Amniotic fluid are the habitat of the fetus, so it is important the number and qualitative composition. Amniotic fluid create a space for free movement in the ever-increasing volume of the fruit to protect it from injury, maintain a constant temperature, prevent compression of the umbilical cord at birth, are the source of certain nutrients (such as protein) to the fetus.

What is a moderate polyhydramnios and the reasons for its formation

Polyhydramnios called excessive accumulation of amniotic fluid (1500 mL at term). In some foreign countries, it is the presence of polyhydramnios Bole 2000 ml of amniotic fluid. Hydramnion occurs in approximately one of 300 sorts.

The reasons for polyhydramnios:

• various acute and chronic diseases of the mother, including kidney disease, cardiovascular disease, diabetes Diabetes - threatening and incurable disease ;
• toxicosis second half of pregnancy;
• hypoplasia of the gastrointestinal tract in the fetus - it prevents him from swallowing amniotic fluid (he does have 18 weeks);
• malformations of the central nervous system of the fetus;
• hereditary diseases of the fetus and some other pathology;
• violation of the state of the placenta;
• idiopathic polyhydramnios, when its cause can not be established;
• Primary increased secretion epithelium membranes components; amniotic fluid and a violation of their absorption;
• intrauterine infection;
• Rh incompatibility between the blood of mother and fetus.

Types of polyhydramnios

Hydramnion may occur in acute and chronic form, it can also be moderate and severe. Acute polyhydramnios - it is usually a serious condition, but it is rarely found. In acute polyhydramnios amniotic fluid volume increases and reaches a critical value in just a few days. Women have such unpleasant phenomena as abdominal pain Abdominal pain: Types and Symptoms , Shortness of breath, swelling, a state of constant anxiety. Pregnancy ends, as a rule, premature birth, miscarriage, stillbirth and birth of a child with a variety of developmental defects.

With moderate chronic polyhydramnios amniotic fluid volume increases gradually and often unnoticed by the woman. This may result in polyhydramnios delivery on time, but the baby is often born with a developmental disability of certain organs. Stronger than other organs affected the central nervous system, as a moderate polyhydramnios in one degree or another always suffering placental circulation and the brain of the child is not getting enough oxygen.

Diagnosis of mild polyhydramnios

About a woman has polyhydramnios obstetrician-gynecologist may suspect the women's clinic after its inspection. The uterus is greatly increased when polyhydramnios, stomach taut and tense, with palpation of the fetus can be seen that it often changes its position. With moderate polyhydramnios is possible to feel the fetus moving head.

The most reliable evidence of polyhydramnios can be obtained using ultrasound. In addition to routine ultrasound when using a variety of methods are being identified amount of amniotic fluid is held still and determining blood flow velocity in the placenta and umbilical cord (Doppler). If you find polyhydramnios conduct an additional examination of the child by CTG.

Do I have to treat moderate polyhydramnios

Treat polyhydramnios it is necessary, because even with a moderate within his child suffers. Of great importance is the identification of the causes of the formation of polyhydramnios and its elimination. After that, a woman prescribed antibiotics Antibiotics - whether they will help you in the foreseeable future?   for the prevention of intrauterine infection, diuretic medications, restorative treatment. In order to help the child, prescribed drugs, reducing utero-placental blood flow. With an increase in the amount of the amniotic fluid can be removed with a very thin catheter is introduced into the amniotic sac (amnion).

Childbirth at a moderate polyhydramnios also have their own characteristics. They tend to start a little bit ahead of schedule with premature rupture of membranes, and are accompanied by a primary or secondary uterine inertia. If labor has begun, and the water had not yet departed, the fetal bladder is opened (not in the center and side) with extreme caution and slowly release the amniotic fluid without removing your hands from vagina to prevent the loss of the umbilical cord, or handle the fruit.

In order to prevent the formation polyhydramnios requires timely detect and treat all diseases that can cause this disease. And for this you need to visit an obstetrician-gynecologist of female consultation.

Galina Romanenko

Yasmin should not be taken during pregnancy. But sometimes it happens that the woman did not immediately know about the pregnancy and continues to take hormonal contraceptive after conception. What is threatened, it may be necessary to immediately terminate the pregnancy has just begun?

The reception Yarin dangerous during pregnancy

To answer this question, we need to know the mechanism of action of Yasmin. Yasmin acts in the same prinitsipe that all the other modern hormonal contraceptives. This drug contains the active synthetic hormones - analogues of natural hormones - estrogen and progesterone Progesterone - norm and pathology To be more active than the natural hormones. Excess hormones inhibits the synthesis of pituitary hormones, under the influence of which matures the egg is released from the ovary. Without enough pituitary hormones egg can not mature, break the follicle, it was in, and out of the ovary that is not ovulation Ovulation - How to determine as accurately as possible? .

Furthermore, Yasmin contributes thickening mucus in the cervix channel and most of the sperm can not overcome this barrier. But the most important action that can lead to an interruption in spite of all the ensuing pregnancy, this change of state of the mucous membrane of the uterus - it becomes less loose, the egg is difficult to penetrate into it.

Thus, in the ensuing pregnancy, the main danger is that a fertilized egg can not attach or to the mucous membrane of the uterus, or the attachment is still going on, but fragile, which at any time may result in spontaneous abortion Miscarriage - can you protect yourself from it? . Spontaneous miscarriage - is the main threat, which occurs when a woman takes during pregnancy Yarin.

If the pregnancy is not interrupted, do not worry - it is dangerous to the fetus directly when taking Yasmin no. During the first week after conception, the embryo develops even in offline mode - it has nothing to do with the mother and any toxic effects on him by the mother's body is not possible. One week later the embryo is introduced into the mucosa of the uterine cavity and it grows in blood vessels. Since that time, toxic effects on the fetus is possible.

However, numerous epidemiological studies (based on surveys of women have given birth to children, and the study of medical records of the children) did not reveal any adverse effects on the child in the case where the mother is in the initial stage of pregnancy taking Yasmin. However, clinical trials of this kind were not carried out and it is not possible to draw a final conclusion on the safety of receiving Yarin in the first weeks of pregnancy.

And yet, if the pregnancy continues to grow, fear of severe consequences for the child and the termination of pregnancy should not be - in practice, cases of teratogenicity (congenital malformations that are not inherited) and mutagenic (changes in the body that are inherited) impact on the fruit has not been revealed. You just need to relax and tune in to the pregnancy.

Is it possible, after a long reception Yarin have children?

Some women are worried about whether they will have children after years of receiving Yarin. These fears are usually unfounded if Yarina make healthy woman, then in one - three months after stopping the drug in it restores the natural menstrual cycle, and it can begin to conceive a child. But conception is not necessarily going to happen during the first menstrual cycle. The norm is the conception that took place within a year after discontinuation of the drug.

But sometimes, after the abolition of Yarin can occur quite persistent amenorrhea (absence of menstruation), in which case you need to see a doctor and to establish the cause. The most common cause of this was, and before you start taking Yasmin and hormonal failure it simply revealed. Various causes of this disease and require different treatments.

Often, the menstrual cycle is not restored because of the constant anxiety about the woman that she can not get pregnant. The best thing in this situation for some time to calm down and not to think about the pregnancy. For most women, it is the absence of anxiety and fear contributes to the restoration of the menstrual cycle, that is, the possibility of having children. But this should not preclude the fulfillment of all doctor's appointments, because it is possible that the cause of amenorrhea Causes of amenorrhea - different circumstances   Yet serious. If the pregnancy, you should regularly, according to a schedule, visit the obstetrician-gynecologist of female consultation - it will save from complications during pregnancy and childbirth.

Galina Romanenko