Amniotic fluid abnormalities
(cont.)
Oligohydramnios
By
Asmaa kadhim
2020
Abbreviations
DFMC …. Doppler of fetomaternal circulation
NST …None stress test
BPD …. Biparietal diameter
Oligohydramnios by ultrasound
Management of oligohydramnios
•
Conservative
In mild cases and in absence of fetal growth restriction and distress
follow up by serial ultrasound to assess fetal wellbeing .
Adequate rest ,proper management of maternal disease if present
Avoid maternal dehydration ( oral or iv fluid therapy?????)
•
Active management
Termination of pregnancy when the fetus is term , rupture of membrane and
any evidence of fetal distress and fetal growth restriction usually by
cesarean section .
Vaginal delivery could be achieved with close observation if the Bishop score
is favorable and the fetus is well
•
Active management (cont.)
•
Amnioinfusion
Infusion of intravenous fluid as Normal saline to restore the amount
Could be done antenataly ( during pregnancy ) and during labour to prevent fetal
distress which result from umbilical cord compression.
It is not free from complications as infection , placental abruption ,preterm labour
…….
It could be done transabdominaly or transvaginaly
Colour abnormalities of amniotic fluid
•
RED COLOUR
Indicate intrauterine bleeding as in cases of antepartum hemorrhages.
•
BROWN COLOR
Indicate old blood usually seen ic cases of intrauterine fetal death
•
YELLOW COLOR indicate high bilirubin level.
•
GREEN COLOR ( meconium) caused by fetal bowl motion in utero”defecation” ,
which is occur normally in breech and postterm pregnancy .
It is of concerned importance if associated with other sign of fetal distress
