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Pregnant, Diagnosed With Diabetes. Scan Showed Amniotic Fluid Excessive. Any Thing Serious?

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Posted on Tue, 27 Aug 2013
Question: Hi Sir, My wife carrying and baby is in eighth month. In this month, doctor encountered she is having sugar(Diabetic), but she normally don't have diabetic. Now doctor suggested to go for scanning. Now in the scanning it is observed that, she have amniotic fluid excessive. So doctor suggested to use indocap(indomathacine) medicine for 4 days and after that, he wants to go for another round of scanning. Please suggest what is the problem? Baby is having 2810 Grams of weight. So why this is happened, is there any XXXXXXX ?
Diabetic disease will be permanent to her or only during pregnancy period only she will have that. Is there any side effects to baby with that. Doctor is suggesting that she has to reduce sugar levels to normal before delivery date. So, please explain how to go ahead. Actually she lost 3 pregnancies earlier. First one, in 5th month auto abort happened. Second time , doctor suggested to go for abortion, because abnormalities found in that pregnancy. 3rd one, she carried all 9 months and Cesarean happened and baby got expired after the birth immediately. Doctors told that there is disease of SYST (dandywalker). Now again we are in trouble. Please let me know why all these are happening. I also gone under testing of my sperm count and everything is good as results. Please suggest what to do now.

doctor
Answered by Dr. Monika Choudhary (1 hour later)
Hello,
Thanks for posting your query.
Excessive amount of liquor can be due to diabetes, some placental benign tumor or congenital anomaly in fetus like oesophageal atresia.
I hope you have already gone through anomaly scan done at 20 weeks to rule out any congenital anomaly.
In some female blood sugar rises due to hormonal imbalance during pregnancy & it gets stabilised after delivery.
Repeated congenital anomalies can be due to chromosomal abnormalities or undiagnosed diabetes in first trimester.
So consult your doctor with whole medical records for further evaluation.
I will be available for your further queries.
Regards,
Above answer was peer-reviewed by : Dr. Vasanth
doctor
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Follow up: Dr. Monika Choudhary (3 days later)
Hi XXXXXXX Madam,

Thanks for the clarification. We have undergone anomaly scan at 21 weeks and there are no congenital anomalies found. Fetus is good and all parts of fetus are ok as per the scanning report. Blood sugar is not in control even after using the medicine. Doctor said that, baby weight is 2.8Kgs and if sugar will not come in control, baby weight will grow. Due to this sugar amniotic fluid is more. So immediately we need to bring sugar in control. But she is not having oil foods, Non-Veg items etc. She is completely diet under diabetic doctor. I spoke to the doctor and he said every thing is ok, but need to bring down the sugar level. Now she is carrying with end of the 8th month. By 2nd August 8 months complete. But in the scan , they are giving EDD on 16th August. Could you please suggest when we can go for delivery. Is there any problem if we delay in delivery.
doctor
Answered by Dr. Monika Choudhary (21 hours later)
Hello,

Welcome back.

Expected date of delivery is calculated from first day of last menstrual period or from ultrasound scan in first trimester.

After completion of 37 weeks whenever she goes in labor it is safe but if gestational age prolongs more than 40 weeks means more than expected date of delivery baby will not remain safe inside the womb.

After 40 weeks there are increased risk of fetus is of 2.8 kg & till term he or she can be more than 4 kg & there can be difficulty in delivery.

There is more risk of intrauterine fetal death due to unknown cause in diabetic female as compared to non-diabetic one so keep in regular touch with your doctor.

I hope your query has been answered.

Regards,
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Monika Choudhary (1 hour later)
Hi XXXXXXX Madam,

Her last menstrual date is 2nd Dec 2012. 37 weeks will be completed by 18th August. If we go for early delivery date 1 week plus or minus, is there any complications for both mother and baby. I am worried about amniotic fluid in the womb. So I want to go for early delivery before the due date given on 18th August. Could you please suggest when is the good EDD for healthy for both mother and baby. In the last scan also doctors are confirmed that there are no abnormalities in fetus. Please suggest.
doctor
Answered by Dr. Monika Choudhary (2 days later)
Hello,
Welcome back.
According to her LMP-2/12/2013, her EDD is 9/9/2013
If her previous periods were regular & EDD according to ultrasound scan in first trimester also corresponds to early weeks of september then she can go for delivery after 20th of August.
I hope your query has been answered.
Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Monika Choudhary

OBGYN

Practicing since :2004

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Pregnant, Diagnosed With Diabetes. Scan Showed Amniotic Fluid Excessive. Any Thing Serious?

Hello,
Thanks for posting your query.
Excessive amount of liquor can be due to diabetes, some placental benign tumor or congenital anomaly in fetus like oesophageal atresia.
I hope you have already gone through anomaly scan done at 20 weeks to rule out any congenital anomaly.
In some female blood sugar rises due to hormonal imbalance during pregnancy & it gets stabilised after delivery.
Repeated congenital anomalies can be due to chromosomal abnormalities or undiagnosed diabetes in first trimester.
So consult your doctor with whole medical records for further evaluation.
I will be available for your further queries.
Regards,