Amiotic Fluid And Disorders Flashcards

Af and disorders in detail

1
Q

Specific gravity of af

A

1.008-1010

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2
Q

Osmolarity of af

A

250mosmol/l

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3
Q

pH of af

A

7.2-7.4

If one choose 7.2

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4
Q

Max volume of af at

A

36-38weeks

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5
Q

Rate of turnover of af

A

500ml/hr

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6
Q

Major site of formation of af in early eeks /first trimester

A

Maternal plasma

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7
Q

Major site of af formation at 12-20 weeks

A

Fetal skin

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8
Q

After 20 weks site of formation of af

A

Fetal urine

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9
Q

Overall major site of formation of af

A

Fetal urine

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10
Q

Why does fetal skin stop producing af at 20 weeks

A

Keartinization of skin at 20 weeks

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11
Q

What is the normal colour of af

A

Colourless

At term straw coloured

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12
Q

Green colour af

A

Fetal distree
Breech
Transverse
Listeria infection

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13
Q

Golden yellow

A

Rh incompatibility

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14
Q

Tobacco juice

A

Iud

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15
Q

Saffron / yellowish green

A

Post dated pregnancy

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16
Q

How is amniotic fluid vol kept in check

A

Swallowing and production

17
Q

Composition of af

18
Q

Function of af

A

Except nutritional

19
Q

IOC of af measuent of af

20
Q

AFI

A

a b c d add all

Normal 5-24 cm

21
Q

Best measurement unit of af

A

Single largest pocket out of all quadrant

N- 2-8cm

22
Q

Af can also be measured via volume

A

N 200ml-2l

23
Q

Poly hydroaminos

A

More or equal to 2l

24
Q

Measurement of af method

A

Single largest pocket best
AFI
Volume

25
Mc mild cause of oligo and polyhy
Idiopathic
26
Mc severe cause of oligo/poly
``` Congenital malf Oligo -renal Poly CNS anomalies Ntd Swallowing defects ```
27
Cause of oligo
D - indomethacin I iugr L leak after amniocentesis Men mat BP rise P post dated preg P prom A amnion nodosum Chromosomal abnormality triploidy R renal
28
Capacity of preg uterus
5l
29
Cause of polyhydroaminos
``` 1.Increased fetal urine Twin DM 2 swallowing defects 3 CSF leak ChorAngioma Torch Rh -ve Trisomy ```
30
Oligo consequence | Mc and early
Pulm hypoplasia Limb reduction defects
31
Poly consequences
Ptl Prom Abruptio p PPH
32
Late f/o of oligo
Cord compression Fetal distress Meconim asp
33
Management of oligo
Amioinfusion e ns
34
Mg of poly
Serial amiocentesis when there is resp distress in mother | Drug -indomethacin if used beyond 32 weeks cause premature closure of da