Doctor insights on:
Medicine For Amniotic Fluid Infection
Amniocentesis: The diagnosis is suggested by severe abdominal pain, decreased fetal movement, and maternal fever. The definitive test is amniocentesis, which is to obtain a sample of fluid, usually under ultrasound guidance, and then sending the fluid for appropriate laboratory studies. This is a very serious condition that, if confirmed, almost always requires delivery of the baby. ...Read more
Intra-amniotic infection (formerly called chorioamnionitis) is infection of the chorion, amnion, amniotic fluid, placenta, or a combination. Infection increases risk of obstetric complications and problems in the fetus and neonate. Symptoms include fever, uterine tenderness, foul-smelling vaginal discharge, and ...Read more
Chorioamnionitis: Intra-amniotic infection (formerly called chorioamnionitis) is infection of the chorion, amnion, amniotic fluid, placenta, or a combination. Infection increases risk of obstetric complications and problems in the fetus and neonate. Symptoms include fever, uterine tenderness, foul-smelling vaginal discharge, and maternal and fetal tachycardia. ...Read more
You can't: Amniotic infection (chorio) can be caused by prolonged rupture of membranes, vaginal or cervical infections or some infections that affect the whole body and spread to the uterus through the blood. If you think your bag of waters is broken, go to the hospital. If you think you may have any infection, see your doctor. If antibiotics are prescribed, take them. ...Read more
Amniotic infection: An amniotic infection is an infection of the membranes which make up the bag of waters and surround the fetus. This kind of infection usually happens during labor. Another name for it is chorioamnionitis. An infection of the amniotic membranes can affect both the mother and the child. ...Read more
Blood, amniotic fluid and cervical cultures are useful to determine intraamniotic infection, however clinical criteria are sufficient to clinch the diagnosis and prompt expert medical therapy is warranted to promptly evacuate the uterus.
Low amniotic fluid glucose, positive gram stain, and increased white cell count in the amniotic fluid are all suggestive of intraamniotic infection. ...Read more
Usually delivery: An amniotic infection will most often result in spontaneous labor and delivery. When labor does not happen spontaneouly, the usual management is to induce labor or proceed with a cesarean delivery, if cesarean delivery is indicated. In either case (labor or cesarean), antibiotics would be initiated and very likely continued well after delivery for both the mom and the baby. ...Read more
Can I insist upon a preventative cerclage after having suffered a loss at 23 weeks due to amniotic infection that caused the sac to protrude?!
Don't insist!: There is still a lot to learn about the continuum of preterm birth, but cerclage should be reserved for two or more consecutive midtrimester deliveries, or a shortened cervix by ultrasound (<1.5 cm) between 16-24 weeks. Other therapies include 17-hydroxyprogesterone caproate injections, vaginal progesterone, and early pregnancy treatment of vaginal infection/inflammation. Confer with your ob! ...Read more
Can a yeast infection cause a pH strip to turn blue green when testing for amniotic fluid leaking?
Amniotic fluid embolism. ...can someone in this world of medicine help me...Can't get any help in Miami fl cause it's so rare. I'm not well.
Are you sure?: Are you sure you have an amniotic fluid embolus? It is not a chronic condition. It is an acute emergency, usually happening at the time of delivery, and is life threatening. Do you mean pulmonary embolism, which is also life threatening but not always an acute event. The risk of pulmonary embolus is increased during pregnancy. ...Read more
Diabetes?: Most of the time we don't know what causes polyhydramnios. It is associated with maternal diabetes and can result from trouble with the fetal kidneys or swallowing ability. In and of itself, it isn't harmful, though it can result in cord prolapse if the water breaks through an open cervix. Ask your doctor. ...Read more
Amniosintesis: Amniosintesis refers to the removal of a sample of amniotic fluid for analysis. ...Read more
Yes: Excess amniotic fluid can be associated with diabetes, infection, and birth defects that prevent the fetus from swallowing. It can also be associated with an increased risk of stillbirth. Once the causes above have been eliminated, testing of the fetus' wellbeing should be done until delivery. ...Read more
Meconium staining: Sometimes, however, a baby has a bowel movement before or during birth. If this happens, the amniotic fluid released when the mother's bag of water breaks will have a greenish tint. At times when the baby is not getting enough oxygen before or during birth, the baby may take a breath and inhale some meconium, which can irritate the baby's lungs and cause lung problems that can be severe. ...Read more
Rapid look for Down.: Fish stands of fluorescent in-situ hybidization of the chromosomes in fetal cells obtained after invasive prenatal diagnosis (such as amniocentesis). When time is of the essence, fish can give a preliminary result of fetal aneuploidy (e.g. Down syndrome) within 24 hours from the procedure. It should be followed by a full karyotype and chromosomal microarray analysis. ...Read more
Based on setting: During pregnancy, it is not unusual to see "debris" in the amniotic fluid during ultrasound. This is likely related to vernix - a cheesy substane produced by the baby. On the other hand, bloody amniotic fluid that is actually seen can be normal, or it can be a sign of a complication called placental abruption. In either case, this should be clarified by the ob/gyn involved. ...Read more
It can be difficult: Being able to tell if you "broke your water" can, at times, be difficult to ascertain. Any question that you may have an amniotic leak should immediately be brought to your ob's attention. Nevertheless, some signs may be a constant trickle of fluid or wetness. ...Read more
Hospital admission: If you are talking about water breaking between 24-34 weeks and no labor, you would be admitted to the hospital on bedrest. Steroid injections would be given to help mature the baby's lungs. Antibiotics may be given to reduce the risk of infection in the uterus. The baby would be monitored for heart rate problems and growth problems. ...Read more
No specific cure: Oligohydramnios occurs infrequently in pregancy and there is no specific cure. Sometimes the amniotic fluid volume will increase with increased fluid intake (increased hydration). However the cause of the low fluid volume is the important factor and the specific management will depend on that diagnosis. ...Read more
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
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
Sudden shock, death.: Afe is an extremely rare but typically lethal complication of late pregnancy. Usually it is unheralded and manifests with complete cardiovascular collapse requiring immediate advanced cardiac life support to avoid rapid death from bleeding and asystole. If the woman is still pregnant, stat delivery may help preserve the fetal life/brain. ...Read more
Low amniotic fluid: Amniotic fluid levels are a indicator of good fetal health. Sometimes low fluid can just be representative of poor maternal hydration. Other times low fluid (oligohydramnios) can represent an adverse intrauterine enviorment due to many medical problems like hypertension or preeclampsia. Certain fetal and placental issues can also cause low fluid. Diagnosis and treatment can increase fluid. ...Read more
Many things: If you are worried about this you need to discuss this with your OB doc, various things can cause fluid to leak, and I assume early because if you start leaking fluid at 35 weeks or more the txment is to be delivered, premature labor, incompetent cervix, infection are some of teh things that can cause prom. ...Read more
Meconium aspiration: Babies born through meconium stained amniotic fluid are at risk of aspiration. Meconium can cause blockage of airway and inflammation of lung tissue. Babies with meconium aspiration frequently show sings of breathing difficulties and need to be admitted to Neonatal ICU for support and observation. ...Read more
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more