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Low amniotic fluid, 24 weeks pregnancy, heart beat 140/150 - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
User :   hi am 24wk preganant and hod low amiotic fluid l hv been in hosp, since 20wk now with iv fl, and antibiotic round the clock. do sonogram every 3days, my levels are 1.26, i dont know what to do, the dr placed me on complele bed rest with bathroom privalages,geting non stress test 2twice a day, baby heart beat is up in the 140/150 with occansionally few movenemt,the dr said he going to keep me till l hv the baby, pls do u hv any suggestions for me
Doctor :   Hi,
User :   hello
Doctor :   Have you got the Doppler scan done ?
Doctor :   The Fetal Doppler scan
User :   what is that
Doctor :   it is the scan which shows the blood flow to the fetus , which also determines the amniotic fluid production
User :   yes i did , is 1.26 as of yesterday
Doctor :   and if your AFI ( fluid levels ) are 1.26 yes, you will be needing strict observation and i v fluids
Doctor :   it may be the Ultrasound scan you got done . Doppler will enable us to know the cause for low fluid levels
User :   yes am on bedrest with iv 24rs
Doctor :   thats necessary
User :   but am scared, becos have been on antibiotic for 3wks now
Doctor :   that may not affect , and antibiotics are not in the treatment for the problem you have
Doctor :   only IV fluid will suffice
User :   becos the dr said i might get infection since the membrane had raptured
Doctor :   ok, that could be a reasonable indication
User :   now do u think that the fluid might increase again
Doctor :   yes, since you are on lot of i v fluids the amniotic fluid may increase But the ruptured membrane will pose problem in holding the fluids here
User :   and am still leaking, so what excatly do u think i should do, eat or drink at this time
Doctor :   Drinking more water may help. During labor, it may be possible to infuse saline into the sac holding your amniotic fluid to cushion the umbilical cord. If the baby's heart rate drops or the umbilical cord is compressed, you may need a C-section.
User :   how many wks do u think i can go with that fluid level
Doctor :   cannot be predicted , some have crossed 30 weeks and some not more than 2 weeks
Doctor :   all is helped by strict bed rest and fluid intake
User :   do these pose any threats on the baby
Doctor :   premature delivery is one important complication , and when the fluid levels are low the umbilical cord compression could be a possibility
User :   i can go on without the antibiotic
Doctor :   Antibiotics are necessary when there is membrane rupture
User :   so how long can i take them, and is ok for the baby
Doctor :   yes, the doctors will choose ones which are safe for the baby
Doctor :   they prefer to keep you on antibiotics til you deliver but with a considerable gap in between every course
User :   if i happened to deliver at 30wks is the baby considerd premature
Doctor :   no , yes, any birth after 28 and below 37 is called premature
Doctor :   sorry i meant yes *
User :   i feel the baby move ocassionally but the are saying is due the decrease fluid is that right
Doctor :   yes, less the fluid more the baby movements are felt
User :   is their any test to see if the baby is maturing well
Doctor :   yes, there is a test where fetal lung maturity is determined using the amniotic fluid leaking from the vagina
User :   when can this test be done
Doctor :   it can be done anywhere after 24 weeks , as that is when the lung maturity becomes a reliable indicator of fetal maturity

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