Patient's question:
Please give me some advice!A relative of mine just gave birth to a child a couple of days ago. She originally wanted a natural birth, but around 10 p.m. that night, she started experiencing contractions. However, it didn’t go smoothly, and an ultrasound revealed the umbilical cord was wrapped around the baby’s neck. Around 4 a.m., she had a cesarean section, only to discover that there was very little amniotic fluid. The baby weighed over 6 pounds but was very thin, with wrinkled and dirty skin that was initially purple. Two weeks before delivery, an ultrasound had indicated slightly low amniotic fluid, but the doctor didn’t consider it serious at the time, so it wasn’t taken seriously.
Now the situation has improved somewhat, and the baby seems to be eating and urinating normally, but the family is very worried. This
Doctor's answer:
Hello, oligohydramnios is a dangerous and extremely important signal for the fetus. If the pregnancy is already at term, induction of labor should be performed as soon as possible. After rupture of the membranes, if there is a lack of amniotic fluid and it is thick, with severe meconium staining, and fetal distress is present, and delivery is estimated to not be able to be completed in a short time, after excluding fetal abnormalities, cesarean delivery should be chosen to complete the delivery. Cesarean delivery can significantly reduce perinatal mortality compared to vaginal delivery.In recent years, amniotic cavity infusion has been used to prevent and treat oligohydramnios in the second and third trimesters of pregnancy with good results. One method involves placing a pressure monitoring catheter and scalp electrode for fetal monitoring in the amniotic cavity during labor. Saline solution at 37°C with a concentration of 0.85% is infused into the amniotic cavity at a rate of 15–20 mL per minute until fetal heart rate variability deceleration disappears or the AFI reaches 8 cm. Typically, resolving fetal heart rate variability deceleration requires the infusion of 250 mL of normal saline (100–700 mL). If infusion of 800 mL does not resolve the deceleration, it is considered a failure. Amniotic cavity infusion can relieve umbilical cord compression, reduce the rate of fetal heart rate variability deceleration, meconium passage rate, and cesarean delivery rate, while improving neonatal survival rates. It is a safe, economical, and effective method, but multiple amniotic cavity infusions may lead to complications such as chorioamnionitis.
It is recommended to seek medical attention at a hospital at or above the county level for examination and treatment.