<s>[INST] yes my son n law was puching my daughter in stomach to abort baby my daughter had been haing severe pain for 2 weeks through her body took her to 2 hospitals they refused to treat her due to her being pregnant so he calls said she need to go to doctor i got her to a hospital they took her in was not for sure what was going on and after she passed they said endocarditis which after she was buried when we find he been punching her.the baby did not have fluid around it,my daughter had infection over her entire body was coughing up blood chest pains rapid heart rate of 228do u think him punching her could cause the endocarditis? [/INST] Hi and pleased to answer you. Throughout pregnancy, the fetus bathes in a translucent pouch that gradually fills with amniotic fluid until the 35th week of amenorrhea where the amount of fluid is at its maximum with about 980 ml. Then the amniotic fluid decreases to the end to reach a volume between 600 and 800 ml approximately. The flow of the amniotic fluid signals the rupture of the membrane, and the risk of premature delivery if the term of the pregnancy is not reached. When the amount of amniotic fluid is abnormally low compared to the term of pregnancy, it is called oligoamnios. During oligoamnios, infection rate is higher. The premature rupture of the membranes (rupture before the beginning of the work) concerns 5 to 10% of the pregnancies. Its risk factors are the same as those of spontaneous preterm birth with intact membranes. This patient received a punch on her abdomen, which caused a premature rupture of the membranes and then a loss of the entirety amniotic fluid then an oligoamnios was created, and during the 2 weeks before the hospitalization, there was infection of the genital and baby components and infection dissemination by haematogenous route Causing endocarditis. Sorry for your daughter and may god has his soul in peace. </s>