PREGNANCY-BIRTH Messages for July, 2001: Re: for Dr. Montgomery

Re: for Dr. Montgomery - bilateral pyelectasis

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 11 Jul 2001 12:18:25 -0500 (CDT)

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Reply: Stacie: "Dr. Montgomery - thank you and an answer to your question"

At Wed, 11 Jul 2001, Stacie wrote: >
>At my last u/s I was 21 wks. and the baby is measuring about 5-7 days
>ahead on avg. The perinatologist noted the fetus, which is male, has
>bilateral pyelectasis measuring 7.6mm on the right and 6.4mm on the
>left. He says it isn't significant at this point and feels his chances
>of outgrowing it are good. He is recommending I come back for
>reevaluation at 32 wks. Also worth noting is my AFI is 22cm, which he
>is calling upper normal limits. He recommended my one hour glucose
>tolerance test now instead of waiting because of the extra fluid. I am
>awaiting those results, which I am beginning to think are negative since
>it has been 3 days and no phone call. They only call if it is positive.
>I will call them. My questions are:
>
>1) What are some possible reasons for the fluid retention in the kidneys
>given my AFI? Is this a good indicator that he is urinating regularly?

*The most common cause for mild pyelectasis is simply anatomy-usually a sort of obstruction of the tube leading from the kidneys (ureter) at the point that it dives into the pelvis. Most babies will outgrow this as the ureter gains more integrity and it doesn't contribute to any renal damage.

>
>2) What are the odds he will outgrow this condition?

*As long as it does not progress and worsen, the odds are very high.

>
>3) Is intervention necessary before birth? What about after? He said the
>bladder and everything else looks great.

*Intervention is not usually undertaken prior to birth. If it persists through the time of birth, it is simply evaluated via ultrasound following delivery and then plans are made from there is anything is required-usually it isn't.

>
>4) Should I be evaluated before 32 weeks or is this reasonable?

*No, there is really no reason because no intervention would be undertaken prior to that.

Houston needs more perinatologists!!

*Who did you see. I know all those people, in that I trained (both residency and fellowship) in Houston. Imagine the weather is nice and cool down there about now...

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Stacie: "for Dr. Montgomery - bilateral pyelectasis"
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Reply: Stacie: "Dr. Montgomery - thank you and an answer to your question"

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