Everyone has seen the gush of the amniotic fluid at a pregnant woman’s feet as her water breaks in movies and on TV. Irrespective of the fact that ie doesn’t quite work that way. Yes, amniotic fluid does play an important role in the labor and delivery of a pregnancy.
What is Amniotic Fluid ?
It is the fluid surrounding the baby in the uterus or could be understood as the warm, padded home where the baby grows and develops over the trimester. This helps the baby maintain a steady temperature and also offers protection and cushioning for the lungs and digestive systems of the baby. It also prevents the umbilical cord compression giving the baby the ability to move around and develop their bones and muscles. The fluid also contains nutrients, hormones, and antibodies.
The amniotic sac, on the other hand, holds the baby in form for about 12 days after conception. In the initial weeks, it is mostly filled with water and later with the baby’s urine.
Amniotic fluid: What does it look and smell like ?
It is clear or tinted yellow. If it isn’t, it is probably because the baby has had their first bowel movement known as meconium in the womb. In this case, the fluid is said to be green or brown. Here, the doctor will need to take a call, whether or not the baby will need a treatment post-birth. This is done to prevent breathing problems.
You might be surprised, but the amniotic fluid is generally odorless.
What levels could be understood as normal for the amniotic fluid ?
In your trimester you’ll notice that the doctor does checks to know if the amniotic fluid level is in the normal range. They do so as too much of the fluid or even too little for that matter could lead to a problem for both the mother and the baby.
The normal level for an amniotic fluid by the 36th week is one quart and post it, the level of the fluid drops till the water breaks. To measure the amount of the fluid, doctors use ultrasound by using the amniotic fluid index (AFI) that checks the depth in all four areas, and the maximum vertical pocket (MPV) that measures the deepest area of the fluid.
What happens if the levels of the amniotic fluid are low ?
Having too little of the amniotic fluid is known as Oligohydramnios. The signs of the condition include:
1. Low maternal weight gain
2. Fetal growth restriction
3. Leaking of the fluid from the vagina
In total, about 8% of women face low levels of amniotic fluid, and 4% are diagnosed with oligohydramnios. This can be caused due to birth defects, placental problems, a leak or rupture of the membranes, dehydration, preeclampsia, diabetes, and late delivery up to 42+ weeks of the pregnancy.
Oligohydramnios does pose certain risks to the baby and the treatment depends on how long you are, in some cases, there are ways to increase the levels of the amniotic fluid too.
How can you increase the level of amniotic fluid ?
You have already given birth, the hormones have settled, you have taken enough rest, have gotten used to the baby, and have completely healed from post-delivery effects. However, anxiety, restlessness, sadness, fear, irritability, mood swings, and anger still lingers?
Sometimes, when the symptoms of baby blues last longer than a couple of weeks it might signal a common condition called postpartum depression (PPD). Postpartum depression can begin at any time within the first three months post-delivery. Typically, moms who have had a history of depression in the family are more vulnerable to slipping into PPD. Besides, external factors like a troubled marriage, financial insecurity, difficult pregnancy, complicated birth, or chronic illness can also expose a woman to PPD.
Postpartum depression poses more severe symptoms as compared to baby blues and typically lasts longer than a few weeks. Some common symptoms include-
1. Hopelessness, helplessness, loss of desire to take care of oneself or the baby
2. Overpowering fatigues
4. Eating disorders
5. Panic attacks
6. OCD behavior
7. Feeling of failure as a mother
8. Unexplainable guilt
9. Memory problems
10. Hallucinations or delusions If you are a new mother who has been feeling the aforesaid symptoms and are persistently beating yourself up for unexplainable reasons, it is time to reach out to your doctor. Postpartum depression is highly treatable. All it takes is professional help and some potential breast-feed-safe-antidepressants.
This is when the saline solution is flushed into the uterus, done during labor by inserting a catheter through the cervix. This process decreases the pressure around the umbilical cord, lowering the chances of cesarean delivery.
The other way to increase the level of the fluid is by injecting via amniocentesis just before the delivery. However, the levels are shown to again drop within a week after the procedure, this helps the doctors visualize the fetus through ultrasound and make a diagnosis.
3. Drinking lots of water
Yes, as simple as it may sound, rehydrating by drinking lots of fluids has shown to increase the levels of amniotic fluid.
What happens if the levels of the amniotic fluid are high ?
Polyhydramnios is another condition where the levels of the amniotic fluid are high. It doesn’t have many symptoms, in 50% of cases the pregnant women aren’t aware of the cause, unlike oligohydramnios. While the rest 50% cases are caused by birth defects, infection in the baby and/or problems with the heartbeat, twin-to-twin transfusion syndrome, or a mismatch between the blood of the mother and the baby, like Rh disease, and diabetes.
However, only about 1% of pregnant women are diagnosed with polyhydramnios. In most cases, there is a gradual buildup of fluid but can increase the risk of serious complications like premature birth, placental abruption, or stillbirth. This is why it is important to never miss a prenatal checkup.
How can you decrease the level of amniotic fluid ?
The treatment depends on its severity and the underlying cause. Some cases might need just a needle to drain the amniotic fluid. On the other hand, it can also be decreased by medications that lower the amount of urine produced by the baby, but it carries a risk of heart damage for the baby. This is why it is always important for you to keep the doctor in the loop by discussing and receiving close monitoring through routine checkups.
What are the signs to know the leaking of the amniotic fluid ?
The fluid is generally clear irrespective of the urine to be yellower, and the discharge, cloudy white. A leak could be noticed by a continuous trickle or a small gush of clear fluid.
The fluid is odorless, unlike the urine. So, if you smell the discharge to be odorless, it could be the amniotic fluid.
Is it continuous? Filling in a pantyliner in just a few hours? If the answer is yes, it could be amniotic fluid.
Please note, if you think you are facing these symptoms or are unsure, reach out to the doctor right away. Avoid the use of tampons, or have sex as it may introduce bacteria into the vagina.
To Conclude :
Pregnant women need to be aware of the signs of the amniotic fluid. It may be an important part of the pregnancy being the lining of the uterus holding the baby in place, it could get ugly if not taken care of at the right time. Also, the to-be mother needs to visit the doctor for her daily check-ups, this helps prevent anything unseen.