Patient's question:
The fetus has been found to be free of abnormalities. What are the side effects of taking indomethacin? Also, where can I have the amniotic fluid done?Doctor's answer:
Hello: It is best to avoid taking any medication during pregnancy and use contraception. Generally, municipal or specialized gynecological hospitals should be able to perform this procedure.The amount of amniotic fluid increases daily from the early stages of pregnancy and begins to decrease in the last four weeks. In full-term pregnancy, the volume of amniotic fluid is approximately 1000-1500 ml. If the amniotic fluid exceeds 2000 ml at any stage of pregnancy, it is referred to as polyhydramnios. Slowly increasing amniotic fluid is called chronic polyhydramnios, while a rapid increase in a short period is called acute polyhydramnios. Polyhydramnios is more common in cases of fetal malformations, twins, diabetes, and Rh incompatibility between the mother and fetus.
Common Causes. The exact cause has not yet been clarified. The main causes include idiopathic polyhydramnios, which accounts for 30% to 40% of cases and has an unknown cause; fetal malformations, which account for 25%, with central nervous system abnormalities and upper gastrointestinal tract abnormalities being the most common; multiple pregnancies, where polyhydramnios is 10 times more common than in single pregnancies; Rh incompatibility between the mother and fetus, leading to villous edema and affecting maternal-fetal fluid exchange; and diabetic pregnant women, where excessive fetal glucose causes polyuria.
Clinical Manifestations. Chronic polyhydramnios develops slowly, and pregnant women tend to adapt with relatively mild symptoms. However, when the uterus is highly distended, compression symptoms may also occur. Patients with acute polyhydramnios often experience severe compression symptoms. The main symptoms include abdominal distension and pain, digestive disorders; elevation of the diaphragm and displacement of the heart, affecting cardiopulmonary function, leading to shortness of breath, palpitations, and rapid pulse, making it difficult to lie flat; high abdominal pressure and venous reflux obstruction, resulting in edema and varicose veins in the external genitalia and lower limbs. Due to excessive uterine tension, premature birth is more likely to occur.