What Are the Risks of Having Uterine Fluid Accumulation During Pregnancy?

For most pregnant women, intrauterine fluid accumulation does not cause adverse effects, as most pregnant women will have a certain amount of fluid in their uterus during pregnancy. This is a normal physiological phenomenon, and as the fetus gradually develops, this intrauterine fluid accumulation will gradually be absorbed. However, if the amount of intrauterine fluid accumulation is large and not treated promptly, there may be a risk of miscarriage.

1. No effect

The intrauterine fluid accumulation in pregnant women is relatively small, mostly due to the changes in the endometrium after pregnancy, which presents a secretory phase and has many glands. The excessive secretion of these glands causes this, which is a physiological reason. It will be absorbed with the development of the fetus and has no adverse effects on pregnant women and fetuses.

2. Miscarriage

If the amount of intrauterine fluid accumulation in pregnant women is large, accounting for 25% or more of the gestational sac volume, and caused by pathological reasons, there may be a risk of miscarriage. However, it is very one-sided to judge the risk of miscarriage solely based on the amount of fluid accumulation. It also needs to be diagnosed together with the location of the fluid accumulation, gestational sac, yolk sac, embryonic bud, and whether there is fetal heartbeat.

3. How to treat pathological intrauterine fluid accumulation

(1) Reasonable tocolytic treatment: When pregnant women experience intrauterine fluid accumulation, doctors will appropriately protect the fetus based on the actual situation of the pregnant woman. Generally, in the early stages of pregnancy, for those with low uterine hormone levels or deformities, progesterone can be supplemented to thicken the uterine wall, so that the embryo will not be expelled due to contraction, thus achieving the effect of protecting the fetus. If the pregnancy exceeds three months, progesterone has no effect on protecting the fetus.

(2) Progesterone tocolysis: There are many ways to supplement progesterone, in addition to taking progesterone, the common one is dydrogesterone tablets. If the reaction to progesterone is severe, vaginal medication or progesterone injection can be considered. If the doctor believes that progesterone is needed to protect the fetus, it should be used as prescribed. Supplementing progesterone in the early stage of pregnancy can inhibit uterine contractions, improve ovarian function, and adjust progesterone levels.