Doctor insights on:
Amniotic Fluid Index Chart
Am 36w preg. My amniotic fluid index is 9.5cm. Tkng l-argentine and proanthocyqnide granules. When will AFI increase? Worried.
Fluid is normal: An AFI of 9.5 cm is normal. It is not low. At 36 weeks an AFI less than 5 cm would be considered low. If you are taking these supplements make sure your doctor is aware. Please do not take herbal supplements without first clearing them with your doctor. ...Read more
What does it mean to have normal range of amniotic fluid index, but at the upper limit of 22cm (33 weeks). What causes this?
Worth following: The upper limit of normal is still normal, however it is worth following up to make sure in a few weeks the fluid volume has not increased. In at least 1/3 of cases we cannot figure out what causes the fluid volume to be high. It can also be caused by gestational diabetes. Rarely a fetal abnormality that reduces the fetal ability to swallow can cause increased amniotic fluid. ...Read more
My wife has amniotic fluid index 6, we are at 36.3 weeks, doppler is normal, doc said c-section, wen asked if we can wait he says we can wait, can we?
If doc says so, yes: If her doctor advised you, then that's the person to ask. Good luck. ...Read more
Hello, I am 39 weeks and 1 day pregnant, and I don't have any sing of labor. Is there any thing that might help me? The amniotic fluid index is 9
Consider induction: Labor can come on suddenly without warning signs; that is OK/normal. An amniotic fluid index greater than 8 is considered normal. If you want to go into labor, talk to your provider about induction. Many Obs will induce labor at 39-40 weeks if your cervix is ripe. If this is your first baby, its better to wait until at least 40 weeks. Best wishes! ...Read more
Close monitoring: The fluid levels around the baby fluctuate during pregnancy. If the fluids continue to increase and you have other medical conditions such as diabetes, your OB/GYN may choose to perform procedures to reduce the fluid as needed. Fluid level of 26 is just above the normal cusp of normal (25) and a repeat ultrasound will help. ...Read more
Hi doc. I am 38weeks pregnant. Today my amniotic fluid index is 8.2cm. I am worried. Is this very serious? Can't I wait for normal delivery?
34 wk pregnant. Hep A positive, elevated AST (33) & ALT (52) levels. Amniotic fluid index=26.4.Is it safe to take tdap vaccination with these conditions?
Tdap: If you're not feeling sick from the hepatitis A, it is ok to get the Tdap vaccine. Good luck ...Read more
Diabetes?: Most of the time we don't know what causes polyhydramnios. It is associated with maternal diabetes and can result from trouble with the fetal kidneys or swallowing ability. In and of itself, it isn't harmful, though it can result in cord prolapse if the water breaks through an open cervix. Ask your doctor. ...Read more
Amniosintesis: Amniosintesis refers to the removal of a sample of amniotic fluid for analysis. ...Read more
Circulation issues: The amniotic fluid 'circulates' inside the uterus after it is manufactured including the baby swallowing some of it. If there are genetic problems with the fetus or problems in 'manufacturing' both can cause low levels. ...Read more
Yes: Excess amniotic fluid can be associated with diabetes, infection, and birth defects that prevent the fetus from swallowing. It can also be associated with an increased risk of stillbirth. Once the causes above have been eliminated, testing of the fetus' wellbeing should be done until delivery. ...Read more
Ultrasound: An ultrasound of the uterus is done to measure the pockets of fluid. There are two ways to do this. You can measure the single largest vertical pocket or you can measure the largest vertical pocket in each of 4 quadrants around the umbilicus and add them together. ...Read more
Oligohydramnios: Low amniotic fluid or oligohydramnios is a condition brought about by a decreased production of urine by the fetus either through a decreased placental perfusion or blocked urinary outlet, to name a few. It could also result from a ruptured amniotic membrane. One of the first signs of low fluid is a size-date discepancy of the growing uterus. An ultrasound will help to diagnose the condition. ...Read more
Meconium staining: Sometimes, however, a baby has a bowel movement before or during birth. If this happens, the amniotic fluid released when the mother's bag of water breaks will have a greenish tint. At times when the baby is not getting enough oxygen before or during birth, the baby may take a breath and inhale some meconium, which can irritate the baby's lungs and cause lung problems that can be severe. ...Read more
I'm 39weeks & 3 days, my amniotic fluid level is 3.0. Should they induce me on my following appointment? (31st)
Contact Obgyn: Oligohydramnios is the medical term for low amniotic fluid. This typically is diagnosed with a fluid level less than 5 cm. Contact your Obgyn to clarify what your level was and ask what the treatment plan is. In general if the amniotic fluid level was 3 cm then an induction is done. We can not provide advise on the management on your particular case but definitely contact your doctor. ...Read more
I had done triple test on 18th week n result shows 810:1risk. Do I need to take amniotic fluid test. Please suggest.
A 1:810 risk isn't very high. I wouldn't recommend an amniocentesis.
I don't know what cut-off is used in China. In the USA, Amnio is frequently recommended if the triple-screen risk is greater than the risk of a 35 year-old women (once chance in 365) The UK frequently uses a cutoff of greater than once chance in 150. ...Read more
I'm 28 weeks and was told I have a generous amount of amniotic fluid. Is this common? I read up on it and it was pretty concerning. Help please
You need an amount: Most with some elevated fluid do not have an issue; if elevated real high you will probobly get referred to a specialist but there is a number called an amniotic fluid index that will guide the severity. Polyhydramnios (light fluid) is considered over about 20 but need more specifics from your dr. Saying generous is non specific and leads you googling, worried and focused on downside. Gd luc. ...Read more
I want to know how it will affect my health and the growth of the baby. Amniotic fluid is adequate, growth of the baby is normal. I am 15 weeks 3 days?
Mgt: Your OB specialist can obtain an ultrasound at your next visit. Once you have the report, then you can review the results. ...Read more
Rapid look for Down.: Fish stands of fluorescent in-situ hybidization of the chromosomes in fetal cells obtained after invasive prenatal diagnosis (such as amniocentesis). When time is of the essence, fish can give a preliminary result of fetal aneuploidy (e.g. Down syndrome) within 24 hours from the procedure. It should be followed by a full karyotype and chromosomal microarray analysis. ...Read more
Based on setting: During pregnancy, it is not unusual to see "debris" in the amniotic fluid during ultrasound. This is likely related to vernix - a cheesy substane produced by the baby. On the other hand, bloody amniotic fluid that is actually seen can be normal, or it can be a sign of a complication called placental abruption. In either case, this should be clarified by the ob/gyn involved. ...Read more
It can be difficult: Being able to tell if you "broke your water" can, at times, be difficult to ascertain. Any question that you may have an amniotic leak should immediately be brought to your ob's attention. Nevertheless, some signs may be a constant trickle of fluid or wetness. ...Read more
Hospital admission: If you are talking about water breaking between 24-34 weeks and no labor, you would be admitted to the hospital on bedrest. Steroid injections would be given to help mature the baby's lungs. Antibiotics may be given to reduce the risk of infection in the uterus. The baby would be monitored for heart rate problems and growth problems. ...Read more
No specific cure: Oligohydramnios occurs infrequently in pregancy and there is no specific cure. Sometimes the amniotic fluid volume will increase with increased fluid intake (increased hydration). However the cause of the low fluid volume is the important factor and the specific management will depend on that diagnosis. ...Read more
Clinical and DIC: Amniotic fluid embolism, depending on the amount of fluid getting into maternal circulation can be catastrophic. The diagnosis depends on clinical suspicion and testing for disseminated intra-vascular coagulation, namely low platelet count, elevated pt ptt, abnormal shape of red cells, low fibrinogen and fibrin split products, chest x-ray etc. ...Read more
Probably: If your afi is < 5, yes. If it's borderline, between 5-8, it should be strongly considered unless your cervix is unfavorable (difficult to induce d/t being closed, thick, and/or firm). If they wait, you also need a normal non-stress test (nst) or biophysical profile (bpp). If your afi > 8, it's ok to wait. Discuss this with your OB & make sure you understand "kick counts" & when to go to l&d. ...Read more
Sudden shock, death.: Afe is an extremely rare but typically lethal complication of late pregnancy. Usually it is unheralded and manifests with complete cardiovascular collapse requiring immediate advanced cardiac life support to avoid rapid death from bleeding and asystole. If the woman is still pregnant, stat delivery may help preserve the fetal life/brain. ...Read more
Low amniotic fluid: Amniotic fluid levels are a indicator of good fetal health. Sometimes low fluid can just be representative of poor maternal hydration. Other times low fluid (oligohydramnios) can represent an adverse intrauterine enviorment due to many medical problems like hypertension or preeclampsia. Certain fetal and placental issues can also cause low fluid. Diagnosis and treatment can increase fluid. ...Read more
Many things: If you are worried about this you need to discuss this with your OB doc, various things can cause fluid to leak, and I assume early because if you start leaking fluid at 35 weeks or more the txment is to be delivered, premature labor, incompetent cervix, infection are some of teh things that can cause prom. ...Read more
Meconium aspiration: Babies born through meconium stained amniotic fluid are at risk of aspiration. Meconium can cause blockage of airway and inflammation of lung tissue. Babies with meconium aspiration frequently show sings of breathing difficulties and need to be admitted to Neonatal ICU for support and observation. ...Read more
Amniocentesis: The diagnosis is suggested by severe abdominal pain, decreased fetal movement, and maternal fever. The definitive test is amniocentesis, which is to obtain a sample of fluid, usually under ultrasound guidance, and then sending the fluid for appropriate laboratory studies. This is a very serious condition that, if confirmed, almost always requires delivery of the baby. ...Read more
Fluid around baby: Amniotic fluid is the fluid that surrounds and protects the baby. The baby makes the amniotic fluid. How much fluid you drink, how well the placenta works and how the baby is doing all affect how much fluid there is. Too much fluid can be concerning as can too little fluid. ...Read more