Hyperechoic Amniotic Fluid In A Term Pregnancy
Bildiriler > Özet Bildiri · 2023
Yazarlar: FIRAT ÖKMEN
3.Uluslararası Jinekoloji ve Obstetri Kongresi, Türkiye, İzmir, Uluslararası, Sözlü Sunum, Özet Bildiri, 2023-2023, ss 75-76
Özet
<p>Introduction :Amniotic fluid is a liquid that surrounds a developing fetus within the amniotic sac and is usually clear or slightly yellowish in color. Echogenic amniotic fluid results from the presence of echogenic particles within the amniotic fluid, appearing homogeneous. The presence of echogenic amniotic fluid is rare in full-term pregnancies during ultrasound examinations. Echogenicity can arise due to the presence of meconium, blood, or vernix caseosa in the amniotic fluid. The presence of meconium in the amniotic fluid raises concerns about the fetus's health, tolerance during birth, and most importantly, the risk of fetal or neonatal death. Consequently, specialists in obstetrics and gynecology tend to increase antenatal monitoring and even consider initiating the birthing process when the amniotic fluid becomes echogenic, all in an effort to assess fetal well-being. Findings: A 35-year-old case was referred to our clinic due to hyperechogenic amniotic fluid during the 38-39 weeks of pregnancy. Upon examination, the patient was identified as gravida 2, para 1. It was learned that her previous delivery had occurred vaginally at term. An ultrasonographic examination of the case revealed a single, viable fetus within the uterine cavity. The placenta was located fundally, and fetal biometric measurements were consistent with the gestational age. The amniotic fluid was noted to be adequate and hyperechogenic. No major fetal anomalies were detected. The nonstress test yielded a reactive result. The biophysical profile was determined to be 10 points. When uterine contractions and cervical dilation were observed between the 39th and 40th weeks of gestation, the case was admitted to the hospital. Following 6 hours of oxytocin induction, a healthy male baby weighing 3640g was delivered vaginally. The amniotic fluid was found to be clear at the time of delivery. Conclusion: Echogenic amniotic fluid can be observed in normal pregnancies as well as in conjunction with different conditions. In the third trimester, hyperechogenic amniotic fluid is most commonly due to vernix and rarely due to meconium. This sonographic finding is not a reliable indicator of meconium or blood in the amniotic fluid and typically should not alter antenatal management. </p>