How to do 34 weeks amniotic fluid slightly much?

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Pregnancy is a very happy and exciting thing for most couples. The most important thing during pregnancy is the monthly pregnancy examination. Many pregnant women attach great importance to it. Every month's pregnancy examination goes to the hospital according to the time. The items and data of the prenatal examination will be carried out under the doctor's advice. How to do with excessive amniotic fluid at 34 weeks of pregnancy? Now let's talk about it.

How to do 34 weeks amniotic fluid slightly much?

The treatment of polyhydramnios mainly depends on whether the fetus has malformations and the severity of pregnant women's symptoms. The fetus with no malformation and mild symptoms can continue to be pregnant. Pay attention to rest, low salt diet, take diuretic hydrochlorothiazide 25mg, oral three times a day, or Jianpi Lishui, Wenyang Huaqi traditional Chinese medicine. In recent years, indomethacin (prostaglandin synthase inhibitor) 2.2-3.0 mg / kg / day, the treatment has received good results. If necessary, amniocentesis should be performed to release amniotic fluid to relieve compression symptoms. If the fetus is abnormal, the pregnancy should be terminated. More use of high broken membrane induction of labor, 24 hours still in labor, can add oxytocin intravenous drip. Pay attention to prevent placental abruption and postpartum hemorrhage.

Polyhydramnios can be seen in normal fetus, also in fetal nervous system dysplasia, or pregnant women with certain diseases, common in gestational diabetes mellitus, combined with your history, weight gain of 6 kg in two weeks, weight gain is too fast, first of all, it is recommended that you do a diabetes diagnosis test (glucose tolerance test, also known as OGTT test), in order to exclude polyhydramnios caused by gestational diabetes mellitus

At present, it is recommended that you take a rest, eat a low salt diet, lie on the left side, and avoid heavy physical labor, especially moving heavy goods. In general, many reasons will cause excessive amniotic fluid, such as pregnant women, multiple pregnancy, etc. some have unexplained excessive amniotic fluid. The method of termination of pregnancy should be selected according to the specific situation. Artificial rupture of membrane, intravenous drip of oxytocin, or application of prostaglandin and other methods. When breaking the membrane, we should use a high-level membrane breaker to break the membrane, or we can use a needle to puncture a small hole to let the amniotic fluid flow out slowly, so that the pressure in the uterine cavity will gradually decrease, so as to avoid abruptly reducing the pressure in the uterine cavity and causing placental abruption. If the process of rupture of membranes is not careful, the rupture of membranes is too large, and amniotic fluid gushes out in large quantities, the uterine orifice should be blocked by hand, or the buttocks should be raised to slow down the flow rate. For the patients with severe polyhydramnios, in order to be safe, the amniotic fluid can be put through abdominal puncture first, and then the labor can be induced after the intrauterine pressure is reduced. If the condition of cervix is good, the fetus can give birth in a short time; If the cervix is not mature, often need oxytocin or prostaglandin preparation of cervical conditions, in 24 ~ 48 hours after induction. After amniotic fluid outflow, add a sandbag at the bottom of uterus to increase intrauterine pressure and prevent complications caused by sudden decrease of abdominal pressure. Pay attention to the vital signs such as heart rate and blood pressure during labor, and observe whether there is vaginal bleeding. Close attention should be paid to the early manifestations of placental abruption. Once it appears, it should be treated in time.

matters needing attention

After amniotic fluid outflow, add a sandbag at the bottom of uterus to increase intrauterine pressure and prevent complications caused by sudden decrease of abdominal pressure. Pay attention to the vital signs such as heart rate and blood pressure during labor, and observe whether there is vaginal bleeding. Close attention should be paid to the early manifestations of placental abruption. Once it appears, it should be treated in time.