羊水异常 全英文版 Abnormal amniotic fluid volume.ppt

Abnormal amniotic fluid volume Abnormal amniotic fluid volume Polyhydramnios Oligohydramnios Polyhydramnios Definition Polyhydramnios?is a medical condition describing an excess of amniotic fluid in the?amniotic sac. It is seen in about 1% of pregnancies.?It is typically diagnosed when the amniotic fluid is greater than 2000ml . There are two clinical varieties of polyhydramnios: Chronic polyhydramnios where excess amniotic fluid accumulates gradually Acute polyhydramnios where excess amniotic fluid collects rapidly Causes Fetal malformation Multiple pregnancy Placenta and Umbilical cord abnormalities Gestational?diabetes?mellitus Idiopathic polyhydramnios Polyhydramnios Clinical Manifestations Acute hydramnios： 2.Dyspnea 1.Edema 3.Overdistended uterus Develop often as early as 20 to 24 weeks Polyhydramnios Clinical Manifestations Chronic hydramnios Symptom is not obvious,and the accumulation of ?uid takes place gradually Develop often as early as 28 to 32 weeks Polyhydramnios Assist examination B ultrasound 羊水最大暗区垂直深度（AFV）≥ 8cm mild：8?11cm moderate：12?15cm severe：＞15cm 羊水指数（AFI）≥25cm mild：25?35cm moderate：36?45cm severe：＞45cm Polyhydramnios Assist examination Polyhydramnios karyotype analysis blood type Examination blood glucose examination Diagnosis Medical history Clinical Manifestations Assist examination Polyhydramnios Medical history Treatment Polyhydramnios with normal fetus ?stop pregnancy and break the Fetal membrane Polyhydramnios with Fetal malformation 1.General teratment：Bed rest, diuretics, and water and salt restriction 2.Amniocentesis 3.Indomethacin Therapy [,?ndom?θ?s?n] Polyhydramnios Oligohydramnios Oligohydramnios?is a condition in?pregnancy?characterized by a deficiency of?amniotic fluid. It is typically diagnosed when the amniotic fluid is less than 300ml . Definition Causes Fetal malformation Placenta hypofunction Premature?rupture?of?fetal?membranes Maternal factors: Dehydration, hypovolemia ?