Amniotic fluid

Amniotic fluid's disease overview

What is

What is the amniotic fluid?

amniotic fluid is an obstetric emergency, rare but causing serious consequences. This is the horror for those who work on the industry.

Most women have dead amniotic fluid in the first hour, 85% of survival women have neurological sequelae. The fetal mortality rate is 21 - 32%, if the fetal heart still occurs at a stroke, nearly 70% will survive if it is brought out in time, but 50% of the surviving children have nerve damage. The incidence rate of 1/8,000 1/80,000.

What is

What is amniotic fluid embolism?

Increased embolism is an intrusion of amniotic fluid into the mother's blood vessels, causing a series of hazardous changes that can quickly lead to death for women.

The syndrome of "amniotic fluid clogged" occurs during amniotic fluid, fetal cells, hair or other fetal organizations that go into the circulation of the mother, causing allergic reactions. This allergic reaction causes respiratory failure and acute circulatory failure for the mother.

Causes of Amniotic fluid's disease

Causes of amniotic fluid blockage is the result of amniotic fluid fluid into the uterine vein that causes allergic reactions, anaphylaxis and this happens when there are the following 3 conditions. :

rupture of amniotic membranes: amniotic fluid flows out due to early rupture of amniotic fluid, placenta and cervical walls that cause blood vessels to be damaged. At this time, amniotic fluid will pass the cervical lining into the mother's blood circulation. When the uterus spasms strongly, the amniotic fluid quickly breaks down the blood vessels, resulting in the body's reactions and the coagulation mechanism becomes abnormal.

Broken veins of the uterus or cervix: Make the veins inside the uterus no longer stable, amniotic fluid flows into the blood vessels, causing phenomenon amniotic fluid.

The uterine pressure is higher than the intravenous pressure: The uterine pressure is too large in cases where many children will easily lead to amniotic embolism . In addition, cases of multiple pregnancy and difficulty giving birth to damage to the cervix to create conditions for amniotic fluid to penetrate the mother's blood vessel system leading to amniotic fluid.

However, amniotic fluid is very rare and usually has a little amniotic fluid entering the blood of pregnant women during birth without causing problems.

Symptoms of Amniotic fluid's disease

Signs of amniotic fluids include: An acute shortness of breath with high blood pressure. This process occurs quickly and progresses to the cardiac arrest. After that, the woman fell into a coma. Although many women do not survive in the early stages, about 40% of the survivors in the early stages will enter the later stage. This is the period when the woman bleeds and may accompany heavy chills, coughing, vomiting and discomfort in the mouth. Due to excessive bleeding will bring women to coagulation disorders, acute fetal failure.

Symptoms of amniotic fluid identification:

Suddenly hypotension and cardiac arrest.

Sisters of acute blood oxygen and apnea.

Blood coagulation occurs suddenly, tests show that evidence of intravascular consumption or hemolysis or serious clinical hemorrhage.

occurs during labor, cesarean section or within the first 30 minutes after birth.

There is no medical disease such as cardiovascular, digestive, respiratory, blood disease ... before.

People at risk for Amniotic fluid's disease

Inhuman embolism occurs only in women. The disease is not related to racial, but a study suggests that black people are at a higher risk of amniotic fluid .

The risk factors that increase amniotic fluid include:

Pregnant mothers: If you give birth when you are over 35 years old, there will be a risk of amniotic fluid disease

Abnormal placenta: If there is an abnormal development structure in the uterus during pregnancy, women will increase the risk of amniotic fluid. The abnormalities may include partial or full segments or placenta peeling inside the uterus before giving birth (young football). These abnormalities can break the physical barrier between women and fetuses

Pre -eclampsia: If a woman has a pre -eclipse - high blood pressure and high protein in the urine after week 20 - there will be a risk of amniotic fluid disease

Caesan surgery: The use of clamps or suction suctions may increase the risk of amniotic fluid. These procedures can break the physical fence between women and fetuses. However, experts are not sure if the cesarean section increases the risk of amniotic fluid.

Multi -amniotic fluid: is a condition where there are too many amniotic fluid around the fetus, causing women to have a risk of amniotic embolism

In addition, there are some subjects at risk of getting blocked, such as:

Fetal death or fetus

Cervical torn, torn under the cervix

Thai to

amniocentesis

rupture

Prevention of Amniotic fluid's disease

So far no effective preventive measures for amniotic fluid. This pathology cannot be prevented, and even doctors are very difficult to predict when it will occur during labor. Can only be partially limited by:

Non -abortion pregnant women in unreliable establishments

Not thick

If you are older (over 40), you should consider proper pregnancy

Minimize the strong collisions on the abdomen when the fetus has grown

Talk to the obstetrician about the history of the disease when you want to get pregnant

Diagnostic measures for Amniotic fluid's disease

Based on clinical signs:

Acute or cardiac drops

Lack of acute oxygen

Bloody or hemorrhagic pathology but not explaining any other causes

All occur during labor, cesarean section, ... often occur in the first 30 minutes after birth without being able to explain other causes.

Subclinical tests:

Blood test, including blood clotting, enzyme, electrolyte and blood type, as well as blood formula.

Electrolyte to evaluate heart rate.

capillary oxygen to check the amount of oxygen in the blood.

X-ray to search for fluid around the heart.

DELIVERSAL Ultrasound to evaluate the heart function.

Amniotic fluid's disease treatments

Emergency treatment method includes:

Put the catheter: The doctor will put the catheter tube in one of the arteries to monitor blood pressure. The doctor also places the tube in the chest (central vein tube) to provide infusion, medicine or blood

Oxygen supply: The doctor can put the breathing tube in the trachea to help the woman breathe easier

Using drugs: Your doctor may use medications to improve and support cardiac function. Other drugs can be used to reduce the pressure caused by liquids that enter the heart and lungs

Blood transfusion: If there is a lot of blood, women need to be transferred and replaced.

Incontreated embolism cannot be predicted, there is no preventive way and a untreated obstetric emergency. While labor should quickly record signs and symptoms, positive resuscitation and supportive treatment are a prerequisite for the hope of saving the life of the mother and the fetus.

See also:

amniotic fluid obstruction: Causes, symptoms, diagnosis and treatment

When pregnant is dangerous?

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