Amniotic Fluid Abnormalities Flashcards by Ahmed Farag

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Q

Causes of Polyhydramnios

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Maternal Causes of Polyhydramnios

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Q

Maternal prolactin may play a role by increasing the …… of amniotic fluid.

A

osmotic pressure

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Q

Causes of Polyhydramnios

Multiple gestation

A

(in monochorionic twins it may be twin-to-twin transfusion syndrome)

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Q

Causes of Polyhydramnios

Anencephaly and spina bifida in most cases & the causes may be ….

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Q

Causes of Polyhydramnios

Congenital Heart failure

A

Congenital Heart Disease with congestive ht. failure

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Q

Causes of Polyhydramnios

Increased placental mass

A

That occurs with edema of the placenta: e.g. Hydrops
fetalis: e.g. Rh. iso-immunization, severe anemia, CMV infection

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Q

Causes of Polyhydramnios

Liver Cirrhosis

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Causing fetal ascites “as in Syphilis”

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Q

Managment aspects of Polyhydraminos

A

Plan of ttt
Expectant treatment
Termination of pregnancy
Neonatal Care

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Q

Managment aspects of Polyhydraminos

Plan of TTT

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Q

Managment aspects of Polyhydraminos

Expectant Treatment

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Managment aspects of Polyhydraminos

TOP

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Q

Managment aspects of Polyhydraminos

Neonatal Care

A

Diagnose & treatment of congenital anomalies, anemia, jaundice & infection.
Care of preterm baby & care of infant of diabetic mother.

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Q

Causes of Oligohydraminos

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maternal Causes of Oligohydraminos

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Rare or absent and the commonest is severe PET.

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Fetal Causes of Oligohydraminos

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Fetal Causes of Oligohydraminos

Renal Anomalies

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e.g. bilateral renal agenesis, complete obstruction of urinary tract, bilateral multicystic kidneys.

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Fetal Causes of Oligohydraminos

Multifetal Pregnancy with TITS

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Donor fetus develops oligohydramnios

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Fetal Causes of Oligohydraminos

Post tem pregnancy

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Due to placental insufficiency

Q

TTT of Oligohydraminos

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Q

TTT of Oligohydraminos

In PROM

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Treatment of PROM

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TTT of Oligohydraminos

In Post-term Pregnancy

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TOP

Q

TTT of Oligohydraminos

If there is lethal fetal anomalies or IUFD

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TOP

Q

TTT of Oligohydraminos

If there is fetal risk (cord compression or IUGR)

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Immediate CS

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TTT of Oligohydraminos

If there is no fetal risk

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Vaginal delivery is allowed with careful electronic fetal monitoring to detect any change in FHR which indicates CS

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TTT of Oligohydraminos

Aminoinfusion

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Method in which physiological solution (normal saline) is infused via double lumen catheter through cervix into uterine cavity

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Complications of Oligohydraminos

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Matrenal Complications of Oligohydraminos

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Malpresentation & prolonged labo

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Fetal Complications of Oligohydraminos

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