Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of decreased amniotic fluid volume. Current gestational age: [__] weeks. Reports [no/positive] history of leakage of fluid (ROM), vaginal bleeding, or decreased fetal movement. No recent history of maternal hypertension, preeclampsia, or use of NSAIDs. Fetal anatomy scan status: [Normal/Abnormal].
Clinical Examination Findings
Fundal height: [__] cm, [appropriate/small] for gestational age. Fetal heart rate: [__] bpm, reactive. Ultrasound findings: Single deepest pocket (SDP) of [__] cm; Amniotic Fluid Index (AFI) of [__] cm. Fetal bladder visualized: [Yes/No]. Fetal growth parameters: [EFW percentile]. Doppler studies: [Normal/Abnormal].
Treatment Protocol
Plan: 1. Maternal hydration therapy. 2. Serial ultrasound monitoring for AFI and fetal growth every [1-2] weeks. 3. Weekly or bi-weekly non-stress testing (NST) and biophysical profile (BPP). 4. Consider fetal echocardiogram and genetic counseling if indicated. 5. Monitor for signs of preterm labor or fetal distress.