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Re: Questions regarding Low Amniotic Fluid and Oligohydramnios

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 30 Sep 2001 16:02:03 -0500 (CDT)


At Sun, 30 Sep 2001, Leila wrote: >
>Okay, so today I am 23w5d and had an ultrasound, it was a follow up to
>one done exactly five weeks ago to recheck a low lying posterior
>placenta. While the technician was checking the placenta, they of
>course checked alot of other measurements.. pictures of the kidneys...
>we saw the bladder fill etc.. but then she says.. are you leaking any
>water or fluids? She says that for the age of the fetus I should be
>between 9-23 cm? is centimeters right? and that mine was at only 11.

11 is still normal. We use 8-25.

<She >said she saw some good sized pockets of fluids but that she couldn't
>count the fluid around the umbiblical cord.
>Now a few questions before I freak out

This should obviously be discussed with your doctor.

>(sorry) but I did do a search on
>the archives and came up with a lot of previous posts on oligohydramnios
>and in alot of the cases the women were advised to terminate the
>pregnancy??????
>
>A few questions....
>
>IS THERE ANYTHING that I Can do to increase these fluids? Will me
>drinking more fluids increase the amnio fluid?

Drink more fluid, when resting, lie on your left side and be re-evaluated in a week or two.

>
>IS THERE A MEASUREMENT of amniotic fluid that is created based on baby's
>size, in other words, since I still have at least 12 weeks to term and
>my fluid is already that low... will it go lower at a proportionate
>rate?

No. that reasoning is faulty. Remember, your level is still normal.

The rest of your questions need to be evaluated after your doctor gets the results of sonogram and AFI and with appropriate fluid and rest, re-evaluates the levels. The level may end up much higher and this discussion may become moot.

Hope this helps and write back anytime for more information.

Dr. M

>WHAT IS THE HISTORY OR PROBABLE OUTCOME? are these levels normal enough
>and I shouldn't worry about it even though borderline low fluids..
>
>Do these low levels indicate that I will give birth earlier..or rather
>have to give birth earlier? ie induction or csection?
>
>I know doctors generally answer on this forum, with could be or wait and
>see, or within average, ........
>Thank you so much worried mother to be

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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