Patient's question:
Hello, I would like to ask, around 24 weeks of pregnancy, the ultrasound showed that the amniotic fluid was excessive, with the maximum amount being 8.6 cm. However, the 3D color Doppler ultrasound result was: the maximum transverse diameter of the amniotic fluid dark area was 6.8 cm, amniotic fluid index 20.0 cm, clear. The AFP result was 629.14 ng/ml. Please help me analyze it. What should I do next? Thank you!Doctor's answer:
Hello: The management of polyhydramnios primarily depends on whether the fetus has abnormalities and the severity of the pregnant woman's symptoms. If the fetus is without abnormalities and the symptoms are mild, pregnancy can continue. Rest, a low-sodium diet, and diuretics such as hydrochlorothiazide 25mg, taken orally three times daily, or traditional Chinese medicine that strengthens the spleen, promotes diuresis, and warms the yang to transform qi may be recommended. In recent years, indomethacin (a prostaglandin synthase inhibitor) at a dose of 2.2-3.0 mg/kg/day has shown good therapeutic effects. If necessary, amniocentesis to release amniotic fluid may be performed to alleviate compression symptoms. If the fetus has abnormalities, pregnancy should be terminated.