What to do if you have excessive water during pregnancy

After a woman becomes pregnant, there will be amniotic fluid in her body. The fetus is wrapped in amniotic fluid. Amniotic fluid is particularly important for the fetus. It can effectively protect the baby from collisions and the baby can also absorb nutrients through amniotic fluid. The amount of amniotic fluid in a woman's body varies, but the more the better. Too much amniotic fluid is also harmful. So what should you do if you have too much amniotic fluid during pregnancy?

For pregnant women in the late stages of pregnancy, the normal amount of amniotic fluid is 1000 ml. If the amount of amniotic fluid exceeds 2000 ml, pregnant women need to seek medical attention promptly.

Cause Analysis

If a pregnant woman has too much amniotic fluid during pregnancy, she needs to do some relevant examinations to see if the fetus has any deformities or whether the pregnant woman has any diseases. If the fetus is healthy and the pregnant woman has no obvious discomfort symptoms, she can continue the pregnancy and just observe carefully.

Suggested actions

Women with excessive amniotic fluid should pay attention to controlling their water intake, get enough sleep, and strictly control salt intake in their diet.

What to do if there is too much amniotic fluid during pregnancy

1. The principle of treatment for polyhydramnios combined with fetal malformation is to terminate the pregnancy in a timely manner.

(1) Pregnant women with chronic polyhydramnios are in good general condition with no obvious symptoms of cardiopulmonary compression. Transabdominal amniocentesis is used to release an appropriate amount of amniotic fluid and then inject 50-100 mg of rivanol to induce labor.

(2) Use a high-position membrane rupture device to puncture the fetal membrane 15 to 16 cm upward from the cervical os, allowing the amniotic fluid to flow out slowly at a rate of 500 ml per hour to prevent a sudden drop in intrauterine pressure from causing placental abruption. Pay attention to blood pressure, pulse and vaginal bleeding during rupture of membranes and release of amniotic fluid. After the amniotic fluid is released, a sand bag is placed on the abdomen or a belly bandage is applied to prevent shock. If there are still no uterine contractions 12 hours after rupture of membranes, antibiotics are needed. If there is still no uterine contraction after 24 hours, appropriate use of prazidor sodium sulfate to promote cervical ripening, or oxytocin, prostaglandins, etc. can be used to induce labor.

(3) First, release some amniotic fluid through abdominal puncture to reduce the pressure before artificial rupture of membranes to avoid placental abruption.

2. The treatment of polyhydramnios combined with a normal fetus should be determined based on the degree of polyhydramnios and gestational age.

(1) If the symptoms are severe and the pregnant woman cannot tolerate it (gestational age less than 37 weeks), amniocentesis should be performed using a 15-18 lumbar puncture needle. The amniotic fluid should be released at a rate of 500 ml per hour. The amount of amniotic fluid released at one time should not exceed 1500 ml, and the amount should be stopped when the pregnant woman's symptoms are relieved. Excessive release of amniotic fluid can cause premature birth. Amniotic fluid should be released under B-ultrasound monitoring to prevent damage to the placenta and fetus. Strict disinfection is performed to prevent infection, and sedatives and pregnancy-preserving drugs are used as appropriate to prevent premature birth. It can be repeated after 3 to 4 weeks to reduce intrauterine pressure.