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Doctor insights on: Amniotic Fluid Miscarriage

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My dr did see an amniotic sack with no heartbeat yet she wants to check again on mon but with my levels being low does this mean miscarriage?

My dr did see an amniotic sack with no heartbeat yet she wants to check again on mon but with my levels being low does this mean miscarriage?

Not Necessarily: She will be looking both for changes in the ultrasound and in increases in the betaHCG. You don't know anything at this point. I know it is hard to wait, but until you know what the numbers show and what the ultrasound shows you just don't know what is going to happen. I wish you nothing but good thoughts and increasing levels ...Read more

Dr. Gerard Honore
1,043 doctors shared insights

Pregnancy Loss (Definition)

A miscarriage is the spontaneous loss of a fetus before the 20th week of pregnancy. (Pregnancy losses after the 20th week are called preterm deliveries.) A miscarriage may also be called a "spontaneous abortion." This refers to naturally occurring events, not medical ...Read more


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What is the purpose of amniotic fluid?

What is the purpose of amniotic fluid?

Lung Development: Amniotic fluid initially is filtered from the mother's blood and passes through the pregnancy's membranes to create a nourishing cushion during the first few weeks of development. Later, it is a byproduct (urine) of the baby's circulation which is taken into the lungs during the baby's practice breaths. The fluid pressure then induces growth and opening of the lung's branches. ...Read more

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What causes low amniotic fluid levels?

What causes low amniotic fluid levels?

Circulation issues: The amniotic fluid 'circulates' inside the uterus after it is manufactured including the baby swallowing some of it. If there are genetic problems with the fetus or problems in 'manufacturing' both can cause low levels. ...Read more

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What is amniotic fluid embolism?

What is amniotic fluid embolism?

Maternal illness: As a complication of pregnancy and delivery, amniotic fluid may gain entry into the maternal circulation. It induces intravascular thrombus formation followed by bleeding disorder, and respiratory problems and shock in the mother. ...Read more

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What causes amniotic fluid embolism?

Vein: It is when amniotic fluid enters the bloodstream through the venous system. It can be very dangerous, potentially causing a embolus in the lung. ...Read more

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What are the tests for amniotic fluid embolism?

What are the tests for amniotic fluid embolism?

Clinical and DIC: Amniotic fluid embolism, depending on the amount of fluid getting into maternal circulation can be catastrophic. The diagnosis depends on clinical suspicion and testing for disseminated intra-vascular coagulation, namely low platelet count, elevated pt ptt, abnormal shape of red cells, low fibrinogen and fibrin split products, chest x-ray etc. ...Read more

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Low amniotic fluid at 39 weeks. Should they deliver?

Low amniotic fluid at 39 weeks. Should they deliver?

Probably: If your afi is < 5, yes. If it's borderline, between 5-8, it should be strongly considered unless your cervix is unfavorable (difficult to induce d/t being closed, thick, and/or firm). If they wait, you also need a normal non-stress test (nst) or biophysical profile (bpp). If your afi > 8, it's ok to wait. Discuss this with your OB & make sure you understand "kick counts" & when to go to l&d. ...Read more

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Dr. Seth Derman
512 doctors shared insights

Miscarriage (Definition)

Miscarriage is a "lay" term for early pregnancy loss usually prior to the second trimester. Physician's use the term "spontaneous abortion" to describe these events, but the word "abortion" in lay use has come to connote only an elective interrupted ...Read more