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Too much of a good thing

by Dr Howard Lee
continued from page 1
Causes
Either too much fluid is being produced, or there is a problem with the fluid being taken up, or both. The factors associated with hydramnios include:

Maternal

  • Diabetes
Baby (foetal)
  • Gastrointestinal (gut) abnormalities that block the passage of fluid
  • Abnormal swallowing due to brain or chromosomal abnormalities
  • Cleft lip and/or palate
  • Twin-to-twin transfusion syndrome
  • Congenital (acquired in pregnancy) infection
  • Heart failure
Problems
  • Overstretching of the womb (uterus) may lead to premature/pre-term labour or premature rupture of the membranes (amniotic sac).
  • Large amounts of fluid leaving the womb, at rupture of the sac, may increase the risk of a too early detachment of the afterbirth - placental abruption - that will compromise the baby's circulation. The umbilical cord may also fall down through the cervix opening - umbilical cord prolapse - where it may become compressed, preventing a continuing circulation of oxygen to the baby.
Signs and symptoms
Often mild hydramnios has no symptoms, but each mother may experience any symptoms differently, and if you have any breathlessness, abdominal pain, marked swelling or bloating - which can all be recognisable features of more severe hydramnios - it is important that you let your health professionals know, just in case. The most common features are:
  • Rapid growth of the womb (uterus)
  • Discomfort in the belly (abdomen)
  • Uterine contractions
All of these may, of course, resemble other medical conditions, so always speak with your own doctor so that a proper diagnosis can be made.



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