4 doctors weighed in:
Low amniotic fluid at 39 weeks. Should they deliver?
4 doctors weighed in

Dr. Miguel Cano
Obstetrics & Gynecology
1 doctor agrees
In brief: 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.

In brief: 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.
Dr. Miguel Cano
Dr. Miguel Cano
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Dr. Dennis Higginbotham
Obstetrics & Gynecology
1 doctor agrees
In brief: Probably
The amniotic fluid does start to decline by 39 weeks, but if the level is below what is normal (usually an afi of 80 or more) then delivery should be considered as there may be no particular benefit to prolonging the pregnancy beyond 39 weeks.
The complication rate for delivery will usually increase as the fluid level decreases.

In brief: Probably
The amniotic fluid does start to decline by 39 weeks, but if the level is below what is normal (usually an afi of 80 or more) then delivery should be considered as there may be no particular benefit to prolonging the pregnancy beyond 39 weeks.
The complication rate for delivery will usually increase as the fluid level decreases.
Dr. Dennis Higginbotham
Dr. Dennis Higginbotham
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