What produces amniotic fluid?
kidneys tissues skin membranes pg. E 182
How is amniotic fluid removed?
GI to GU tract lungs membranes cord pg. E 182
What are the functions of amniotic fluid?
protective cushion equalization of pressure and temperature prevents adherence to membranes reservoir for fetal metabolites development of fetal lungs pg. E 182
What might be echogenic foci floating in amniotic fluid?
vernix caseosa
cellular debris
pg. E 182
What is a normal AFI?
5-22 cm
pg. E 182
What is considered oligohydramnios?
< 5 cm
pg. E 183
What is oligohydramnios associated with?
Demise Renal abnormalities IUGR Post dates PROM Pre-elcampsia pg. E 183
What is considered polyhydramnios?
> 22 cm
vertical pocket 8 cm (mild) - > 16 cm (severe)
pg. E 183
What causes polyhydramnios?
gestational diabetes Rh incompatibility CNS anomalies GI anomalies facial clefts fetal hydrops twin-to-twin transfusion sacrococcygeal teratoma skeletal dysplasia pg. E 183
When is an amniocentesis? typically performed?
16 weeks
pg. E 184
When else could you perform an amniocentesis?
2nd and 3rd tri to access fetal lung maturity
pg. E 184