Should delivery be induced early at 35 weeks due to low amniotic fluid?

Whether delivery should be induced at 35 weeks due to low amniotic fluid primarily depends on the severity of the condition. Generally, if the reduction in amniotic fluid is mild, fluid levels can often be improved under medical supervision through certain interventions, and early delivery may not be necessary. However, if there is severe oligohydramnios accompanied by fetal hypoxia, abnormal fetal heart rate, or other complications, early delivery might be required.

When the amniotic fluid is only mildly reduced, pregnant women can increase fluid intake to promote amniotic fluid production. If drinking more water does not sufficiently improve amniotic fluid levels, intravenous infusion of normal saline or glucose under medical guidance is recommended to effectively increase amniotic fluid volume until the amniotic fluid index returns to normal. In such cases, early delivery may not be needed, but fetal movements should still be closely monitored throughout pregnancy. Any abnormalities should prompt immediate medical attention.

However, if amniotic fluid levels cannot be restored despite increased hydration and intravenous infusions, and if the amniotic fluid continues to decrease along with signs of fetal hypoxia, abnormal fetal heart rate, or unusual fetal movements, early delivery may be necessary to improve the fetus's chances of survival.

If a pregnant woman experiences low amniotic fluid, she should ensure adequate rest, adjust her diet, strengthen fetal heart rate monitoring, and promptly assess fetal development. The decision on whether to deliver early should be made under the guidance of a healthcare provider.