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Chapter 58

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Chapter 58

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Amniotic fluid and Fetal membranes

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Chapter 58
 

Chapter 58Online version

Amniotic fluid and Fetal membranes

by Lou
1

AF is produced by umbilical cord, membranes, lungs, skin, and kidneys.

2

Fetal production of urine and ability to swallow begins between 14 and 16 weeks of gestation

3

Quantity of fluid directly related to kidney function

4

Fetus with malformed kidneys or renal agenesis results in little or no AF.

5

Fetus swallows AF, which absorbed by digestive tract

6

AF volume increases rapidly during third trimester.

7

In the first trimester, the amniotic fluid volume does not change significantly

8

The fluid particles may represent a normal variant, particulate matter, called vernix, intraamniotic blood, or intrauterine meconium passage.

9

Oligohydramnios: an increase of amniotic fluid

10

Oligohydramnios: a decreased amount of amniotic fluid.

11

AFI peaks late in the third trimester of pregnancy, with a rapid decline near term.

12

Polyhydramnios correlates with AFI of >10 cm, largest vertical pocket of 8 cm or more.

13

In Oligohydramnios, a patient may present with clinical findings of size greater than dates.

14

One maternal risk factor for polyhydramnios is maternal diabetes (especially if uncontrolled)

15

One cause of oligohydramnios in a pregnancy is a fetus with renal agenesis.

16

The primary fetal membranes are known as amnion and chorion.

17

The amnion will grow approximately 1 mm/day and fuse with the chorion between 18 and 20 weeks of gestation

18

The Prognosis of fetus affected by abnormal ruptured membranes depends on fetal GA.

19

Placenta abruption is associated with ROM.

20

Amniotic sheets are thicker than amniotic bands and do not cause fetal malformations.

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