Amniotic fluid and its
abnormality
abnormality
By
Asmaa kadhim
Source of amniotic fluid
Causes of polyhydramnios
Idiopathic
Maternal
Diabetes , preeclampsia , Rh isoimmunisation
,generalized odema
Placental
more than one placenta (multiple pregnancy )
more than one placenta (multiple pregnancy )
large placenta (infection , macrosomia)
chorioangioma
Fetal
congenital anomaly (GIT ,CVS, CNS ,Chromosomal
anomaly )
Fetal hydrops (immune and non immune )
Complications
Maternal
Antepartum
- symptomatic , Pressure effect (varicosities )
- miscarriage
-preterm labour and PROM
- Antepartum hemmorrhage (AP)
- preeclampsia
- preeclampsia
- malpresentation
Intrapartum
, - difficult labour , bleeding
- increase incidence of operative delivery
postpartum
- PPH
Fetal
- Fetal distress and death during labour due to cord prolaps
Causes of oligohydramnios
Colour abnormality of amniotic fluid
colour
Red
Indicate bleeding as in abruptio placenta , vasa
previa …..)
Brown
Brown
Intrauterine death
Green
grade I ,II ,III)
(
Meconium
Indicate fetal distress
Yellow
Hyperbilirubineamia
Thank you