Excessive Amniotic Fluid Warrants Consideration: Is Polyhydramnios a Reason for Concern?
In a poignant narrative, Chaunie Brusie, the author of the book "Tiny Blue Lines" and a registered nurse with extensive experience in labor and delivery, critical care, and long-term care nursing, shares her personal journey with a rare pregnancy complication known as polyhydramnios.
At 30 weeks pregnant, Chaunie was measuring like she was 40 weeks, indicating a potential issue. Her doctor, noting her large belly, planned further testing. The amount of amniotic fluid in the uterus can be measured using the Amniotic Fluid Index (AFI) or by measuring the deepest pocket of fluid. In Chaunie's case, the deepest pocket measured over 8 cm, a diagnosis of polyhydramnios.
Polyhydramnios occurs in about 1 to 2 percent of pregnancies and can increase the risk for complications during pregnancy or delivery. Chaunie experienced difficulty breathing, walking, rolling over in bed, and had swollen feet. The condition can lead to preterm delivery, admission to the neonatal intensive care unit, increased risk of a breech baby, umbilical cord prolapse, bleeding complications after birth, premature rupture of membranes, placental abruption, and increased risk of complications during delivery.
Further testing revealed no issue with the baby and no gestational diabetes, but a severe case of polyhydramnios. More frequent monitoring and testing became necessary. In some cases, an early, controlled induction may be discussed with the healthcare provider. In severe cases of polyhydramnios, treatment may include medication and draining the excess amniotic fluid.
Despite the challenges, Chaunie delivered a healthy baby girl. She lives in Michigan with her husband and four young children, continuing to share her experiences and knowledge about pregnancy and childbirth through her writing.
This narrative, penned by Caroline Wahl, serves as a testament to Chaunie's resilience and the importance of regular prenatal care. A normal AFI ranges between 5 and 25 cm, and while polyhydramnios is relatively rare, it is crucial to be aware of the signs and seek medical attention if necessary.
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