Amniotic fluid

Amniotic fluid's disease overview

amniotic fluids or amniotic fluid is a rare obstetric emergency but extremely dangerous with high mortality rate, accounting for 1-12/100,000 pieces, maybe happens at any time during pregnancy or after birth, unpredictable and preventive.What is

amniotic fluid in women often occurs in labor but can also occur during cesarean section, miscarriage, abdominal injury, amniotic fluid, right after birth , after cesarean section. Some common reasons such as teeth comb, uterus, vegetables.

The time of amniotic fluid obstruction at the time of amniotic fluid is also very different depending on the case:

  • 12% of cases of amniotic fluid occurs when the amniotic fluid is intact.

    • 70% of cases occur in labor.

  • 11% of cases of vaginal after birth.

    • 19% of cases occurred during a cesarean section when there is labor or labor.

    The studies at the present time think that amniotic fluid is rare is a dangerous obstetric complication of the risk of death for mothers up to 90%, death for children From 20-60%. In these cases, if diagnosed and managed promptly, you can save the life of the mother and the fetus.

    Mechanism due to the following 3 circumstances:

  • rupture of amniotic membranes.
  • Broken veins of the uterus or cervix.
  • Higher hysterectomy pressure than intravenous pressure.

    • Therefore, the update of diagnosis and proper treatment direction, right is extremely necessary for obstetricians.

    Causes of Amniotic fluid's disease

    Normal amniotic fluid is completely in the amniotic chamber, not going into the mother's circulation. When the fence between the amniotic cavity and the circulation of the mother is broken, the amniotic fluid enters the mother's veins through the cervical veins, through the position of the vegetable that has been peeled, through the endometrium or the endometrium or The uterus is injured. However, not all cases of amniotic fluid goes into the circulation of the mother also causes amniotic fluid obstruction. This ratio is only seen in a few pregnant women. The disease may be associated with allergic reactions. Therefore, the amniotic fluid is only encountered in a very small percentage of women that make people think of the role of the level, the number of fetal tissue pieces, the type of embryo array or some factors of the mother.

    amniotic fluid and fetal cells through the mother's veins to the heart and lungs of the mother in sufficient amounts cause serious pulmonary embolism or spasm. Clinical manifestations are respiratory failure, serious circulatory failure.

    Symptoms of Amniotic fluid's disease

  • Giai đoạn đầu: triệu chứng khởi đầu là suy hô hấp, tím tái xảy ra đột ngột trong vài phút, tiếp đến là tụt huyết áp, choáng, phù phổi, biểu hiện thần kinh như lú Mixed consciousness and convulsions. According to the study, about 40% of patients with amniotic fluid passed through this stage.
  • The following stage: If the patient passes through the early stages, this stage will show signs of intense bleeding in many places due to the uterus, scattered blood in the pulse, Bleeding from the uterus does not hold, causing the patient to fall into a state of blood loss.

    • People at risk for Amniotic fluid's disease

  • Women over 35 years old.
  • Higher risk than children.
  • Surgery for cesarean section, giving birth with tips forceps, suction, amniocentesis.
  • Uterine or cervical lesions.
  • pregnancy, pregnancy.
  • labor with strength, labor is urged.

    • Prevention of Amniotic fluid's disease

    There is no preventive measure because people still do not understand why the amniotic fluid occurs only in a few people but not in many others and do not know the role of the level, quantity The fetal tissue, the type of fetal tissue (contains with a dung) or some factors of the mother should block the amniotic fluid only at a very small percentage of women.

    Diagnostic measures for Amniotic fluid's disease

    The diagnosis of amniotic fluid may still have many difficulties due to the need to distinguish from some other causes such as: thrombosis, bacterial shock, myocardial infections, anaphylaxis, young vegetables, young vegetables, ...

    but an amniotic fluid is an emergency night that needs to be quickly rescued, so it is necessary to have knowledge to diagnose early

    The diagnosis of amniotic fluids is as follows:
  • Clinical
  • appears suddenly, usually during labor, birth or after birth; rarely occur after 48 hours after birth. : loss of consciousness and convulsions. Or cardiovisa shock
  • lack of acute oxygen and respiratory failure
  • coma or seizures

    The above symptoms often occur during labor, birth or within 30 minutes after birth without other explanations for these signs.Clinical clinical tests for diagnostic service:

  • Blood formula; Full blood clotting, blood test in the blood. Map: It can be seen that the tachycardia, the ST and T waves change. Depending on the case, other specialized tests may be appointed.
    • Mother's pulmonary artery.

    Amniotic fluid's disease treatments

    Amniotic fluid obstruction is a dangerous obstetric complication with high mortality rates, but if diagnosed and emergency in time, there is still a survival rate. Emergency clogged amniotic fluid should be coordinated by different specialties to bring emergency efficiency, specifically:

    Principle of treatment
  • Positive resuscitation
  • Collaboration between obstetrics, resuscitation and pediatric anesthesia.
    • In terms of resuscitation anesthesia: Control and respiratory support - Circulation:
  • Maintain oxygen supply for women (intubation, breathing Machine).
  • Put more than 2 intravenous lines, lifting blood pressure with high molecular solution.
  • Cardiac condition if adrenalin
  • Blood transfusion and products of blood if the results are not good with intense bleeding: whole blood transfusion or red blood cells and plasma, ...
  • monitoring by monitor
    • Obstetrics
  • for birth immediately
  • Depending on the specific case for appropriate indications.
    • Pediatric: Activebirth. complications

    amniotic fluid clogged causes complications are extremely dangerous, the mortality rate is still high, specifically:

  • Maternal death (up to 90%), child death (20 - 60%) due to only symptoms to regain signs of survival for the patient, not resolved reason. Occurs suddenly and quickly, so the mortality rate is high

    • Mental and mental consequences for mothers and children due to lack of brain oxygen.

    Sheehan syndrome: Severe bleeding can lead to necrotic parts or all of the anterior pituitary lobe causing pituitary insufficiency, manifested by signs of amenorrhea, hair loss, hair loss , thyroid failure, adrenal insufficiency, loss of milk. Other complications: a lot of blood loss that affects the health and spirit of the woman, can cause liver failure, kidney failure, multi -organ failure, coagulation disorders. ..

    See also:

  • dangerous complications of amniotic fluid blockage
  • amniotic fluid: Cause, symptom, diagnosis and treatment
  • Incident infection: Causes, symptoms, diagnosis and treatment

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