It can feel like there’sso much在怀孕期间考虑 - 吃均衡的饮食，请服用prenatal vitamin喝大量的水,经常锻炼,保持anxiety in check, sleep on your left side, pat your head and rub your belly at the same time. (OK, so we’re not serious about that last one.)
Amniotic fluid is something else you want on your radar, but let’s get serious for a moment. If your levels are putting you or your baby at risk, your doctor will tell you — and advise you on what to do next. It’s important to do what they say.
羊水是胎儿发育的非常重要的部分。这是婴儿在子宫内生长时围绕着您的液体。这是一个主力：
- cushions your baby (kind of like a shock absorber)
- 允许婴儿移动
- helps baby’s body parts develop normally
- keeps baby’s temperature regulated
- helps prevent infection
Amniotic fluid also helps keep the umbilical cord floating freely, so that it doesn’t get squished between the baby and the side of your uterus.
首先，让我们看一下羊水的工作原理以及为什么它可能低。然后，我们将考虑您可以自己做什么，以及医生可以做什么以帮助。
Your body starts producing amniotic fluid super early — about 12 days after conception. For the first half of pregnancy, amniotic fluid is made up of water from your body.
During the second half of pregnancy, the amniotic fluid is made from —wait for it— your baby’s urine. As strange as that sounds, it’s a crucial part of how your baby learns tobreathe, swallow, filter fluids through their kidneys, and pee.
Because amniotic fluid is so important to your growing baby’s development, low amniotic fluid (oligohydramnios) can be very concerning.
There are several things that can cause low amniotic fluid. These include:
膜过早破裂（舞会）。This is when your amniotic sac (or “bag of waters”)休息or begins泄漏在人工真正开始之前。立即致电您的医生！
胎盘问题。The placenta plays the crucial role of bringing nutrients and oxygen to your baby. If theplacenta isn’t behaving, or has started to detach from the uterine wall, your baby may not be getting enough nutrients to have good fluid (urine) output.
出生缺陷。If a baby has physical problems, especially with the kidneys, they may not make enough urine, which leads to low amniotic fluid.
Health conditions in mom.Maternal complications such as the following can cause low amniotic fluid levels:
- preeclampsia
- diabetes
- high blood pressure
- obesity
- dehydration
That’s why it’s so important to keep those prenatal appointments, even if they’ve been fairly uneventful so far.
Post-term pregnancy.Amniotic fluid naturally starts decreasing after 36 weeks of pregnancy, and is very likely to get too low after 42 weeks of pregnancy. (By that point, though, everyone — and especially you — is probably so eager to meet baby that being induced or otherwise delivering will be more than welcome.)
Medications.Somemedications，特别是用来治疗高血压的人可能会导致低羊水。
How can you know for sure if you have low amniotic fluid levels? This will require — you guessed it — a visit to your doctor. They can use anultrasound测量是否有足够的液体。
在24周之前或用倍数怀孕之前，用一种称为“最大垂直口袋”的方法通过超声测量羊水。
The ultrasound technician will scan your uterus to find and measure the single deepest pocket of amniotic fluid they can. A normal measurement is 2 to 8 centimeters (cm). A finding of less than 2 cm indicates low amniotic fluid at this stage.
怀孕24周后，测量羊水的最常见方法称为AFI或羊水指数。
AFI的测量与单个最深的口袋方法完全一样，但是超声技术人员将测量子宫四个不同部分的流体口袋。这些测量将添加在一起以获得AFI。
A normal AFI is 5 to 25 cm. An AFI below 5 cm means low amniotic fluid.
Treatment for low amniotic fluid will depend on the cause and how far along you are. Some causes of low amniotic fluid have a simple solution, but others may require more intensive intervention.
1.喝更多的液体
Anytime during your pregnancy, drinking a lot of water can make a huge difference. According to one
While more research is needed,
这种补救措施的好处？多喝水几乎没有危害 - 怀孕或不怀孕。
2. Amnioinfusion
An amnioinfusion is when your doctor squirts a saltwater solution (saline) through your cervix and into the amniotic sac. (It may sound uncomfortable, but it’s well worth it if your doctor thinks you need this.)
This can at least temporarily increase the level of amniotic fluid. It’s also done to increase your baby’s visibility on ultrasound, or before delivery if your baby’s heart rate is abnormal.
According to
3. Injection of fluid before delivery using amniocentesis
Amniocentesisinvolves a thin needle being inserted directly into the amniotic sac through your abdomen.
If you have low amniotic fluid before or during labor, your doctor may give you fluid via amniocentesis before delivering your baby. This can help your baby maintain their mobility and heart rate throughout the delivery, which may also help decrease your chances of acesarean delivery。
4.静脉输液
Your doctor may recommendIV fluids。This can be especially helpful if you’re dehydrated due to nausea or vomiting, or if you need to hydrate (and therefore increase your amniotic fluid) more quickly.
Basically, this is another way to get those all-important fluids into your body.
5. Treatment of preexisting causes
Since low amniotic fluid may be caused by underlying conditions such as high blood pressure or diabetes, treating these conditions may improve your levels. This may involve taking medication, monitoring your blood sugar, or making more frequent visits to your doctor.
Preexisting causes may create other issues during your pregnancy, too, so managing the cause is a win-win.
6.床上
床上is not as popular of a pregnancy treatment as it used to be — and it’s绝不been very popular among those who have to go through it. But some doctors will still prescribe it in the case of low amniotic fluid.
在床上或沙发上休息（除了去洗手间或淋浴）可能有助于改善流向胎盘的血液，从而有助于增加羊水。如果您在妊娠中期第二或初期，则最有可能建议贝雷斯特（Bedrest），您的医生希望在分娩之前等待。
这并不容易，但是在这段时间里尝试放松。找到完美的Netflix节目，以狂暴，让您周围的人在您的手和脚上等待。
7.额外的监控
如果您怀孕不到36周，您的医生可能会建议注意等待。他们会更频繁地看到您，并可能执行其他测试，以确保您的宝宝处于尖端形状。
These tests may include a non-stress test, where stickers placed on your belly will monitor for contractions and your baby’s heart rate. Or you may need more frequent biophysical profiles, which are ultrasounds measuring your amniotic fluid level and baby’s movements.
这听起来很可怕，但是有几个额外的监控奖金：第一，您会更经常见到宝宝！二，您的医生将能够早日治疗任何问题。
8. Diet
虽然健康的饮食（您知道练习：瘦蛋白，全谷物和大量新鲜水果和蔬菜）在整个怀孕期间都非常重要，但几乎没有证据表明它会影响您的羊水水平。
Some
And while there’s been some chatter aboutstevia(a sweetener) being used to increase amniotic fluid, there’snoresearch to support this. In fact, the opposite may be true: There are somepreliminary studiesindicating that consuming artificial sweeteners during pregnancy can increase your baby’s risk for metabolic disorders later in life.
To make matters more complicated, there’s some debate on whether stevia is natural or artificial. Fancy being on the safe side? You may want to just steer clear.
9. Natural remedies
几乎没有任何研究表明，自然疗法（除了多喝水之外）会增加羊水。
While there are internet sites or videos claiming to have natural solutions, low amniotic fluid is a serious medical condition that can have a severe impact on your baby if not treated properly. It should be treated and monitored by your doctor.
We’re all for doing things naturally when you can —字面上地。但是这里有太多的危险，无法实现未经证实的修复。
10. Delivery
如果您怀孕36周或更远，首先，恭喜！其次，您的医生可能建议提早分娩。虽然这可能会引起您的情绪，但怀孕最后一个月出生的婴儿的结果非常好。
The risks of continuing a pregnancy without enough amniotic fluid, on the other hand, are high. They may includestillbirth, cord compression, or胎粪抽吸。
医生会建议你的福利和risks of early delivery, but many, many babies are born preterm or early term and have absolutely no adverse effects. You just get to hold your precious bundle that much sooner!
Low amniotic fluid can occur anytime during pregnancy, although it’s most common the closer you get to the finish line. It can have serious effects on your baby’s health and should be treated promptly by a doctor.
Some signs that warrant an immediate call to your doctor include feeling your baby move less than usual or fluid leaking from your vagina.
If you’re at all concerned, it’s always best to give your doctor a call. If you do have low amniotic fluid, there are a number of treatments (including delivery) that can help keep your little one safe and healthy.