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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What Causes Edema On The Forehead Of The Fetus?

My daughter-in-law in the 28th week of her pregnancy. She had a scan today and the doctor said that he detects a slight edema on the forehead of the baby and the fetus weighs 1;650 kg. He has doubled his weight since the previous scan 4 weeks ago. There is also a scale of 13 of water in the placenta sac. He wants her to do a whole load of blood tests, consult with a genetic doctor and do a heart echo on the baby. Does this mean that we have to be greatly concerned?
Fri, 24 Apr 2015
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OBGYN, Maternal and Fetal Medicine,  's  Response
Hi, I have gone through your question and understand your concerns. Edema on the forehead( scalp) of the fetus, with excessive weight gain, and increased fluid level around the fetus is suggestive of fetal hydrops, which can be due to:
1. Fetal anemia, due to Rh incompatibility, or any infection
2. Fetal infection
3. Chromosomal anomalies
4. Various congenital anomalies, most commonly cardiac anomalies.
I would suggest her to consult a fetal medicine specialist to get detailed anomaly ultrasound, amniocentesis if needed and further management should be done accordingly.
Hope you found the answer helpful .
Wishing you good health.
Dr Deepti Verma
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What Causes Edema On The Forehead Of The Fetus?

Hi, I have gone through your question and understand your concerns. Edema on the forehead( scalp) of the fetus, with excessive weight gain, and increased fluid level around the fetus is suggestive of fetal hydrops, which can be due to: 1. Fetal anemia, due to Rh incompatibility, or any infection 2. Fetal infection 3. Chromosomal anomalies 4. Various congenital anomalies, most commonly cardiac anomalies. I would suggest her to consult a fetal medicine specialist to get detailed anomaly ultrasound, amniocentesis if needed and further management should be done accordingly. Hope you found the answer helpful . Wishing you good health. Dr Deepti Verma