1062

7.8 POLYHYDRAMNIOS AND OLPGOHYD~~

7.8 POLYHYDRAMNIOS AND OUGOHYDRAMNIOS

OBSTETRICAL AND MIDWIFERY MANAGEMENT W

During prSqn--ocy Together with the STANDARD NURSING CARE P OR A WOMAN Dt the following spxiflc cane is gi dangers of early ongohydr&=ks This can result In: used by amniotic bands , windm around a of fix fetus.:, there is little liquor to keep the amnion away from the feats (arr i n b -,tic patientsyndrome).. to hospital. 1. .The band is admitted Investigations are commenced: 1. .If no abnormalities or if slight abnornialitics, are demonstrate allowed to go to term. If there arc grass abrormalitics, the pregnancy may be termi j

mities such as clubbed feet, anericcphaly. cleft hp and pal to gasLm schisis, omphalocelt.

ngers, limbs. obstruction causing fetal hypooda or anoxia

- Tests for placental function: o<--stxiol values (seldom pert cardiotocograph tracings for placental

ts due to the extremely confined infra-uterine space-

such as club ftet- spinal deformities, wry neck-

nary hypoplasia- This is due to compression by the uterus on the chest wall, preventing expansion of the chest wall. 71--is will also inhibit lung grov.-th and cause intrinsic lung defects. resins In the fetal skin becoming dry. kat 2nd During labour

vere and oft _nresult in Int-a-utcrinc &atl-, or nc-anztal death. or in severe irreversible deformities of the child.

dangers of late oltgohydramnlos Late olig0hydraninloss results in p-essureJefo,-rnjfjcs:

obstruction of, the cord. tal distress/compromise: with ab,-iomil Mean rates and rr.Ythrrts, and thick ineconium in the sparse liquor.

T o g e t h e r w i t h t h e S T A N D A R D N U R S I N G C A R E F O R A W O W following specific care is given: 1. . The fetal condition is carefully observed and a cardioto-9-1 Constriction rings may be present and may cause proble therefore an obstetrician should de Tai mother needs explanations, extra support and reassume After deliver y. tlLe doctor carefully explains to the parents an baby and the management and pro

ecomes squashed in the uterus and this results in a distorted face, the flatteningofthenose,micrognathia,andsquashingof thenb~- resulting dislocated hips, scoliosts. Improve vqth time and rra', return to the ncrr-,al shape and function.

lil

. ulting in

rr

L FEATURES AND DIAGNOSIS OF 01-1GOHYDRAMNIOS

terus is irritable on palpation.

terus appears small for the gestational etc. alpation Is difficult as the uterus is moulded around the fetus. and the :read cannot be ballotted. are reduced fetal movements. Investigations

ing will demonstrate reduced liquor. and ktal crowding with a closely adapted uterine wall. Fetal abnormalities and lectures of infra-uterine growth retardation may be visible.