Polyhydramnios
Polyhydramnios - excessive accumulation in the amniotic cavity of amniotic fluid (more than 2 liters). The reasons are not well understood. Diabetes mellitus, cardiovascular diseases, Rh-conflict, intrauterine infections play a role. Numerous combinations with fetal development abnormalities are common. Polyhydramnios are acute and chronic, often ending in premature birth.
Symptoms, course. General weakness, shortness of breath due to high diaphragm standing, frequent heart rate, swelling. Often an incorrect position of the fetus is observed. The size of the uterus is greater than it should be with the expected duration of pregnancy. Uterus is tense, palpation of parts of the fetus is difficult, heart tones are listened vaguely. With vaginal examination, the stress of the fetal bladder is determined. Differential diagnosis is carried out. With multiple pregnancies, large ovarian cystoma, ascites.
Treatment. In acute polyhydramnios, amniotomy and cautious gradual release of amniotic fluid are indicated (danger of prolapse of the umbilical cord!). Chronic polyhydramnios are treated conservatively: prescribe hypothiazide, vitamins, in some cases broad-spectrum antibiotics (except tetracycline), biyohinol. Labor in polyhydramnios often complicated by the weakness of labor, premature detachment of the normally located placenta, hypotonic bleeding, which is associated with excessive stretching of the uterus. To prevent these complications with incomplete opening of the uterine throat (3-4 cm), it is necessary to slowly release part of the amniotic fluid, without removing the hand from the vagina (danger of prolapse of the umbilical cord). When the weakness of labor is prescribed appropriate treatment. In the 3rd stage of labor, prophylaxis of hypotonic bleeding is carried out.
- Obstetrics
- Abortion is infected
- Abortion not taken place
- Abortion spontaneous
- Abortion threatening
- Anomalies of labor
- Pregnancy ectopic
- Pregnancy uterine (definition of the term)
- Pregnancy is prolific
- Pregnancy
- Hypogalactia
- Discoordinated labor activity
- Milk stasis
- Bleeding (obstetric)
- Lactational mastitis
- Anesthesia of childbirth
- Newborn umbilical cord treatment
- Postpartum Ulcer
- Postnatal parametritis
- Postpartum period is normal
- Postpartum period abnormal
- Postpartum salpingo-oophoritis
- Postpartum sepsis
- Postpartum pelvic peritonitis (pelvioperitonitis)
- Postpartum thrombophlebitis
- Postpartum endomyometritis
- Preposition and prolapse of the umbilical cord
- Placenta previa
- Premature detachment of the normally located placenta
- Premature delivery
- Bubble skidding
- Rupture of uterus
- Genital Tears
- Pulmonary ruptures
- Tears of the cervix
- Weakness of labor
- Toxicosis of pregnant women
- Cracked nipples
- Narrow Pelvis
- Excessive labor activity
- Ambolia with amniotic fluid
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