SR.

TIME SPECIFIC CONTENT TEACHER- AV – AIDS EVALUATION

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1. 00 I. SELF INTRODUCTION: Myself Ms. Krupapallavi.

Nadimikeri, student of 1st year M.Sc. (N) as per my
curricular activity, am going to conduct 1 lesson plan.

ANNOUNCEMENT: Along with the growing foetus, there

2. 0.01
are other important structures in the womb like placenta, umbilical
cord and the fluid called amniotic fluid which protects the baby and
helps to move freely. So, we are going to learn in detail about
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“Amniotic fluid”.

I. CONTENT:
1.1 INTRODUCTION: Amniotic fluid has several functions
from protecting the baby from possible external injuries
through mother’s abdomen to helping baby move and
promote muscular-skeletal development.
4. 0.04 Defines amniotic
fluid. 1.2 . DEFINITION:
Blackboard. Define amniotic
“This is faintly alkaline watery content of the amniotic sac in fluid.
What does
which embryo-foetus grow. alkaline mean?
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Teacher
5. 0.07 Describes the 2.3. ORIGIN OF AMNIOTIC FLUID: Describe
explains
origin The precise origin of the liquor amnii is still not well students write it Poster. its origin.
down.
understood. It is probably of mixed maternal and foetal origin.
1) Transudation of maternal serum across the placental
membranes.
2) Transudation from foetal circulation across the umbilical cord
or placental membranes.
3) Secretion from amniotic epithelium.
4) Transudation of foetal plasma through the highly permeable
foetal skin before it is keratinized at 20th week.
5) Foetal urine – daily output at term is about 400-1,200 ml.
6) Foetal lung that enters the amniotic fluid add to its volume.

.
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0.14 2.4. VOLUME: Explain volume

6. Explains its What is Handouts.
volume. Amniotic fluid is related to gestational age. gestational age?
1) It measures about 50ml at 12weeks, 400 ml at 20weeks and
reaches its peak of 1L at 36-38 weeks.
2) Thereafter the amount diminishes till at term it measures about
600-800 ml.
3) As the pregnancy continues post term further reduction occurs
to the extent of about 200ml at 43 weeks.
2.5 PHYSICAL FEATURES AND COLOR:
7. Describes the Teacher Flashcards. Describe
0.24 1) PHYSICAL FEATURES: The fluid is faintly alkaline with low physical
physical features explains
and colour. students listen. features and
specific gravity of 1.010.
colour.
2) NORMAL COLOR: In early pregnancy, it is colourless, but
near term it becomes pale straw coloured due to the presence of
exfoliated lanugo and epidermal cells from the foetal skin. It may
look turbid due to the presence of vernix caseosa.
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3)ABNORMAL COLOR: Deviation of the normal colour of the

liquor has got clinical significance.
• MECONIUM STAINED OR GREEN: It is suggestive of
foetal distress in presentations other than the breech or
transverse.
• GREENISH YELLOW: Suggestive of post maturity.
• DARK COLORED: Seen in concealed accidental
haemorrhage due to contaminated blood.
• DARK BROWN: Found in Intrauterine death cases.
• GOLDEN COLOR: It is seen in Rh incompatibility is due What is Rh
to excessive hemolysis of the foetal RBC and production factor?

of excess bilirubin.
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2.6. COMPOSITION OF AMNIOTIC FLUID: Discuss the

8. Discussed the Teacher
0.34 composition. The composition of amniotic fluid includes: - explains Black board composition
students write it
1) Water – 98-99% and
down.
2) Solid-(1-2%).
a) Organic: - proteins, glucose, urea, uric acid, creatinine, total
lipids, hormones.
b) Inorganic: - There are sodium, potassium and chloride.
3) SUSPENDED PARTICLES: - It includes lanugo, exfoliated
squamous epithelial cells from foetal skin, vernix caseosa, cast off
amniotic cells and cells from the respiratory tract, urinary bladder
and vagina of the foetus.
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9. EXPLAINS
0.37 2.7. FUNCTIONS: Explain the
FUNCTIONS. Teacher OHP function.
1)PROTECTION: explains
students listen
Its main function is to protect the foetus.
2)DURING PREGNANCY:
• It acts as a shock absorber.
• Maintains an even temperature.
• The fluid allows for growth and free movements of
foetus and prevents adhesion between the foetal parts
and amniotic sac.
• Its nutritive value is negligible.
3) DURING LABOR:
• The amnion and chorion are combined to form a hydrostatic
wedge which helps in dilatation of the cervix.
• During uterine contraction, it prevents marked interference
with the placental circulation so long as the membranes
remain intact.
• It guards against the umbilical cord compression.
• It flushes the birth canal at the end of first stage of labor.
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2.8. CLINICAL IMPORTANCE: -

10. Lists clinical List down
0.47 Black board clinical
importance. • Study of the amniotic fluid provides useful information
importance.
about the wellbeing and also maturity of the foetus.
• Intra-amniotic instillation of chemicals is used as method What is
instillation?
of induction of abortion.
• Excess or less volume of liquor amnii is assessed by
amniotic fluid index. Amniotic Fluid Index is measured to
diagnose the clinical condition of polyhydramnios or
oligohydramnios respectively.
• Rupture of the membranes with drainage of liquor is a helpful
method in induction of labor.
III.SUMMARY:
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Today we have discussed about the topic called amniotic
fluid, its definition, origin, volume, physical features and
colour, composition, functions and clinical importance.
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IV.CONCLUSION: After learning this topic, it will help to
examine the foetal well-being, and its proper growth
throughout pregnancy. It will also help to distinguish between
polyhydramnios and oligohydramnios.

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V.ASSIGNMENT: What is the normal colour of amniotic
fluid?

VII. REFERENCE:
60
14.
1) Dutta DC, Konar H. Textbook of obstetrics. 8th ed. New
Delhi (India): Jaypee; 2006. p. 43.