Amniotic fluid is an indispensable liquid for the fetus to survive in the amniotic cavity of the uterus after pregnancy, and it is the most important thing to maintain and nourish the life of the fetus. Amniotic fluid is constant temperature and pressure in the uterine cavity, and the fetus can move freely in amniotic fluid to promote the growth and development of the fetus in all aspects. When the pregnant mother is hit by external force, amniotic fluid can protect the fetus from excessive damage from external force. When pregnant mothers contract, amniotic fluid can protect the fetus from direct injury and intrauterine pressure. The components of amniotic fluid include inorganic salts, various nutrients, cells shed by fetal growth and metabolism and water. The proportion of water is the highest, accounting for 98% of amniotic fluid. Therefore, when the amount of amniotic fluid is insufficient, effective hydration can be taken to increase the amount of amniotic fluid. Of course, this is a treatment for oligohydramnios without pathological reasons. If oligohydramnios is caused by pathological reasons, the treatment is another matter.
During pregnancy, the amount of amniotic fluid increases with the increase of gestational age. After the second trimester, the normal amniotic fluid volume is maintained at 800- 1200ml. More than 2000ml is polyhydramnios, and less than 300ml is oligohydramnios. Polyhydramnios is mostly related to fetal malformation and belongs to pathological oligohydramnios. Oligohydramnios itself will cause fetal malformation or fetal growth retardation, and neonatal asphyxia and neonatal death are also prone to occur during childbirth. Therefore, pregnant mothers should pay attention to whether the amount of amniotic fluid is normal during pregnancy test. If there is non-pathological amniotic fluid deficiency or less, you can replenish the amount of amniotic fluid by hydrating your body. As long as we find out the cause of amniotic fluid deficiency and take the method of supplementing amniotic fluid, it will be very effective most of the time. It is not enough to replenish amniotic fluid only by drinking water, because only a small part is absorbed by the body and most of it will be excreted in the form of urine. Drinking soy products and dairy products to supplement amniotic fluid may make the body absorb too much high protein and increase the burden on the kidneys. It may even cause indigestion and diarrhea because of high protein, which makes pregnant mothers feel uncomfortable.
Therefore, if there is non-pathological amniotic fluid deficiency during pregnancy, the best drink to replenish amniotic fluid needs to be a liquid rich in electrolytes, vitamins and amino acids needed by the human body, which is close to the composition of human body fluids and can quickly replenish the water needed by the human body. Coconut water is indeed rich in natural electrolytes, vitamins and amino acids, which can help the human body to balance water and salt, make water quickly absorbed by the human body, and have an obvious rapid and effective effect on supplementing human water. When the amount of amniotic fluid is insufficient during pregnancy, drinking coconut water is faster and more effective than drinking boiled water or soybean milk. Even if the amount of amniotic fluid is insufficient and slightly turbid, drinking coconut water can also clear amniotic fluid. The most important thing is that coconut water contains less sugar and no fat, and is also rich in vitamins and amino acids. Even drinking more will not increase the burden on the body, and it does have a good effect on safely and effectively supplementing amniotic fluid deficiency.
1. How to make up for oligohydramnios?
Only when the blood volume is insufficient, can the amniotic fluid value be effectively supplemented by hydrating.
There are many ways for the body to replenish water, such as ensuring a normal amount of water every day. It is also important to replenish water through other channels, such as drinking milk and juice, and the water content of fruits and vegetables such as watermelon should also be counted. A rich diet can also supplement vitamins and minerals.
Therefore, the effect of coconut water is similar, that is, fruits with rich water content also contain vitamins, so it is also an effective supplement method. However, these methods all belong to supplementing body water, so we must diversify our diet, and don't make extreme attempts to ensure daily drinking water and a balanced diet. If there is only less amniotic fluid, it can be improved through diet. Usually eat more fruits and vegetables and supplement vitamins C and other nutrients.
In addition, pregnant mothers can supplement it by drinking soup, such as kelp tofu soup, soybean sparerib soup, lotus root bone soup, stewed chicken soup, radish sparerib soup and other nutritious and diuretic soups, or drink soybean milk.
2. How to judge whether amniotic fluid is too much or too little? The normal range of amniotic fluid volume is 300-2000 ml. Exceeding this range is called "polyhydramnios", and failing to reach this standard is called "oligohydramnios".
Detection method: Ultrasonic examination is the most important auxiliary examination method. Amniotic fluid index (AFI) is the best method to evaluate amniotic fluid volume. It means that the abdomen is divided into four quadrants with the mother's navel as the center, and the ultrasonic probe is perpendicular to the horizon, and the maximum vertical depth of amniotic fluid in each quadrant is measured in turn. The sum of the measured values of the four quadrants is called amniotic fluid index. AFI 125px was diagnosed as oligohydramnios. Amniotic fluid volume (AFV) can also be used to diagnose oligohydramnios. In the third trimester, AFV 50px is oligohydramnios, and 25px is severe oligohydramnios.
3. What are the causes and hazards of oligohydramnios?
The exact cause of oligohydramnios is not clear. It is reported in domestic and foreign literatures that the pathogenic factors of oligohydramnios are related to overdue pregnancy, fetal growth restriction, hypertensive disorder complicating pregnancy, fetal malformation and abnormal umbilical cord and placenta. Fetal malformations are mainly congenital urinary system abnormalities, such as congenital renal hypoplasia, congenital hypoplasia, polycystic kidney, urethral obstruction and so on. Because the main source of amniotic fluid in the third trimester is fetal urine, these malformations reduce fetal urine and cause oligohydramnios. Postterm pregnancy is also a common cause of oligohydramnios. Due to the decrease of placental function, amniotic membrane and villi lost their normal dialysis function, so amniotic fluid production decreased, and at the same time, fetal renal blood flow and urine volume decreased due to insufficient placental perfusion. Abnormal umbilical cord is also closely related to oligohydramnios. Umbilical cord abnormalities include umbilical cord too short, winding, true knot, torsion, edema and so on. Abnormal umbilical cord can affect fetal blood flow to varying degrees and reduce the formation of fetal urine as the main source of amniotic fluid in the second and third trimester of pregnancy, so abnormal umbilical cord is also one of the important reasons for oligohydramnios. However, apart from the high detection rate of umbilical cord around the neck during pregnancy, other umbilical cord abnormalities are difficult to find before delivery. If there is umbilical cord factor, the risk of natural delivery increases.
4. Treatment of oligohydramnios
Clinical treatment of oligohydramnios in the second trimester needs to clarify the causes of oligohydramnios first:
(1) Ask about the medical history of pregnant women in detail, and whether there are signs of premature rupture of membranes.
(2) Targeted ultrasound examination: measure the amniotic fluid volume and check whether the anatomical structure of the fetus is normal, such as kidney, bladder and heart. If the fetus is deformed, induce labor as appropriate.
(3) To evaluate whether the fetus has intrauterine growth restriction.
(4) For oligohydramnios without premature rupture of membranes and fetal malformation, the growth and development of fetus should be followed up regularly, including amniotic fluid volume and S/D value of umbilical artery.
In the third trimester, the treatment plan is mainly selected according to the gestational age and the intrauterine safety of the fetus.
(1) Termination of pregnancy: ① Fetal malformation: induced labor. ② Full-term pregnancy with placental dysfunction: abnormal OCT examination and termination of pregnancy by cesarean section. (3) Fetal distress: Cesarean section cannot be performed in a short time during vaginal delivery, and vaginal midwifery should be actively carried out when the cervix is open. (4) Full-term pregnancy, good fetal condition, no signs of placental function decline, consider induced labor.
(2) The pregnancy is not full-term, the fetal lung is immature, the fetus is not deformed, and there are no signs of intrauterine distress. You can observe and review the amniotic fluid index or consider amniotic fluid infusion to supplement amniotic fluid treatment.
Dr Gan Yong teaches pregnant coconut water whether it can replenish amniotic fluid.
Because everyone's own situation is different, some pregnant women drink coconut water to supplement amniotic fluid, but it may not work for other pregnant women. The specific situation is analyzed.
What should I do if the amniotic fluid is less? In fact, amniotic fluid is very important in the early, middle and late stages of pregnancy. Attention should be paid to the lack of amniotic fluid at any time, and it must be replenished in time to restore the amount of amniotic fluid to normal.
3. Drink plenty of water: Some pregnant women don't like to drink soy milk, and they feel uncomfortable after drinking it. So there is no choice but to drink more water. You can prepare a thermos cup for your own convenience.
4. Oral rehydration salts: Some pregnant women are not sensitive to soybean milk and water. After a large number of supplements, it was found that there was no improvement. The doctor will recommend drinking oral rehydration salts, but it must be taken with the doctor's consent and cannot be decided by himself to avoid discomfort.
The normal amniotic fluid volume is about 80-200mm, but due to the different standards of each hospital, it should be analyzed according to the specific situation.
It is impossible to have less amniotic fluid or more amniotic fluid. If it is less, it is necessary to replenish amniotic fluid in time to avoid fetal hypoxia. If it is too much, it is necessary to be alert to whether pregnant mothers have diabetes during pregnancy, and it is also necessary to review amniotic fluid regularly. Therefore, pregnant mothers in the third trimester should pay attention to fetal movement. If there is abnormal fetal movement, you should go to the hospital in time to avoid unnecessary trouble. In the 37th week of physical examination, I had a B-ultrasound, and the doctor directly issued a hospitalization bill, saying that I had too little amniotic fluid and needed to be hospitalized.
I don't know anything when I have a baby for the first time. I went to the hospital alone. Being left in the hospital really scared me to cry.
Fortunately, the doctor just said it was scary!
I stayed in the hospital for a week, hanging water and taking oxygen every day.
I feel fine, but the doctor just won't let me go.
The doctor said hanging on the water is a little, but it's not enough.
It is recommended to drink water or soybean milk.
My mother-in-law grinds a big jar every morning and takes it to the hospital. I drink until noon and then drink water in the afternoon.
So I made up for a week, and the doctor said no, the amniotic fluid didn't come up, so let me choose a time to induce labor.
At that time, the doctor said induced labor, and I was scared to death.
Fortunately, what the doctor means is to induce labor by water sac and then to induce labor by hanging water.
Just 38 weeks, I asked if I could wait a little longer, and the doctor said no [tears]
I have to agree to have a baby. The water bag was plugged the night before and broke the next morning. Hang up the oxytocin, in the afternoon, Gong Koucai opened a finger.
I cried the worst in the whole delivery room. Because I went to the fetal position incorrectly, the nurse asked me to set the fetal position.
Just wait until after five in the afternoon. The people in the delivery room pushed me into the delivery room. As a result, Miyaguchi still opened a finger.
At night, I called 90 o'clock in the delivery room, and the nurse said forget it. I have applied, and I open one and a half fingers to let me in.
My husband can come to accompany me. I was anesthetized in a daze, but the palace mouth was still not opened. Wait until the next afternoon.
It's not easy to be a real child. Amniotic fluid in the later stage is really too important. Be sure to insist on physical examination and monitor fetal heart rate.
Coconut water for amniotic fluid is really uncertain. It really varies from person to person.
Some people can take out boiled water, while others can't hang water. [Cover your face]
Personal understanding, I hope it will help you.
In fact, water can also replenish amniotic fluid. For people who don't like drinking water, coconut water is also a good choice.
Drinking coconut water can replenish amniotic fluid. Amniotic fluid refers to the fluid in the uterine cavity after pregnancy. Amniotic fluid is constantly exchanged in amniotic cavity, which maintains the liquid balance of amniotic fluid between mother and fetus, protects fetus, promotes fetal activity, and buffers the impact of fetal movement on maternal uterine wall and placenta. Oligohydramnios is an abnormal condition. Therefore, drink more coconut water during pregnancy, relieve morning sickness, increase maternal blood volume and maintain the dynamic balance of amniotic fluid. I bought my wife Vero coconut water, an American imported brand, without adding any sugar, cholesterol or fat. I feel that after drinking for a while, all the indicators are good and my skin is getting better.
Coconut is a kind of fruit produced by coconut trees. Coconut juice is a nutrient solution for coconut trees to store nutrients in the form of water. Coconut water contains a lot of plant protein. Drinking coconut milk is good for pregnant women's health. Drinking coconut water contains vitamin E, which is better for the skin and has a smooth and delicate effect. But drinking coconut water can't replenish amniotic fluid, and coconut can help digestion. If pregnant women have indigestion during pregnancy, it can be solved by eating coconuts. If there is really little amniotic fluid, it can be supplemented by rehydration.
Coconut nourishing amniotic fluid is not only clean, but also the purest natural clean water. When I was pregnant, I drank coconut water every day. The baby was born clean.
First, we need to know about amniotic fluid.
What is amniotic fluid?
Amniotic fluid is the liquid in the amniotic cavity, which plays a role in protecting the fetus, keeping the intrauterine temperature constant, benefiting the balance of fetal body fluids, buffering the external pressure and giving birth.
Amniotic fluid is a colorless and transparent alkaline liquid, in which more than 90% is water, and it also contains minerals, urea, uric acid, creatinine, fetal fat and fetal epithelial cells.
The source, quantity and composition of amniotic fluid vary with gestational age.
If the amniotic fluid is lower than normal, the doctor will take the corresponding treatment plan.
The main substances in coconut water are soluble sugar, minerals and a small amount of protein and oil, so the energy of coconut water is relatively low compared with other fruits, only 44 cal/L. The alkaline ions in coconut water can replenish electrolytes lost due to sweating, such as sodium, potassium, magnesium and calcium, and can be used as an effective electrolyte rehydration drink. These electrolyte concentrations in coconut water produce osmotic pressure similar to that of human blood and do not affect blood coagulation. Therefore, during World War II, some battlefield medical personnel used coconut water to infuse seriously injured soldiers.
In addition, there are some similar sporadic reports in medical literature, but they are generally used for critically ill patients with severe blood loss and dehydration in remote areas and lack of medical resources for a short time. However, coconut water has high potassium content and low sodium content, so it can not be used for routine environment or long-term intravenous infusion.
From the perspective of dietary intake, mature coconut water contains about 300mg of potassium and about 10g of sodium. Compared with the recommended potassium-sodium ratio of 4:3, the potassium content is too high, so it is not recommended to take it as a normal rehydration salt for a long time. Moreover, coconut water contains sugar, and long-term drinking in large quantities is also extremely unfavorable for pregnant mothers to control blood sugar.
From this, it is concluded that:
Coconut juice is not the best drink.
Can't replenish amniotic fluid.
Research shows that:
Patients with diabetes and renal insufficiency, as well as patients taking potassium-preserving drugs, are at risk of hyperkalemia after drinking coconut water for a long time. There was once a diabetic who drank about one kilogram of coconut water every day, which led to an increase in blood potassium content. Although blood potassium returned to normal level after abstinence, uric acid and creatinine (one of the indexes of renal function) did not fall back, suggesting that renal function has been affected.
From the point of view of digestion and absorption, just like other foods, both coconut juice and soybean milk must be digested and absorbed by the human gastrointestinal tract. The organs needed by the body are transported through body fluids and will never become amniotic fluid through the placenta. Therefore, under the normal dietary intake, there is not much difference between drinking boiled water, coconut milk or soybean milk. With a balanced diet, the recommended daily drinking amount is 1700- 1900 ml.
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