotic fluid contained within the sac then begins to leak out via the cervix and vagina. The waters usually break toward the end of the first stage of labor. When this happens, it is time to contact the health provider as delivery may be imminent. Polyhydramnios, also referred to as hydramnios or amniotic fluid disorder, is when there is too much fluid.
Low levels of amniotic fluid, referred to as oligohydramnios, occur in 4 percent of all pregnancies and 12 percent of post-date pregnancies. Oligohydramnios is present when the amniotic fluid index AFI seen on ultrasound measures less than 5 cm a normal index is cm and the maximum vertical pocket MVP is less than 2 cm. This may be evident in cases of leaking fluid from a tear in the amniotic membranes, measuring small for a certain stage of pregnancy or if the fetus is not moving as much as it would be expected to.
It may also occur in mothers with a history of any of the following medical conditions:. Oligohydramnios can happen during any trimester but is a more concerning problem during the first 6 months of pregnancy. During that time, there is a higher risk of birth defects, loss of pregnancy, preterm birth, or neonatal loss of life.
The rest of the pregnancy will be monitored closely to ensure normal development is taking place. In some cases, doctors may decide that labor will need to be induced, in order to protect the mother or the child. Amnioinfusion the infusion of saline into the uterus , increasing maternal fluids, and bed rest may also be necessary. There is a higher chance of labor complications, due to the risk of umbilical cord compression. Amnioinfusion may be needed during labor.
In some cases, a cesarian delivery may be necessary. When there is too much amniotic fluid, this is called polyhydramnios. According to the American Pregnancy Association, it occurs in 1 percent of all pregnancies. Too much fluid can also be produced during multiple pregnancies, when the mother is carrying more than one fetus. Maternal symptoms can include abdominal pain and difficulty breathing due to the enlargement of the uterus.
It is contained in the amniotic sac. While in the womb, the baby floats in the amniotic fluid. The amount of amniotic fluid is greatest at about 34 weeks gestation into the pregnancy, when it averages mL. About mL of amniotic fluid surrounds the baby at full term 40 weeks gestation.
The amniotic fluid constantly moves circulates as the baby swallows and "inhales" the fluid, and then releases it. Too much amniotic fluid is called polyhydramnios. This condition can occur with multiple pregnancies twins or triplets , congenital anomalies problems that exist when the baby is born , or gestational diabetes.
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