Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
188 Doctors are Online

Pregnant with diabetes type1, anemia and high blood pressure. Sonogram showing abnormal fetal growth. What to do?

User rating for this question
Very Good
Answered by

Infertility Specialist
Practicing since : 2000
Answered : 3690 Questions
Question
My girlfriend is a type 1 diabetic, anemic, high blood pressure and at the moment she is 20 weeks pregnant. She went to a specialist for a sonogram and the dr. said that he wasn't able to see the baby's ribs and all in beneath, immediately saying something is wrong with the baby. We have a huge concern since he said that he was not able to see the stomach? Baby's head and heart are in good condition and arms
Posted Mon, 21 May 2012 in Pregnancy
 
 
Answered by Dr. Mahesh Koregol 8 hours later
Hi,

Thanks for your query. I have seen the reports.

I am sorry to read that your baby has been diagnosed to have congenital anomaly. I understand your concerns.

Congenital malformations are more common in infants of diabetic women than in children of non-diabetic women. Risk of having a congenital baby is about 18% higher than normal non pregnant women. Two-thirds of birth anomalies involve the cardiovascular and central nervous systems. Neural tube defects occur 13-20 times more frequently in diabetic pregnancies, and genitourinary, gastrointestinal, and skeletal anomalies are also more common.

It is notable that no increase in birth defects occurs among the offspring of fathers who have diabetes or the offspring of women who develop gestational diabetes after the first trimester. This suggests that periconceptional glycemic control is the main determinant of abnormal fetal development in diabetic women.

There is also elevated MSAFP in your girl friend. Ultrasound pictures you have sent does not show ribs in them. Hence I am sorry to say that there appears to be neural tube defect in your baby due to diabetic status of your girlfriend. Please get the ultrasound repeated after 2 weeks and if the same problem persists, your girlfriend may have to undergo termination of pregnancy.

I understand this is a bad news. But these anomalies are known to occur in diabetic women. I pray to god to give strength and support to you and your girlfriend to go through this painful period.

I hope I answered your query. I will be available to answer any other queries you have.

Regards,
Dr. Mahesh Koregol
Above answer was peer-reviewed by
 
Follow-up: Pregnant with diabetes type1, anemia and high blood pressure. Sonogram showing abnormal fetal growth. What to do? 12 hours later
We went for a second sonogram, and the dr. there told us that the position the baby is inn makes it difficult to predict if anything is wrong with the baby. He as well said within a month they will determine is anything is wrong, What are the pros and cons, which I believe you have already explained the cons to me?
 
 
Answered by Dr. Mahesh Koregol 18 minutes later
Hi,

Thanks for writing back.

I understand that sometimes position of the baby makes it difficult to see the complete picture of baby. But please visit the doctor again after about a week when probably the position would have been good enough to view ribs and vertebra.

I have already explained to you in detail about the possibilities. I explained about the cause and possibility of neural tube defects. If diagnosis confirms this, you will be advised to terminate the pregnancy.

I hope I answered your query. I will be available to answer any other queries you have. Please accept my answer if no more question and close the discussion.

Regards,
Dr. Mahesh Koregol
Above answer was peer-reviewed by
 
Follow-up: Pregnant with diabetes type1, anemia and high blood pressure. Sonogram showing abnormal fetal growth. What to do? 1 hour later
prenatal (1 x day)
levothyroxin 50 mcg tab (2 x day)
ferrous sulf 5he tab url (1 x day)
vitamin d 50,000 unt cap (1 x week)
methyldopa 250mg (1 x day)

These are her medications, I as well read about Folic Acid Pathway is this something that might be able to help us?
 
 
Answered by Dr. Mahesh Koregol 7 hours later
Hi,

The medications what she is taking are fine. Folic acid helps in initial few weeks of pregnancy (upto about 8 weeks) when baby's organs are forming. But not now. The organ formation of the baby has completed. So unfortunately it is not of much use at this stage of pregnancy.

I hope I answered your query. I will be available to answer any other queries you have. Please accept my answer if no more question and close the discussion.

Regards,
Dr. Mahesh Koregol
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor