Patient's question:
Doctor: Hello, what solutions are there for mumps during the 7th month of pregnancy?Doctor's answer:
Hello:Oligohydramnios is a dangerous and extremely important signal for the fetus. If the pregnancy is already at term, it should be terminated as soon as possible by membrane rupture. After membrane rupture, if there is a lack of amniotic fluid, it is viscous, and there is severe meconium contamination, along with fetal distress, and it is estimated that delivery cannot be completed in a short time, after excluding fetal malformations, cesarean section should be chosen to terminate the delivery. Cesarean section can significantly reduce perinatal mortality compared to vaginal delivery.
In recent years, the use of amniotic cavity infusion to prevent and treat oligohydramnios in the second and third trimesters of pregnancy has achieved good results. One method involves placing a pressure monitoring catheter and fetal scalp electrode in the amniotic cavity during labor, and infusing 0.85% saline at a rate of 15–20 ml per minute into the amniotic cavity 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 section rate, and improve neonatal survival rates. It is a safe, economical, and effective method, but multiple amniotic cavity infusions may lead to complications such as chorioamnionitis.