Doctor insights on:
Oligohydramnios At 20 Weeks
Hello, I was diagnosed with severe oligohydramnios at 20 weeks. It's been 9 weeks and everything is fine. Looking good?
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Im 20 weeks 6 days pregnant my ultrasound result shows oligohydramnios fetal ascites is there anyway i can save my baby?
Diagnosis : Obviously both of those are negative signs at this gestational age. If not done already, asked to be referred to a perinatologist for a evaluation. TORCH blood testing, a fetal echocardiogram and possibly an amniocentesis should be done. Fetal DNA sequencing can be done from maternal blood in some cases. ...Read more
Too little fluid: There is not a normal amount of amniotic fluid surrounding the fetus. This can be caused by a variety of things, you should ask your obstetrician for more information and an explanation if this has been diagnosed. ...Read more
Decreased movement: Unborn babies with less fluid usually exhibit decreased movement compared to those weigh normal fluid levels. In addition, the size of the pregnant belly may lag behind in size. The diagnosis is confirmed by ultrasound. ...Read more
Placenta: Most commonly the placenta is the source of oligohydramnios (though congenital abnormalities can occur too). Most common reason for oligo are related to blood pressure. Did you have a problem with elevated blood pressure in the pregnancy? Or with diabetes? Exercise is a great way to prevent both of those problems. 60 min of cardiovascular exercise a day, 5-6 days a week is best! ...Read more
Subchorionic hemorrhage, placental abruption, oligohydramnios (20w3d). What does this all mean? Is it serious?
Placenta: This means there is a collection of blood between the placenta and the uterine wall- therefore the abruption, the term oligohydramnios basically means low amniotic fluid and can have multiple causes including placenta dysfunction on the side of the mother, of problems with the fetus- problems with the kidneys. Please speak to your physician and seek a referral to a perinatologist. ...Read more
Hi im 22 weeks and 6 days, im pregnant with triplets and today i found out one of my babies has moderate oligohydramnios with intact membranes , help?
Oligohydromnias: Oligohydromnios can have many reasons. Many times the OB monitors the baby's growth to make sure sure that it is not IUGR. THEY ALSO NEED TO monitor the baby's kidney to make sure they are functioning well ...Read more
Decreased perfusion: Oligo can be either loss of fluid or decreased production. A stressed infant will shunt oxygenated blood to more vital organs, less renal perfusion, therefore less urine produced. Anything that decreases placental perfusion can cause it (abruption or placental separation, poor implantation, vascular problems, clots, uterine abnls, etc). There are too many causes to list here, ask your ob. ...Read more
I have completed 32 week of pregnancy in my latest ultrasound report it showed mild oligohydramnios, what precautions should I take.
Please advise any treatment?
Oligohydramnios: just means there is less amniotic fluid in your gestational sac than normal. Continue to drink liquids plenty and hope for the best. Oligohydramnios only elevates the perinatal fetal risks such as nuchal cord and fetal hypoxia. Please keep close watch with your OB doctor and good luck. ...Read more
Ultrasound result: single live intrautrerine pregnancy,presently cephalic,20weeks and 5days gestation,oligohydramnios fetal ascites..what can i do
See perinatologist: Its frightening to have an ultrasound that gives news that isn't perfect. Oligohydramnios means that there isn't enough fluid around the baby. You can help make more fluid by drinking lots and lots of water and getting enough rest. You need to see a perinatologist to find out why. This is a doctor who concentrates on complicated pregnancies to find out why. Best Wishes! ...Read more
Oligohydramnios: This is too little amniotic fluid. There may be a leak, or baby may not be able to make amniotic fluid. In addition to warning of other problems, baby may be entrapped too tightly in the womb, and end up with a deformity such as clubfoot. ...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
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
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
Yes: You should certainly keep your appointments. Complication rates increase as the fluid levels decrease. ...Read more
Low amniotic fluid noted on u/s at 7+4w. Is it related to schs or placenta insufficiency? What can I do to increase the amount of fluid in sac?
No intervention : There are no interventions to correct this problem at this gestational age. ...Read more
Hi I am currently 20weeks and 5days I was diagnosed last week with low amniotic fluid of 1.8mm and told to terminate but I refuse. I am now bleeding?
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
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
No: Nobody's answering because everybody's trying to think of a possible connection and can't. "Thick blood" usually refers to some genetic stuff that makes it clot more readily. Oligohydramnios has a variety of causes and is also fairly common. You need to insist on a real diagnosis and explanation for both. Best wishes. ...Read more
NOT IF you were: My pt ! ask your OB ! the standard of care is if you have oligihydramnios to not go past your due and your afi needs to be followed closely because if it gets down to 5.0 or lower u need to be delivered without delay, if it is between 5-10 u need to be watched closely , the farther u go the more chance for a cord problem like strangulation or other problems due to the low fluid. ...Read more