Pregnancy in ten months, delivery is imminent. At this time, expectant mothers are faced with the difficult decision of having a natural birth or a caesarean section. For some expectant mothers who love beauty, vaginal delivery is undoubtedly the best way to give birth. But not all expectant mothers are suitable for natural delivery, and the condition of amniotic fluid has become a key factor in whether they can give birth naturally.
1. There is too little amniotic fluid, and it is useless to insist on normal delivery.
Oligohydramnios in pregnant women usually occurs in the third trimester of pregnancy. Oligohydramnios during delivery can cause compression of the fetal umbilical cord during uterine contractions, and the incidence of intrauterine distress or neonatal asphyxia is also significantly increased. Therefore, it is useless for pregnant mothers with oligohydramnios to insist on vaginal delivery. Alina is a great example.
From the beginning of her pregnancy, Arlene was determined to give birth naturally. As her due date approached, Alin was in and out of the hospital for prenatal check-ups. Because the amniotic fluid was too low, the doctor recommended that she prepare for a caesarean section. Alin believed that his willpower was strong enough and strong, so he insisted on a smooth delivery. After struggling in the delivery room for more than 10 hours and experiencing heartbreaking pain, the baby was still not born. For the safety of her child, Alin finally compromised and chose a caesarean section. She endured more severe pain during childbirth than other expectant mothers, and she also stayed in the hospital for four days longer than others after delivery. For this smooth delivery, Alin really paid a heavy price.
2. Various factors lead to low amniotic fluid
Xiaowei has been very particular about her pregnancy since she was pregnant. She even bought pregnancy books to read. She has always followed the rules of life. She went to the hospital for a checkup before giving birth. I\’m confused about this. Why is my amniotic fluid low? In fact, this is also a problem that troubles most mothers.
1. Expired pregnancy
According to the usual menstrual cycle rules, if the pregnancy reaches or exceeds 42 weeks, it is called a post-term pregnancy. At this time, placental function is reduced, perfusion is insufficient, and the fetus is dehydrated, resulting in a reduction in amniotic fluid volume. Some people also believe that during postterm pregnancy, the fetus is overly mature, the sensitivity of the renal tubules to antidiuretic hormone increases, and low urine output leads to oligohydramnios. The incidence of oligohydramnios caused by post-term pregnancy is as high as 20% to 30%.
2. Fetal malformations
If an expectant mother discovers oligohydramnios in her first or second trimester, her baby is likely to have birth defects. If your baby doesn\’t have kidneys, their kidneys don\’t develop properly (called Porter syndrome), or their urethra is blocked, they won\’t be able to produce enough urine to maintain the amount of amniotic fluid. Congenital heart defects can also cause this problem.
3. Amniotic membrane rupture
Even a small tear in the amniotic membrane can allow some amniotic fluid to drain out. This can happen at any stage of your pregnancy. However, it is closer to production. You can detect amniotic fluid leakage on your own if you notice your underwear is wet or when your doctor examines you.
4. Placenta issues
If there is a problem with the placenta, such as a partial abruption, the placenta cannot provide enough blood and nutrients to the baby, causing the amniotic fluid circulation in the fetus to be interrupted.
5. Oligohydramnios caused by twins or multiple births
If you are pregnant with twins or multiples, you may also have oligohydramnios. Oligohydramnios may also occur in cases of twin-to-twin transfusion syndrome, where one baby has too little and the other has too much.
6. Intrauterine growth retardation
Oligohydramnios is one of the hallmarks of intrauterine growth retardation. Chronic hypoxia leads to a redistribution of fetal blood circulation, mainly supplying the brain and heart, while renal blood flow is reduced and fetal urine production is reduced, resulting in oligohydramnios.
3. What should I do if there is too little amniotic fluid?
When it is discovered that a pregnant mother\’s water breaks prematurely, it is necessary to test whether the abortion can continue, or whether the infection is serious enough to cause premature birth; when the fetus has abnormalities, it must be determined whether it is intrauterine treatment, premature birth, or full-term birth treatment, etc.
If oligohydramnios is combined with fetal growth retardation, premature delivery must be considered, because this already means that there is a certain degree of fetal distress and the continuation of the pregnancy cannot be guaranteed.
In addition, long-term oligohydramnios can cause fetal compression, leading to facial deformity or incorrect posture of hands and feet. Therefore, amniotic fluid perfusion should be given when necessary to increase the amount of amniotic fluid.