Moderate hypochlorism in pregnancy: causes and consequences, diagnosis and treatment

The female organism is most wonderfully adapted to the birth and bearing of the baby. Absolutely everything in it is provided so that the child born would feel full comfort and nothing could prevent him from growing well and well. Also, there is maximum protection against the effects of harmful external factors. The amniotic fluid in which the child is located takes on the task. But for a small miracle to be really comfortable and it did not experience any difficulties, the water should be present in the required quantity. Moderate induction of water during pregnancy is often enough, but do not immediately raise the alarm. Initially, we need to understand this problem.

Importance of amniotic fluid

Amniotic fluid (medical name) fully provides everything necessary for the proper development of the unborn child. In its composition there are various vitamins, hormonal compounds, oxygen and very essential for the fetus compounds of salts, which are the basic building materials for the entire small organism.

Ambulatory water is not only a nutritious environment for the baby, they also protect it from various negative factors, gently reducing physical effects, and neutralize infectious attacks. As pregnancy develops, their number should increase, and the composition - constantly updated, as the needs of the developing organism also grow and change. It is very important that a doctor who observes how the patient is pregnant is monitored for any abnormalities and malfunctions that may occur, in particular, this is the reduction of water. Such a problem can lead to serious complications during the gestation of the fetus.

Definition of the concept and norm

Moderate hypochlorism in pregnancy is when the amount of amniotic fluid is slightly below the required level. This state is most often easily amenable to correction. With the help of modern equipment, the emerging problem can be diagnosed during the 2-3 trimester. Most often, this pathology is called an implicit deviation.

At various stages of gestation, there are indicators of the volume of amniotic fluid. In the first six weeks they are only 5 ml. Further there is a constant increase in their volume, and already a few weeks before the appearance of the baby, it can vary from 1 to 1.5 liters. Directly before the genera, the water becomes less: about 600 ml.

Intrauterine fluid is constantly updated. In the last stages of gestation, these processes occur every three hours. For a day the baby swallows about 4 liters of water. The products of his life activity are output through special channels and pores of the amnion. This liquid is obtained during the work of the epithelium of the aqueous membrane.

If there are minor deviations from the norm in the lower side, then this condition is defined as moderate hypochondria in pregnancy. Treatment and consequences of this illness can be different, so the problem requires constant observation of specialists, and after - the appointment of a drug correction.

Classification

Such an ailment can be divided by the degree of duration into a chronic and acute form. The problem, which relates to the first type, develops in stages. Treatment will take considerable time. In the absence of therapy, the phenomenon gradually begins to progress. This form can occur in the future mother in the presence of a serious disease, for example, diabetes. In order to minimize the negative consequences, a woman must constantly undergo all prescribed examinations and take appropriate medications.

Quite often there is also acute water scarcity in pregnancy, the causes and consequences of which have a lighter form. Most often, infectious diseases are the source of the problem. This condition is less complicated and does not need special procedures.

It is also possible to divide the ailment into a primary one, which develops without disturbances in the functioning of the shells, and a secondary type that occurs against a background of various pathologies. Under the influence of this amniotic fluid simply follows.

Malignancy in pregnancy. Causes and consequences

The reviews of modern specialists have made it possible to distinguish such categories of adverse effects of low salinity:

- Abnormal development of the fetus. Most often, these are various problems in the formation of the kidneys and facial forms. It is possible to exclude the presence of this factor starting from the 23rd week after repeated ultrasound examination.
- A variety of untreated bacterial infections that the pregnant woman suffered. Quite often it can be a disease that the woman picked up already while wearing the fetus. The danger is easily detected already at the 20th week. At this moment, hormones begin to actively progress, thereby provoking hypochlorism.
- Decrease in the function of secretion of the membrane, which forms the fetal egg, as well as the pathological development of the epithelium.
- High blood pressure, not falling during the entire period of gestation. In case of significant jumps, the amount of fluid can be lost, most often occurs at week 21.
- If a woman has a baby for more than 40 weeks, then with the 38th, may lead to low blood pressure during pregnancy. The more dangerous the hypochlorism, described above. Therefore, it is recommended to call birth, because at 36 weeks the baby is completely ready to be born.
- Multiple pregnancy . In this case, such a pathology develops because of the uneven separation in the placenta of the blood flow.
- Significant violations of metabolic processes, which are most likely to be detected at 21-22 weeks.

These are the main problems that can cause hypochlorism in pregnancy.

What is the danger?

The reasons why you need to see a doctor can be both minor and serious. The ailments that occur in the second trimester are of a different nature. In the middle of the cycle, the active growth of the baby falls, and in the case of a decrease in fluid, the fetus begins to compress the walls of the uterus. In turn, this can lead to deformation of the bones of the skull, congenital dislocation of the hip and other abnormalities. Then such children are under the supervision of an orthopedist. If you contact a specialist in time, these defects can be adjusted.

It is important to understand, what threatens and in the late terms the moderate hypochlorism at pregnancy. Causes, symptoms are also very different. At this stage, the woman undergoes the last ultrasound, according to which the doctor determines the amount of amniotic fluid. During this period, the waters begin to decrease by themselves, but if they are much less than normal, then this should be paid special attention, because this factor can affect the course of childbirth. If there is even a mild inadequate water, it is often fraught with a premature appearance of the baby. In the case of the birth of a child in time, it is likely that this will affect the opening of the uterus, since it is the fetal bladder that presses on it at the moment of delivery, so it is revealed.

Symptoms

Moderate water shortage is very rarely accompanied by certain symptoms, but still women sometimes experience some unpleasant sensations. Further they will be considered in more detail:

1. First of all, the soreness in the lower abdomen should be guarded.
2. There may be shivering and nausea at the moment of fetal movement.
3. In the second trimester, there is an increase in the activity of the child. If the amniotic sac is deficient in fluid, the movements will cause severe discomfort to the mother.
4. The doctor can point to the described problem, relying on the small size of the uterus, as well as on the diameters of the abdominal circumference that do not correspond to the norms.
5. Slight mobility of the fetus.

Treatment

To date, the diagnosis of "moderate water scarcity" has become quite frequent. Treatment and the causes of the onset can be quite insignificant and do not require outside intervention. With a small decrease in fluid within 400-700 ml, it is recommended to reduce physical activity, to qualitatively and fully eat, to use multivitamin complexes and to be constantly observed at your gynecologist.

In order to exclude the aggravation of the situation, additional extra-routine ultrasound may be needed. If the symptoms become more pronounced, the causes and treatment of hypochlorism in pregnancy will be different. In this case, mandatory hospitalization is necessary.

After the doctor diagnoses, the woman immediately goes to the hospital for the necessary tests. In the case of in-patient follow-up, all necessary procedures are carried out, namely:

- Ultrasound (ultrasound);
- CTG (cardiotocography);
- laboratory tests (urine and blood).

In the event that the gynecologist assumes that the patient has amniotic hydrotherapy, that is, the outflow of amniotic fluid, a special smear must be given. When a woman is at the 38th week, and the cervix is almost completely completing the preparation for childbirth, her channel will simply miss an amnioscope. With the help of such a device, the physician will be much easier to determine the composition and amount of intrauterine fluid. This procedure does not violate the unity of the membranes at all and will not harm the baby. After all the tests and examinations performed, the doctor independently determines how to treat hypochlorism in pregnancy. The causes that cause such complications can be very different, and the main problems and methods for their solution are described below:

1. With amnional hydrotherapy, the patient is prescribed a strict bed rest, as well as the intake of special complexes of vitamins and preparations that will help reduce the tone of the uterus and prevent infection of the membranes and the baby. Most often, such pregnant women stay on inpatient care until the very birth, so that doctors can constantly monitor the condition of the fetus.
2. It is important to know what is dangerous for hypochlorism in pregnancy, the causes of which are in viral infections. Such violations can cause all sorts of pathologies. To solve the problem, it is necessary to take antiviral and restorative complexes. In addition, they need vitamin and drug therapy, which improves blood microcirculation. If the doctor observes the positive dynamics, then he can allow the future mother to return home, but will put her in constant control in the women's consultation.
3. In case of abnormal development of fetal membranes, methods aimed at preventing intrauterine infection and fetal preservation will be needed. Determination of the cause, diagnosis and treatment of malnutrition in pregnant women are conducted in the department of pathology. It is mandatory to monitor the condition of both the patient herself and her child.
4. In case of over-filling, a blister is pierced - an amniotomy. After such a procedure, the delivery process immediately begins.

If the treatment is organized in time and the situation is eliminated, the prognosis for the birth of a healthy child will in most cases be favorable.

Effects

Very often, many people do not consider the problem and do not want to treat mild water retention in pregnancy. The reasons and consequences of such a step can be very different. The main ones are a small weight in a newborn or a curvature of the spine, as well as dysplasia of the hip joints. If you listen to the advice of experts, in most cases, to eliminate such a nuisance is quite real. This is possible only if the expectant mother will visit all planned examinations in a timely manner, take tests and perform the appointments made by her doctor. Thanks to this, doctors can respond in time to the current problem and adjust it.

No cause and consequences of malnutrition should be considered a definitive diagnosis. As the main recommendation, which can be proposed, is a re-examination. It is best to do it in another clinic. It is also recommended to perform dopplerography of the vessels, because such a study helps to identify the pathology, which is associated with the slow development of the fetus. Another option is cardiomonitoring, which allows a more detailed assessment of the child's condition.

If there is such an opportunity, then together with the gynecologist who is pregnant, analyze all the factors that could contribute to reducing the amount of amniotic fluid.

Complications

The scaring during pregnancy, the symptoms and consequences of which can be very different, carries a number of specific complications:

1. Pressurization of the umbilical canal. Under the influence of this it will be difficult to get air and, perhaps, the baby's oxygen starvation will develop. If you do not pay attention to this situation, you can even lose the fruit.
2. In the case of an insufficient amount of amniotic fluid, its circulation will be greatly complicated. The likelihood of a variety of infections in the uterine cavity increases. Such a problem carries the risk of injury during delivery.
3. Placental detachment is often observed, the risk of damage to the cervix becomes more significant. Fragments of amniotic membranes may remain in the cavity, which subsequently provokes the appearance of bleeding.
4. In the case of a flat fetal bladder, there is a possibility of obtaining a primary weakness at the time of labor.
5. If at 32 weeks the future mother was diagnosed with this, she should understand what is the threat of hypochlorism. The consequences and signs of this ailment are often accompanied by a delay in the formation of the fetus, which can complicate medical therapy.
6. Lack of amniotic fluid as a whole has a negative impact on growth and development. The baby does not get all the nutrients in the right amount.

If there is low water, the child is deprived of the opportunity to move freely. Most often after birth, such children are diagnosed with "hip dysplasia", and also often curved spine. But if in time to react to the current situation, thanks to modern equipment, you can minimize all the negative impact, and in most cases even completely exclude it.

Is it possible to prevent hypochlorism?

Symptoms, causes, diagnosis, treatment - these are very important factors, but can you foresee the appearance of the problem and make the woman stay healthy? Unfortunately, there are no such preventive measures. But there are special rules, observing which, it is possible to minimize the development of a variety of pathologies. They include the avoidance of excessive physical exertion and weight lifting.

It is important to pass all the tests and pass the examinations in time, helping to exclude various ailments, which in the future can provoke hypochlorism in pregnancy. The causes and consequences of the transferred diseases are negative. Therefore, it is better to take measures in advance and undergo a course of treatment that promotes the health of both the future mother and the child.

To improve well-being, you need to eat right. Doctors and nutritionists recommend eating slowly, eating at least five meals a day, but in small portions. This will have a positive effect on the health of both women and children.

Fetal delivery and childbirth

Future mothers are very frightened by such a diagnosis as "moderate water scarcity," during pregnancy. The causes and consequences of this diagnosis may be different, therefore, first of all, it is necessary to take into account the degree of the disease. If the decrease in the amniotic fluid appears in later terms, then in the absence of pathologies of child development, all will end favorably.

If infertility was given at week 27, then it is best to conduct a comprehensive examination of the patient - to undergo a biochemical and ultrasound examination, to pass tests for hormones.

After all the results are obtained, if the fetus has obvious abnormalities, it is necessary to take a complex decision about abortion.

When the problem is fixed in the third trimester, and the child begins to develop with a significant delay, most often decide on premature delivery. In any case, the final decision remains with the attending physician. It is he who determines how to act in the current situation in order to minimize the risk of further complications and prepare the woman for the delivery process.