Amniotic fluid is an interesting fluid in oh so many ways. It begins as an excretion of mom's fluid seeping across the circulation into the uterus, then once there is a fetus in the uterus it seeps fluid through it's skin to create the fluid, and lastly, after about 20 weeks when the skin is too thick through the natural maturing process of skin codification the fluid is mostly made of fetal urine. Yet, we always call it amniotic fluid, and many of the properties remain remarkably the same. None the less, it's always been considered one of the better signs of the health of the mom and the health of the baby. And we mostly measure that health by the absolute amount of fluid in the uterus. That fluid can be measured by saying "yep there's a lot" (literally the look of it), or the actual 4 quadrant vertical deepest pocket of fluid. Sonographers do both when doing your ultrasound. But since some of mom's fluid still creeps into the mix, moms who are run down or dehydrated may show low amniotic fluid around the baby. In actuality it was shown in 2002 by Hofmeyr and Gulmezoglu that giving mom 2 liters of water at least 2 hours before her obstetrical ultrasound the measurements of fluid were more accurate and the moms were less likely to get a diagnosis of low fluid (oligohydraminos)
Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...
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