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term pregnancy
Kheluwis.s
406148098
maturation.
Fetal
pulmonary development
(20 weeks).
Protects
temperature.
antibacterial activity.
during labor.
Protects
compression in labor
from approximately 30
mL at 10 weeks to 200 mL by 16
weeks and reaches 800 mL by
the mid-third trimester and start
to gradually decrease after 40
weeks of pregnancy
Physiology
During
Effect on Volume
Approximate Daily
Volume (mL)
Fetal urination
Production
1000
Fetal swallowing
Resorption
750
Production
350
Intramembranous
flow across fetal
vessels on the
placental surface
Resorption
400
Transmembranous
flow across amnionic
membrane
Resorption
Minimal
ETIOLOGY
FETAL
PROM
CHROMOSOMAL ANOMALIES
CONGENITAL ANOMALIES
IUGR
IUFD
POSTTERM PREGNANCY
PLACENTAL
CHRONIC ABRUPTION
TTTS
CVS
MATERNAL
PREECLAMPSIA
CHRONIC HT
DRUGS
NSAIDs
ACE INHIBITORS
IDIOPATHIC
9
DIAGNOSIS
SYMPTOMS
NO SPECIFIC
SYMPTOMS
Postterm
preeclampsia
Less fetal movements
SIGNS
Uterus small
for date
Feels full of
fetus
Malpresentations
IUGR
10
USG
METHODS
DVP
<2 cms
(<1 severe)
AFI
<5 cms
(5-8
borderline)
11
Technique of AFI
Uterus
12
COMPLICATIONS
FETAL
Abortion
Prematurity
IUFD
Deformities
CTEV,contractures,amputation
Potters syndrome- pulmonary
MATERNAL
hypoplasia
Malpresentations
Increased morbidity
Fetal distress
Low APGAR
Increased operative
13
intervention
MANAGEMENT
DEPENDS UPON
ETIOLOGY
GESTATIONAL
SEVERITY
FETAL
AGE
14
DETERMINE ETIOLOGY
R/O
15
TREATMENT
ADEQUATE REST decreases dehydration
HYDRATION Oral/IV Hypotonic fluids(2 Lit/d)
helpful during labour,prior
to ECV, USG
SERIAL USG Monitor growth,AFI
INDUCTION OF LABOUR
16
AMNIOINFUSION
1.
2.
INDICATIONS
Prophylactic
Therapeutic
Decreases cord
compression
17
induced
PROM INDUCTION
PPROM Antibiotics,steroid
Induction
Laser photocoagulation for TTTS
18