Is pregnant 5 months amniotic fluid muddy how to return a responsibility

summary

General fetal hypoxia can cause group reflex, discharge meconium, and appear true breathing, meconium amniotic fluid keratinocytes inhaled into the lung, thick meconium inhalation can cause complete tracheal obstruction, atelectasis, acute asphyxia and hypoxia. If there is meconium in amniotic fluid, it may be related to fetal hypoxia. Sometimes there is fetal fat in the amniotic fluid, which has no effect on the fetus. I suggest you don't worry too much. Of course, you don't rule out that there is no danger. Once there is danger, you should seek medical advice immediately.

Is pregnant 5 months amniotic fluid muddy how to return a responsibility

First: in the process of labor, if meconium is found in amniotic fluid, we must carefully observe the fetal heart rate. If the fetal heart rate is abnormal at the same time, the fetus is more likely to be inhibited at birth due to hypoxia. Even if the fetal heart rate is normal, if there is more meconium in the amniotic fluid, when it is dark green, or when the amniotic fluid has meconium and is thick, the fetus inhales such amniotic fluid into the lung, which is prone to meconium aspiration pneumonia or more serious situation, causing fetal amniotic fluid and meconium aspiration syndrome, which requires early termination of pregnancy.

Second: Meconium contaminates the whole body at birth. If the fetus is immersed in meconium amniotic fluid for 4-6 hours, the toenails can be stained yellow green. If the fetus is immersed in meconium amniotic fluid for 10-12 hours, the umbilical cord, fetal fat and placental amniotic membrane can be stained meconium. Neonatal respiration was severely inhibited, bradycardia, hypotonia and shock occurred. After spontaneous breathing, shortness of breath, dyspnea, intercostal depression, expiratory groan and cyanosis were found. If cyanosis is serious and oxygen inhalation is not improved, persistent pulmonary hypertension should be considered. Lung signs are related to the amount and thickness of meconium inhaled. If there is pneumothorax, the breathing movement and sound of both sides can be asymmetric.

Third: severe asphyxia and hypoxia cause cardiovascular adaptation disorder, right to left shunt, megacardia with peripheral circulation congestion, occasionally convulsions. Blood gas analysis showed that PO2 decreased, pCO2 increased and pH decreased. Severe cases died within minutes to hours after birth, and the course of disease of survivors was prolonged. The general cases were obviously improved within 2 days, and fully recovered after 10 days or more. The mild cases had dyspnea several hours after birth. The X-ray examination showed a little thickening of lung texture, mild emphysema, and slight decrease of diaphragm. For those with more meconium inhalation, there may be dense patchy or nodular infiltration in both lungs, excessive lung expansion, occasionally a small amount of pleural effusion, interstitial emphysema, pneumomediastinum or pneumothorax.

matters needing attention

During labor, if meconium is found in amniotic fluid, we must carefully observe the fetal heart rate. If the fetal heart rate is abnormal at the same time, the fetus is more likely to be inhibited due to hypoxia at birth. Even if the fetal heart rate is normal, if there is more meconium in the amniotic fluid, when it is dark green, or when the amniotic fluid has meconium and is thick, the fetus inhales such amniotic fluid into the lung, which is prone to meconium aspiration pneumonia or more serious situation, causing fetal amniotic fluid and meconium aspiration syndrome.