I am 8 monthspregnant,report told that I am having lot of amniotic fluild than required what will be impact,?

Question

further my report shows that the fetal has grown more than it should be,( actually it should be in 32 weeks or so, but the report reveals that it is in 38 weeks) I do not know how it had happened please let me know the answer at the earliest,

Answer 1

u should not worry about these things. Put ur faith in god and leave the rest to doctors. they will take care. The answers supplied in these discussions are not that correct. there are so many factors. Only ur doctor can tell about ur health.

take care and have a sweet baby.

Answer 2

The sonographer should have sent the report directly to your OBGYN. If you were told that you have too much amniotic fluid. Your doctor will receive the report and probably schedule some additional tests. You should call your doctor's office in the morning, and ask for an appointment or a "consult" to discuss the report.

Sometimes, there is a margin of error when it comes to the gestation period. In other words...you could be at 34 weeks...and a sonographer says something else. So, it's best that your OBGYN looks at the report since he/she is a pro in that area.

If it turns out that you have more amniotic fluid than you should right now...it doesn't always mean there is something wrong... What happens is that the fluid reaches it's peak level at about 1 quart of fluid (I think) at around 34 weeks. Then, each week less and less fluid is present- until you go into labor. Sometimes, some women may be told during a sonogram that they have a little too much- or, a little too little.

In a few cases, some women have way too much. That is a condition known as polyhydrammios. Usually, your doctor will get this report and may schedule you for additional tests, like another sonogram or high resolution ultrasound or an amnio or just a simple blood test on you to make sure that you don't have gestational diabetes. (which is more common than most women think)!
The impact is mainly:
1) Possibly having to be treated if it turns out that you do have gestational diabetes.
2) Being monitored more closely with more sonograms and doctor visits for the rest of your pregnancy.
3) Making sure that you don't have pre-term labor.
4) Making sure that your baby is in the right position at the right time.
5) Making sure the baby does not have any genetic birth defects (which is typically done in most pregnancies and sono's already).
6) Making sure that you and the baby are not over stressed!
The idea here is to make sure that the baby is carried to full term and is healthy. You may experience more back ache, discomfort than women who don't have too much amniotic fluid do. In some cases, the baby comes earlier and sometimes the choice is c-section instead of vaginal delivery.
Now, remember that you will hear all the possibilities from your doctor. Some will sound a little scarey- just remain calm and positive.
As for the part about "fetal has grown more than it should be"... I think you may have misunderstood that part of the report. Thinking that you were at 32 weeks and finding out that you are at 38 weeks, doesn't mean the baby is growing too fast. It means that you got pregnant earlier than predicted. So, you conceived the baby six weeks earlier than the time that you originally thought you did.
Call your OBGYN first thing in the morning...the sooner you consult with him/her...the better you will feel!

I only know about some of this because I have three family members that were told that very same thing. One had gestational diabetes, the other two? Just had more discomfort and both delivered very healthy babies through normal delivery! SO, ignore desktop diagnosis from the fools on here who think it's funny to scare a woman who is 8 months pregnant by copying and pasting some medical jargin!!!!

Congratulations on the baby- health and happiness and blessings to you! Everything will be just fine!!!!!!!!!!!!!!!!!!!!!!

Answer 3

The amniotic fluid that surrounds a developing baby plays a crucial role in normal development. This clear-colored liquid cushions and protects the baby and provides it with fluids. By the second trimester, the baby is able to breathe the fluid into his lungs and to swallow it, promoting normal growth and development of the lungs and gastrointestinal system. Amniotic fluid also allows the baby to move around, which aids in normal development of muscle and bone.

The amniotic sac that contains the embryo forms about 12 days after conception. Amniotic fluid immediately begins to fill the sac. In the early weeks of pregnancy, amniotic fluid consists mainly of water supplied by the mother. After about 12 weeks, fetal urine makes up most of the fluid.

The amount of amniotic fluid increases until about 28 to 32 weeks of pregnancy, when it measures a little less than 1 quart. After that time, the level of fluid generally stays about the same until the baby is full term (about 37 to 40 weeks), when the level begins to decline.

In some pregnancies, however, there may be too little or too much amniotic fluid. These conditions are referred to as oligohydramnios and polyhydramnios, respectively. Both can sometimes cause problems for mother and baby or be a sign of other problems. However, in the majority of cases, the baby is born healthy. Here’s what expectant parents should know about these disorders.

Answer 4

hay dont worried 1st God will Take Care of u .so be relax.
& dont thing so much. hay ur baby growth is good & he comes soon from other children. it is good .u can play with him more time.
Belive in God & Try to Happy.

Answer 5

Amniotic Fluid Abnormalities


The amniotic fluid that surrounds a developing baby plays a crucial role in normal development. This clear-colored liquid cushions and protects the baby and provides it with fluids. By the second trimester, the baby is able to breathe the fluid into his lungs and to swallow it, promoting normal growth and development of the lungs and gastrointestinal system. Amniotic fluid also allows the baby to move around, which aids in normal development of muscle and bone.

The amniotic sac that contains the embryo forms about 12 days after conception. Amniotic fluid immediately begins to fill the sac. In the early weeks of pregnancy, amniotic fluid consists mainly of water supplied by the mother. After about 12 weeks, fetal urine makes up most of the fluid.

The amount of amniotic fluid increases until about 28 to 32 weeks of pregnancy, when it measures a little less than 1 quart. After that time, the level of fluid generally stays about the same until the baby is full term (about 37 to 40 weeks), when the level begins to decline.

In some pregnancies, however, there may be too little or too much amniotic fluid. These conditions are referred to as oligohydramnios and polyhydramnios, respectively. Both can sometimes cause problems for mother and baby or be a sign of other problems. However, in the majority of cases, the baby is born healthy. Here’s what expectant parents should know about these disorders.

How are oligohydramnios and polyhydramnios diagnosed?
An ultrasound examination can diagnose either too little or too much amniotic fluid. Doctors commonly measure the depth of the fluid in four quadrants in the uterus and add them up. This method of measuring amniotic fluid is referred to as the amniotic fluid index (AFI). If the amniotic fluid depth measures less than 5 centimeters, the pregnant woman has oligohydramnios. If fluid levels add up to more than 25 centimeters, she has polyhydramnios.

How common is oligohydramnios?
About 8 percent of pregnant women have too little amniotic fluid. Oligohydramnios can develop at any time during pregnancy, though it is most common in the last trimester. About 12 percent of women whose pregnancies last about two weeks beyond their due dates (about 42 weeks gestation) develop oligohydramnios, because the level of amniotic fluid decreases by about half by 42 weeks gestation.

What fetal problems and pregnancy complications are associated with oligohydramnios?
The problems associated with too little amniotic fluid differ depending on the stage of pregnancy. Oligohydramnios that occurs in the first half of pregnancy is more likely to have serious consequences than if it occurs in the last trimester. Too little amniotic fluid early in pregnancy can compress fetal organs and cause birth defects, such as lung and limb defects. Oligohydramnios that develops in the first half of pregnancy also increases the risk of miscarriage, preterm birth and stillbirth.

When oligohydramnios occurs in the second half of pregnancy, it may be associated with poor fetal growth. Near term, oligohydramnios may increase the risk of complications of labor and delivery, including potentially dangerous umbilical cord accidents that can deprive the baby of oxygen, and stillbirth. Women with oligohydramnios are more likely than unaffected women to need a cesarean delivery.

What causes too little amniotic fluid?
The causes of oligohydramnios are not completely understood. The majority of pregnant women who develop oligohydramnios have no identifiable cause.

The most important known causes of early oligohydramnios are certain birth defects and ruptured membranes (bag of waters that surrounds the baby). About 7 percent of babies of women with oligohydramnios have birth defects. Birth defects involving the kidneys and urinary tract are the most likely causes because affected fetuses produce less urine (which makes up most of the amniotic fluid).

Certain maternal health problems also have been associated with oligohydramnios. These include high blood pressure, diabetes, systemic lupus erythematosus (SLE) (an autoimmune condition) and placental problems. A group of medications used to treat high blood pressure, called angiotensin-converting enzyme inhibitors (like captopril), can damage the fetal kidneys and cause severe oligohydramnios and fetal death. Women who have chronic high blood pressure should consult their health care provider prior to pregnancy to make sure their blood pressure is under control and that any medications they take are safe during pregnancy.

How is oligohydramnios treated?
Recent studies suggest that women with otherwise normal pregnancies who develop oligohydramnios near term probably need no treatment, and their babies are likely to be born healthy. They do, however, require close surveillance. Their health care provider will probably recommend weekly or more frequent ultrasound examinations to see if the level of amniotic fluid is decreasing. If the level of amniotic fluid does drop, he or she may recommend inducing labor early to help prevent complications during labor and delivery. About 40 to 50 percent of cases of oligohydramnios resolve themselves without treatment in as little as a few days.

Besides ultrasound examinations, providers will likely recommend tests of fetal well-being, such as the nonstress and contraction stress tests, both of which measure fetal heart rate. These tests can alert the provider that the baby is having difficulties. In such cases, the provider is likely to recommend early delivery to help prevent serious problems.

Developing babies with poor growth whose mothers have oligohydramnios are at high risk of complications, such as asphyxia (lack of oxygen), both before and during birth. Mothers of these babies are monitored very closely, and they sometimes need to be hospitalized.

If a woman has severe oligohydramnios near the time of delivery, her provider may suggest inserting salty water (saline solution) through the cervix into the uterus. This may help reduce complications during labor and delivery and reduce the need for cesarean delivery.

Studies suggest that this approach is especially beneficial when fetal heart rate monitoring shows that the baby may be having difficulties. Some studies also suggest that women with oligohydramnios can help increase their levels of amniotic fluid by drinking extra water. Also, many doctors suggest decreasing physical activity or even bedrest. A pregnant woman with oligohydramnios should discuss with her health care provider which, if any, treatment may be best for her.

How common is polyhydramnios?
About 2 percent of pregnant women have too much amniotic fluid. Most cases are miild and result from a gradual buildup of excess fluid in the second half of pregnancy. However, a small number have a rapid buildup of fluid occurring as early as 16 weeks of pregnancy that usually results in very early delivery.

What complications does polyhydramnios cause for mother and baby?
While women with mild polyhydramnios may experience few symptoms, those who are more severely affected may have abdominal discomfort and breathing difficulties as a result of the uterus crowding the abdominal organs and lungs. Polyhydramnios also may increase the risk of pregnancy complications including preterm rupture of the membranes, preterm delivery, umbilical cord accidents, placental abruption (when the placenta partially or completely peels away from the uterine wall before delivery), poor fetal growth, stillbirth and cesarean delivery. Women with polyhydramnios may be more likely to have severe bleeding after delivery.

What causes polyhydramnios?
In about twwo-thirds of cases, the cause of polyhydramnios is unknown. The most common known cause of polyhydramnios is birth defects in the fetus, especially birth defects that hinder fetal swallowing (such as birth defects involving the esophagus or gastrointestinal tract and central nervous system). Normally, swallowing by the fetus helps reduce the level of amniotic fluid, helping to balance out the input caused by fetal urination. Heart defects in the baby also can contribute to polyhydramnios.

Other fetal problems that can cause polyhydramnios include maternal-fetal blood incompatibilities (such as Rh disease) and twin-twin transfusion syndrome (a complication affecting identical twin pregnancies, in which one baby gets too much blood flow and the other too little due to connections between blood vessels in their shared placenta). Women with chronic diabetes are at increased risk of polyhydramnios, though they have fewer complications from it than women without diabetes.

How is polyhydramnios treated?
When an ultrasound examination shows that a woman has polyhydramnios, she will probably need additional tests. Her health care provider will most likely suggest a detailed ultrasound examination to diagnose or, more likely, rule out birth defects and twin-twin transfusion syndrome. Her provider also may recommend amniocentesis (a small amount of amniotic fluid is removed through a needle inserted into the mother’s abdomen to test for certain birth defects) and a blood test for diabetes.

About half the time, polyhydramnios goes away without treatment. In other cases, it may resolve when the problem causing it is corrected. For example, treating high blood sugar levels in women with diabetes or treating certain fetal heart rhythm disturbances (by medicating the mother) often reduces amniotic fluid levels.

Health care providers usually closely monitor women with polyhydramnios with weekly (or more frequent) ultrasound examinations to check amniotic fluid levels. Tests of fetal well-being are also usually recommended to check for signs of fetal difficulties. If the pregnant woman becomes too uncomfortable, her provider may recommend a drug called indomethacin. This drug helps reduce fetal urine production and reduce amniotic fluid levels. Amniocentesis also can be used to drain off excess fluid. This procedure, which may be repeated a number of times, can reduce symptoms and may prolong pregnancy.

If tests show that mother and baby appear healthy, a woman with mild polyhydramnios near term usually does not need any treatment. While she may have an increased risk of cesarean delivery, she appears to be at low risk of other complications, and her baby is likely to be healthy.

Does discolored amniotic fluid pose a risk to the baby?
Normal amniotic fluid is clear or tinted yellow. Abnormal coloring seen at amniocentesis or at birth can sometimes suggest problems. Green or brown-tinged fluid usually indicates that the baby has passed stool. This can be a sign of fetal stress. Pink-tinged fluid suggests bleeding, while wine-colored amniotic fluid suggests bleeding in the past. These conditions may be of little or no consequence, but tests may be suggested to find possible causes.

Does the March of Dimes support research on amniotic fluid disorders?
A March of Dimes grantee is currently evaluating the safety of a new drug treatment developed for oligohydramnios that aims to increase the levels of amniotic fluid by increasing urination in the baby. The treatment could play a major role in preventing umbilical cord accidents, stillbirths and preterm delivery associated with too little amniotic fluid.


References
Biggio, J.R., et al. Hydramnios prediction of adverse outcome. Obstetrics and Gynecology, volume 94, number 5, November 1999, pages 773-777.

Casey, B.M. Pregnancy outcomes after antepartum diagnosis of oligohydramnios at or beyond 34 weeks gestation. American Journal of Obstetrics and Gynecology, volume 184, number 4, April 2000, pages 909-912.

Cunningham, F.G., et al. Abnormalities of the fetal membranes and amniotic fluid, in Williams Obstetrics, 21st edition, New York, McGraw/ Hill Medical Publishing Division, 2001, pages 813-825.

Lembet, A., and Berkowitz, R.L. Polyhydramnios. Contemporary Ob/Gyn, September 1999, pages 67-80.

Panting-Kemp, A., et al. Idiopathic polyhydramnios and perinatal outcome. American Journal of Obstetrics and Gynecology, volume 181, number 5, November 1999, pages 1079- 1082.

Ross, M.G., Brace, R.A., and NIH Workshop Participants. National Institute of Child Health and Development conference summary: amniotic fluid biology – basic and clinical aspects. Journal of Maternal-Fetal Medicine, volume 10, February 2001, pages 2-19.