Pregnancy discharge: amniotic fluid leakage

Pregnancy discharge: amniotic fluid leakage

 

After 16-18 weeks of pregnancy, expectant mothers may increase the amount from the vagina and the first thought that arises in the head is the leakage of amniotic fluid.

Coming to the doctor with a complaint, we can immediately get a lot of possible diagnoses, from which the hair stand on end.

In order to protect yourself from unnecessary negativity during pregnancy and to be sure that everything is fine, we advise you to remember 5 important statements.

Do not panic

With the development of pregnancy, an increase in the number of vaginal secretions is normal. If you want to check if this tendency is not a sign of hemorrhage dribbling, come to a personal appointment with a doctor. The quality of pharmacy tests is not guaranteed, and only a medical specialist should interpret their results.

Any women's consultation conducts laboratory tests for the presence of amniotic fluid in vaginal secretions - you can only believe them.

Believe analyzes, not tools

Examination of the cervix with a gynecological mirror does not determine the prognosis of pregnancy.

The doctor's diagnosis of “leakage of amniotic fluid” on the basis of an examination with the help of a gynecological mirror is not always informative.

The mirror shows the physician only the vaginal part of the cervix and the outer os. Zev may be slightly open physiologically, especially in women who have given birth.

The presence of water in the secretions can be confirmed with confidence using laboratory analysis or ultrasound.

Pregnancy discharge: amniotic fluid leakage - image №1

Read also: Discharges during pregnancy: brown, bloody, slimy

During the ultrasound, require specific data and diagnoses

After the ultrasound examination, you should have specific results of measurements in millimeters on your hands and in the card.

If the size of the cervix by ultrasound more than 25 mm. - this is the norm. As the pregnancy progresses, the cervix shortens and increases in diameter.

The cervical canal during pregnancy can be expanded to 10 mm., And in some women even a little more. When water leaks, such treatment methods as suturing, pessary and caps are prohibited.

Verbal diagnoses “short neck”, “tendency / threat to oligohydramnios / polyhydramnios”, “cervical canal expanded” are not informative.

If you suspect amniotic fluid leakage, they measure the height of their standing - find out the “amniotic index”, or the amniotic fluid index.

The resulting index compares the indicators with graphs or tables of norms in accordance with the period of pregnancy and set specific diagnoses: low water and high water.

Be careful when hospitalizing.

If the presence of amniotic fluid in the secretions is confirmed, and an ultrasound scan reveals lack of water, the woman is sent to a hospital and prescribed medication to prevent intrauterine infection of the fetus, amniotic membranes, endometritis.

It is important to know that if you are prescribed tocolytics (drugs that have the ability to lower the contractile activity of the pregnant uterus), then they can only be taken from 23-24 weeks to 32 weeks of pregnancy (VIDEO), and the diagnosis of hypertonus of the uterus in obstetrics does not exists.

Every infection needs a diagnosis.

Doctors often frighten women with the presence of infection or inflammation in the vagina, the presence of which is indicated by an increase in the level of white blood cells in a smear, but they cannot name the type of infection specifically.

Obstetrician-gynecologist EP Berezovskaya tells: “Leukocytosis in vaginal smears and blood is the norm of a pregnant woman and does not require treatment. An increased amount of discharge during pregnancy with a large number of white blood cells does not mean that a woman has "inflammation" or "infection." The same candidiasis (thrush) is a physiological phenomenon during pregnancy, occurs in 80–90% of women, does not make the cervix loose, does not interfere with its opening in labor, does not provoke rupture of the cervix and requires treatment only if there is discomfort. ”

When leakage of amniotic fluid is dangerous dysbacteriosis of the vagina, as well as the presence of hemolytic streptococcus group B, which is dangerous for the newborn. Both of these infections must first be properly diagnosed and then treated promptly.

In modern obstetrics, there are enough methods to determine the presence of water in the secretions, the amount of amniotic fluid and the condition of the fetus. But it is important to understand that at the moment there is not a single drug that will stop the leakage or increase the amount of amniotic fluid.

Therapy in this case will be reduced to stopping the problem and keeping it in safety.

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  • Pregnancy discharge: amniotic fluid leakage

    Pregnancy discharge: amniotic fluid leakage

    Pregnancy discharge: amniotic fluid leakage

    Pregnancy discharge: amniotic fluid leakage

    Pregnancy discharge: amniotic fluid leakage

    Pregnancy discharge: amniotic fluid leakage

    Pregnancy discharge: amniotic fluid leakage

    Pregnancy discharge: amniotic fluid leakage

    Pregnancy discharge: amniotic fluid leakage

    Pregnancy discharge: amniotic fluid leakage

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