Medical care in case of oligohydramnios during pregnancy depends on the form of the pathological condition, as well as the well-being of the patient and the fetus. With a moderate course in the second trimester of gestation and in the absence of symptoms, expectant management is used. In this situation, the treatment of oligohydramnios during pregnancy is carried out on an outpatient basis. Hospitalization is indicated for a severe form of oligohydramnios, if additional uterine hypertonicity is present, and also if obstetric pathology is diagnosed at 34 weeks of gestation or later. The presence of at least one of these criteria is the reason for placing the expectant mother in the department and staying in the clinic until the baby is born.
Treatment of oligohydramnios during pregnancy, regardless of its form, begins with the correct organization of lifestyle. It is important to provide the patient with bed rest, to protect her from stress, overwork, physical activity and homework, to exclude the influence of negative factors on the body. Medical assistance in confirming oligohydramnios during pregnancy involves the appointment of drugs that improve uteroplacental blood flow. Be sure to use funds to normalize the functions of the placenta, vitamin complexes. If oligohydramnios during pregnancy is accompanied by uterine hypertonicity, the use of tocolytics is indicated.
Low water during pregnancy suggests an impact on the causative factor. If this is an infection, antibacterial or antiviral agents are prescribed, taking into account the sensitivity of the pathogen. Additionally, concomitant diseases that can provoke insufficient secretion of amniotic fluid are treated. With oligohydramnios during pregnancy, careful monitoring by the obstetrician-gynecologist of the condition of the mother and fetus is necessary. All efforts are directed to the continuation of pregnancy until the expected date of birth and the full maturation of the baby.
If conservative treatment of oligohydramnios during pregnancy does not give positive dynamics, the level of OPV continues to decrease, and the condition of the fetus is rapidly deteriorating, premature delivery is indicated, regardless of the period of embryogenesis. Due to the high likelihood of complications during childbirth, caesarean section is preferred. Often, oligohydramnios during pregnancy becomes the cause of primary weakness of labor, as well as intrauterine fetal hypoxia. If conservative therapy gives positive results, a planned caesarean section is carried out upon reaching 38 weeks of gestation.