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Suggest Treatment For Low AFI Levels During Pregnancy
Question: Hi I m looking for a gynecologist who can help me out
I m 6 month pregnant and facing a problem of low fluid AFI is 4 at present and more over umbilical cord is not working the MCA is decreased and P.I is 1.2 and cervical length is 4cms.My doctor suggested abortion
Please help!!!!!!
I m 6 month pregnant and facing a problem of low fluid AFI is 4 at present and more over umbilical cord is not working the MCA is decreased and P.I is 1.2 and cervical length is 4cms.My doctor suggested abortion
Please help!!!!!!
Brief Answer:
Kindly upload reports.
Detailed Answer:
Hello,
Welcome to HCM.
Thanks for the query.
I would like to see the latest ultrasound report and umbilical artery doppler report before making a comment further as AFI of 4 is severe oligohydramnios and one needs to establish the cause before termination option and also as the pregnancy is more than 20 weeks any abortion has to be justified under the court of law which is concluded after 20 weeks.
So for an opinion, please attach the scanned reports.
Regards.
Kindly upload reports.
Detailed Answer:
Hello,
Welcome to HCM.
Thanks for the query.
I would like to see the latest ultrasound report and umbilical artery doppler report before making a comment further as AFI of 4 is severe oligohydramnios and one needs to establish the cause before termination option and also as the pregnancy is more than 20 weeks any abortion has to be justified under the court of law which is concluded after 20 weeks.
So for an opinion, please attach the scanned reports.
Regards.
Above answer was peer-reviewed by :
Dr. Deepak
Reports updated plz reply
Brief Answer:
severe iugr
Detailed Answer:
Hello,
The baby has severe IUGR and there is absent forward diastolic flow in umbilical artery doppler with severe oligohydramnios indicating foetal compromise. tHE BABY IS 580 gms and actually too low a birth weight to survive. If the umbilical artery diastolic flow turns reverse then there can be a foetal demise, till then astymin injections can be tried and every 3rd day foetal umbilical artery doppler study would have to be performed for following up and looking for any reversal.
In case there is a tertiary NICU unit available near you then in any case if required considering ominous death of child if reversal of flow occurs , then they should be equipped to handle the child.
Regards
severe iugr
Detailed Answer:
Hello,
The baby has severe IUGR and there is absent forward diastolic flow in umbilical artery doppler with severe oligohydramnios indicating foetal compromise. tHE BABY IS 580 gms and actually too low a birth weight to survive. If the umbilical artery diastolic flow turns reverse then there can be a foetal demise, till then astymin injections can be tried and every 3rd day foetal umbilical artery doppler study would have to be performed for following up and looking for any reversal.
In case there is a tertiary NICU unit available near you then in any case if required considering ominous death of child if reversal of flow occurs , then they should be equipped to handle the child.
Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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