The baby in the womb is found in a pouch covered by a layer of dice until the last moment of pregnancy. This sac is called the amnian sac, the surrounding membrane amniotic membrane and the liquid inside it is called amnihiate fluid.
The amnia sac protects the developing baby from external factors in the womb and the fluid it contains allows the baby to move safely in the mother’s womb. These movements help the regular development of the musculoskeletal system for the baby.
With the presence of amnia fluid, pressure from any direction to the abdominal area spreads globally all over the place, thus protected from all adverse effects of the baby.
Amnion fluid; 99% of water consists of inorganic salts, organic substances and epithelial cells that spill from the baby’s skin, respiratory system, digestive system and drainsystem. About 50% of organic compounds are proteins, and the other 50% are carbohydrates, enzymes, fats, hormones and pigments.
Tasks of Amnihiate Fluid
• Amniotic fluid acts as a pillow that protects the baby from mechanical traumas and external factors.
• Amniotic fluid contributes to the baby’s brain development. Protects the baby against external factors such as sound, impact, light, pressure.
• The membranes surrounding the amphitheater fluid; the baby is a protective obstacle from microorganisms in the vagina and cervix and other potentially harmful substances.
• Amniotic fluid creates a sterile environment around the baby and protects it from infections thanks to its antibacterial properties.
• Amniotic fluid helps the development of the lung and musculoskeletal system by creating space for the baby to move comfortably.
• Amnion fluid plays a role in the development of many organ systems, such as lungs and kidneys, especially in the muscle and nervous system.
• The amnia fluid, which continuously changes every 3 hours 8 times a day, remains constant at a certain temperature, distributes the heat it needs equally to each side in terms of the development of the fetus.
• Amniotic fluid supports the baby’s symmetrically growth and development as a hydraulic pressure stabilizer.
• By examining the cells and molecules spilled into amnihiate fluid, it is possible to diagnose certain diseases before birth or perform some diagnostic tests of the baby.
Why Does Excess Amnion Fluid Cause?
As well as the lack of amnion fluid, the excess amnion fluid is among the situations that worry expectant mothers.
Because in cases where amniotic fluid is not paid attention, it can cause serious conditions in the future for the mother and baby. It is usually determined that there is too much amniotic fluid in 1% of pregnancies.
Although the cause of this situation has not yet been determined, there are some thoughts that are being considered;
• The baby’s central nervous system and digestive system are an anomaly, and in infants in the womb, alotonic fluid is common.
• Due to abnormalities in the baby’s central nervous system, the swallowing mechanism is disrupted, and this condition can be observed by the absence of protective cases due to impairments in the head structure.
• Chromosomal anomaly rate can be up to 35 percent. The most common anomalies are Trisomy 13, 18 and 21. Genetic problems trigger this condition.
• There may be an increase in the volume of amniotic fluid due to the deterioration of the baby’s swallowing mechanism.
• The mother’s diabetes can lead to an increase in the volume of amniotic fluid. It is detected with bad sugar and fetal anomalies.
• With the excess sugar in the mother switched to the baby, the amount of sugar in the baby’s blood increases. Thus, increasing the sugar level in the baby’s blood causes the baby to urinate more and the amniotic fluid increases.
• In the womb, multiple babies or twins to twins are in case of transfusion cases, an increase in amniotry fluid.
How to Diagnose Amnihiate Fluid Excess?
Diagnosis can only be made with ultrasonography and clinical findings. Ultrasonography tests are made in the measurement of four parts of the abdominal region and polyhydroamnios, which means excessive amniotic fluid presence, is diagnosed with amniotic fluid index of more than 24-25 cm (240-250 mm).
To investigate the reason why amniotic fluid volume is too much than normal, the mother should be evaluated for diabetes, infection, blood mismatch. In terms of the structural anomaly presence of the baby, it may also be requested to evaluate the second level with detailed ultrasonography.
In some cases, amniosynthesis may be recommended to the mother for the analysis of the baby’s chromosome sebathe and detection of viral infections.
After the condition that causes amniotic fluid increase is detected, treatment should be treated if it is possible to treat it. In mild or moderate polyhydroamnios cases, the expectant mother’s candidate should be followed regularly until the time of birth.
What are the risks of Excess Amnihiate Fluid?
Since the abdomen grows more for the mother, there may be a lack of movement and shortness of breath. High blood pressure, diabetes, urinary tract infection risk increases in pregnancy. The risk of bleeding during and after childbirth is high. It’s more likely to be a C-section.
For the baby, the risk of premature birth and early arrival of water, becoming a large baby, arrival anomalies, cord sagging, early separation of the placenta, growth development retardation increases.
How to Treat Amnihiate Fluid Excess?
It is followed when amnihiate water is too high. Sometimes fluid growth does not continue in follow-up. Sometimes it keeps growing. When fluid growth is high, drugs that reduce the release of prostoglandin to the pregnant woman can be given oral.
If excess fluid is enough to make shortness of breath in the pregnant woman and daily life difficult, the liquid can be emptied with a quantity of amniosynthesis. If there is diabetes due to pregnancy that can cause polyhydramnios, the pregnant woman’s blood sugar is regulated by treating it.
If polihramnios causes premature birth contractions, contractions are tried to be stopped until the baby is living outside.
What Should You Do If Your Amnihiate Fluid Is Too Much?
• Liquid excess has nothing to do with the water you drink. Therefore, you should consume 2 liters of water per day without water restrictions.
• Since excess liquid may be related to diabetes, you should definitely have a glucose screening test known as sugar loading.
• Excess fluid can be caused by genetic and structural problems in infants, as well as in healthy pregnancies that are completely unknown. Since many structural and genetic problems can be seen in ultrasound, if your detailed ultrasound is normal, you should keep your heart fresh.
• Since the risks such as premature birth in fluid excess, early separation of the placenta are slightly higher, you should contact your doctor if you feel bleeding, rhythmic convulsions or severe pain.
• In the excess of fluid, the baby’s head is placed in accordance with the birth canal, cord sagging, premature separation of the placenta can be common, so you should not insist on vaginal delivery at the point where your doctor decides to caesarean section.