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Amniotic Fluid Embolism – OB/GYN Services Brooklyn

Amniotic Fluid Embolism - Ob\Gyn Services Brooklyn

Amniotic fluid embolism is a serious and life-threatening condition, luckily a very rare condition.  It occurs in cases when the amniotic fluid that surrounds and supports the baby during pregnancy inside of the uterus, enters the mother’s bloodstream. Except the amniotic fluid, also fetal cells or fetal material can enter the mother’s bloodstream. Amniotic fluid embolism is more likely to occur during childbirth or immediately after the delivery (Read also: Assisted Birth).

Amniotic fluid embolism is also very difficult to diagnose. When suspected, it requires urgent medical care and treatment, Brooklyn in order to prevent complications that are life – threatening.

What Is Amniotic Fluid Embolism?

The reason why amniotic fluid embolism occurs is not known. It is believed to be due to a breakdown in the placental barrier, caused usually from trauma. Once the breakdown in the placental barrier occurs, the human body responds by releasing products that cause an inflammatory reaction activating abnormal clotting in the mother’s lungs and blood vessels that can result in a serious blood-clotting disorder known as disseminated intravascular coagulation.

It is believed that some amniotic fluid enters the mother’s bloodstream during childbirth, without causing any problems. However, the reason why in some cases this leads to fluid embolism is not known.

Risk factors for amniotic fluid embolism include:

  • The age of the mother over 35 years old
  • Medically induced labor
  • Placenta problems – like abruption placenta, placenta previa
  • Preeclampsia
  • C-section
  • Polyhydramnios, etc.

What Are the Signs and Symptoms of Amniotic Fluid Embolism?

Amniotic fluid embolism is a condition that develops suddenly and very rapidly. Any change in the general condition of a women, who have recently given birth should be taken serious. The signs and symptoms of amniotic fluid embolism include:

  • Shortness of breath that occurs suddenly
  • Sudden low blood pressure
  • Pulmonary edema
  • Chills
  • Rapid heart beat
  • Altered mental status
  • Anxiety
  • Seizures
  • Coma
  • Cardiovascular collapse
  • Disseminated intravascular coagulopathy – impaired and life threatening problems with blood clotting
  • Bleeding from the uterus, incision or intravenous (IV) sites, etc.

How Is Amniotic Fluid Embolism Diagnosed?

It is hard to diagnose fluid embolism. Usually, this diagnosis is suspected by the doctor in cases when there is a sudden and rapid change on the general condition of the women who is in labor or has recently given birth. Diagnosis usually consists in ruling out any other possible medical condition that could cause these signs and symptoms. In many cases with amniotic fluid embolism, the diagnosis is only made with autopsy, after the death of the mother.

Some of the tests and medical examinations that doctor’s usually order, are:

  • Total blood count
  • ECG
  • Pulse oxymetry
  • X-ray of the chest
  • Echocardiography, etc.

Get Gynecologic Treatment in Brooklyn

As it is a serious and life threatening condition amniotic fluid embolism requires immediate medical treatment. Emergency treatments usually include:

  • Oxygen therapy – usually a breathing tube is necessary
  • Catheter placement – a central venous catheter is placed in order to easily administrate fluids, blood transfusions and various medications
  • Blood transfusions – are necessary due to an excessive loss of blood
  • Various medications

Breast Milk: When Does It Come In?

Breast Milk: When Does It Come In? - PBGS-NY

Breastfeeding is one of the best ways your little baby gets all the necessary nutrients. Breastfeeding a child is one of the strongest connections that a mother has with her child. The female body is perfectly designed to provide all the necessary nutrients for the baby to grow. During the pregnancy, the glands in the breast start to become active and begin to prepare for the process of creating the milk. The breast milk may come in at different times, which all varies from one woman to another.

Does Your Breast Milk Come during Pregnancy

Throughout the pregnancy, the prolactin levels start to increase in order to prepare the body for the production of milk. During pregnancy, hormones like progesterone stop the milk from being expressed. Once you give birth to your child, these hormones do not stop the prolactin from doing its job. This is how your body gets ready for breastfeeding (Read also: What Causes Your Water to Break?).

Generally, in new mothers the breast milk comes after three to four days after giving birth  (Learn also: Assisted Birth). In women, who have already had children in the past, the milk usually comes much earlier.

Reasons Your Breast Milk Is Late

However, in some cases it takes more than four days for the milk to come in. Some of the reasons that can delay the process of milk production are:

  • Having a stressful labor – in cases when you have had a stressful labor or when you have given birth to your child with C-Section, it might take a little bit longer for your milk to come in, usually more than five days.
  • Placenta Fragments – during childbirth, it is possible that some parts of the placenta have remained inside of the uterus. This can interfere with the production of the prolactin and production of the milk. These placenta fragments that are still inside of the uterus interfere and so your body does not get the message that you have already given birth to your child. These placenta fragments are usually removed by your health care provider in NYC without a problem.
  • Diabetes – if you suffer from diabetes, it might take longer for your breast milk to come in, or it can’t come at all. Since your breasts need insulin to create breast milk, they are essentially competing with your body’s need for milk as well.

Stimulate Breast Milk after Delivery

If your breast milk is late, you can try to stimulate it. Usually breast milk is stimulated by nursing every two to three hours. Also, it is very important for you to get enough sleep, eat well and drink lots of water. If nursing does not go well, you can always use breast pumps to stimulate breast milk.

If your milk has not come in even after five days that you have given birth to your child, you should start using formula milk in order to feed your baby.

There is no right or wrong way to feed your baby. Breast milk is perfect for your child and the breastfeeding process will help you bond with your child. You can use formula until your milk arrives or keep using formula.

When Should You Start Breastfeeding Your Child?

If you plan to breastfeed your child, you should start breastfeeding as soon as your baby is born. Breast milk is recommended as the only food for babies during the first six months of their life. It is normal that your child does not latch on immediately. Do not get worried? Sometimes, your child needs a little time for adjustment, as you do. Usually, in the beginning you should breastfeed your child every two to three hours. As the baby grows with months the periods between two breastfeeds goes from two to three hours, into every four, five or six hours.

 

 

What Causes Your Water to Break?

What Causes Your Water to Break (1)

As you are nearing the end of the pregnancy you probably wonder what causes your water to break and how it will happen. Once the water brakes, the labor has started, the contractions will appear soon and the baby is on its way.

What Makes Your Water Break When You Are Pregnant?

The role of the amniotic fluid is to protect your baby during pregnancy, as it grows surrounded by this fluid inside of the amniotic sac. The amniotic fluid starts to create after the second week of pregnancy. It plays the role of a cushion for the baby during its development inside of the uterus. However, leakage of amniotic fluid in small amounts is considered normal during pregnancy.

Your body knows when there is the time for your water to break and for the labor to start. It is something totally normal and it triggers a serious of events that will finally cause the rupture of the membranes, releasing the amniotic fluid and starting of the labor.

Usually as the time of labor approaches, the baby moves naturally toward the birth canal pressuring against your pelvis, making the water to break. When the water breaks the woman feels a rush of warm liquid, due to the pressure of your baby that has caused your water to break.

What Happens If Your Water Breaks Too Early?

Keep in mind, than sometimes the water can break before it is the time for the baby to be delivers. In cases when the water to break happens before the 34th week of pregnancy, immediate medical help is necessary as it is a serious condition for both the mother and the baby. Medications of corticoids are usually given to the pregnant women in order to help grow the baby’s lungs faster. The amount of amniotic fluid that remains inside of the amniotic sac is monitored closely and sometimes C-Section is performed in order to deliver the baby pre term. If the water brakes between the 34th and 37th week, the situation is less serious, as the baby is almost mature, even though the lungs are still behind in development when compared to other organs. However, the baby has a great chance to survive and immediate medical help is also necessary in this case to. When the water brakes after the 37th week of pregnancy it is considered that the labor has started. However, the time between the water brake and the delivery of the baby should not be longer than 24 hours as it can lead to complications (Read also: Assisted Birth).

What Causes the Water to Break before Time?

As mentioned before the water can break even before it’s the time of delivery. Some of the reasons for early water brakes include:

  • Infections of the vagina (Read also: Vaginitis), cervix or uterus
  • Infections of the bladder or/and kidneys
  • Multiple baby pregnancy
  • Stress
  • Early activation of membrane enzymes, etc.

The amount of the amniotic fluid differs from one women to another. Some woman have just a little damp, while for other the amount of the discharge from the vagina could be significant for the water to break. In many cases, the water can break even at night during sleep. Shortly after the water brakes, the contractions will start, if they have not started already.

 

 

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Disclaimer:

This website contains general information about medical conditions and treatments. The information is not medical advice.

If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider.