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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Anamoly Scanning. Amniotic Fluid AFI Abnormal. Worry?

Hi I am Latha, I am 23 weeks pregnant, last week I had my Anomaly Scanning and doctor told Amniotic fluids AFI is at 24, which is not good and told me to go through Fasting and PP to see sugar levels. My sugar levels came at Fasting 97 (70-110) and PP came to 133 (80-140). Now what the difference that I see is, last month I had done random for sugar which was 113 (80-140). Are there any worries? Please let me know
Fri, 7 Sep 2012
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General & Family Physician,  's  Response
Hi, Welcome to HCM, I am Dr. Das
AFI means how much amniotic fluid is present in uterus.
Now, for diagnosing Polyhydramnios ( increased amount of amniotic fluid) AFI must be >25.
So, you have marginally raised AFI.
AFI may be increased due to many causes like maternal diabetes, fetal anomaly,placental anomaly, even twins.
As Doctor did not suggest any fetal anomaly, i can assume fetal and placental anomalies are excluded.
As yourfasting and PP are normal there is lower chance of having diabetes.
But I suggest to go for Oral Glucose Tolerance test which will indicate presence of any impaired glucose tolerance
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Had Anamoly Scanning. Amniotic Fluid AFI Abnormal. Worry?

Hi, Welcome to HCM, I am Dr. Das AFI means how much amniotic fluid is present in uterus. Now, for diagnosing Polyhydramnios ( increased amount of amniotic fluid) AFI must be 25. So, you have marginally raised AFI. AFI may be increased due to many causes like maternal diabetes, fetal anomaly,placental anomaly, even twins. As Doctor did not suggest any fetal anomaly, i can assume fetal and placental anomalies are excluded. As yourfasting and PP are normal there is lower chance of having diabetes. But I suggest to go for Oral Glucose Tolerance test which will indicate presence of any impaired glucose tolerance