Many Causes Of Amniotic Fluid At 9 Months Of Pregnancy And The Impact On The Fetus?
Evening doctor r nI want to ask is there any ordinary case that I experienced in the period of my pregnancy, I experienced a lot of amniotic fluid .. now 36 weeks 2 days the amniotic water parasite found 27.8cm whether it will decrease if it reaches 38 weeks in my life u0026amp; I have pain in the groin area, may I know what causes it? r nThank you
Hello, thank you for your question to HealthReplies.com.
A lot of amniotic fluid, or in medical language called polyhydramnios is one of the conditions of pregnancy-related disorders. Amniotic fluid itself has many functions for the fetus such as protecting the fetus from collisions, maintaining temperature in the uterus to be optimal for the fetus, playing a role in the growth and development of muscles, lungs, fetal bones, and assisting fetal movements during the womb.
One way to detect polyhydramnios is by observing complaints that pregnant women feel, such as a stomach that is too large (even though it does not contain twin fetuses), complaints of shortness of breath in standing or lying position, complaints of swollen legs, urinating a little, and fetal movements the less felt. In addition, on examination the doctor can also find a larger uterine size, and it is difficult to feel the fetus or listen to the fetal heartbeat. To be sure, an examination using an ultrasound called an amniotic fluid index (AFI) is needed. This examination is what your doctor has done and got 27.8 cm. Normally, AFI ranges from 7-24 cm (more than that said to be polyhydramnios, and if less than 7 cm is said to be oligohydramnios / less amniotic). When using a milliliter unit, a person is said to be polyhydramnios if the amniotic water is more than 2000 mL.
The condition of polyhydramnios can be caused by various things, for example:
a history of pregnancy with polyhydramnios before or in the family
abnormalities in the fetus (eg abnormalities in the digestive tract, where the fetus that is supposed to drink the amniotic fluid cannot drink it and causes the amniotic fluid to accumulate)
history of mother with diabetes
infection during pregnancy, such as toxoplasma or rubella infection
The condition of polyhydramnios is important to note because it has several risks for both the fetus and childbirth such as premature rupture of membranes and premature births, breech babies, the risk of bleeding in childbirth, hypertension in the mother, and so forth.
In some cases, actually the amniotic levels can be reduced when approaching the birth process, even can be reduced by about 500 mL. However, regular checks to monitor the amount of amniotic water are important to do. For those of you who have turned 36 weeks, a routine checkup of the uterus should be done once a week. If the condition is very disturbing and causes symptoms, your doctor may suggest reducing the amount of amniotic fluid with medical measures such as amniocentesis or other procedures.
For complaints of pain in the groin area, this can be caused by many things, such as muscle injury, or sometimes the condition of pregnancy can also affect the occurrence of complaints, for example due to the increasing weight of the body that must be supported by the leg, blood flow is not smooth to the leg, or due to the sensation of the fall of the baby to the pelvis can also be one of the considerations.
My advice, keep taking care of your health by meeting nutritional needs during pregnancy from nutritious food and adequate fluids, keep doing light activities during pregnancy such as yoga or pregnancy exercises, and of course keep control to the obstetrician every week to monitor the condition of the fetus and self yourself.
You can also read: What You Need to Know When Pregnant Women Excess Amniotic Water
That's all, hopefully it's useful. Always healthy!
dr. Sheryl Serelia.