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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done Ultrasound. High Amniotic Fluid. Is It Okay According To My Gestational Age?

hi I;m 27 weeks and 1 day and had my ultrasound last december 11, 2012 and according to my sonography result my LMP- 6/3/12, EDC-3/10/13, G1P0, No.of fetus: 1, Presentation: breech, FHT-136bpm, AFI-17.42, Placenta:Antero fundal grade II, BPD-7.0cm AOG 28 1/7 weeks, HC-25.8cm AOG 29 1/7 weeks, AC-22.8cm 27 1/7 weeks, FL-4.9 cm AOG 29 6/7 weeks, EDD 3/8/13 AOA 27 3/7 weeks, EFW-1119 grams. I want to know if the above mention result is within normal range? and my amniotic fluid is high normal amniotic fluid I want to ask if it is ok to my gestational age? and what is the causes of having high normal amniotic fluid? thank you.
Wed, 26 Dec 2012
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  User's Response
Hello,
thank you for asking your question.
Measurements of the fetus can differ according to who does the scan. Ask 10 doctors to scan you and their measurements might differ. But your baby is "allowed" to differ plus/minus 2 weeks - this is then still considered within the norm. What is also important is the development of the size. Early scans are important to define the estimated date of birth. doctors often look at curves of the growth development.
As you can see Baby`s head is 1-2 weeks larger than the norm. Baby`s abdomen (tummy) is norm - same as your pregnancy week and baby seems to have long legs (are you or your husband tall?) So all together that seems okay.
Having high amounts of amniotic fluid can 1) be nothing to worry about 2) an indication of diabetes in pregnancy - gestational diabetes 3) sometimes due to infections. 4) Baby can`t swallow the fluid - as the connection between the esophagus and the stomache is not there - (but then the doctor would have made a note that the stomache wasn`t visible in the scan - )
The first two being the most common. I would suppose that your doctor will do a "sugar test" and measure your glucose levels after drinking a glucose solution to see if you have gestational diabetes (don`t worry can be well treated and won`t`cause baby harm) and he might check for any infections.

In most cases no reason is found for the high amniotic fluid.

All the best!
kind regards,
JR
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Done Ultrasound. High Amniotic Fluid. Is It Okay According To My Gestational Age?

Hello, thank you for asking your question. Measurements of the fetus can differ according to who does the scan. Ask 10 doctors to scan you and their measurements might differ. But your baby is allowed to differ plus/minus 2 weeks - this is then still considered within the norm. What is also important is the development of the size. Early scans are important to define the estimated date of birth. doctors often look at curves of the growth development. As you can see Baby`s head is 1-2 weeks larger than the norm. Baby`s abdomen (tummy) is norm - same as your pregnancy week and baby seems to have long legs (are you or your husband tall?) So all together that seems okay. Having high amounts of amniotic fluid can 1) be nothing to worry about 2) an indication of diabetes in pregnancy - gestational diabetes 3) sometimes due to infections. 4) Baby can`t swallow the fluid - as the connection between the esophagus and the stomache is not there - (but then the doctor would have made a note that the stomache wasn`t visible in the scan - ) The first two being the most common. I would suppose that your doctor will do a sugar test and measure your glucose levels after drinking a glucose solution to see if you have gestational diabetes (don`t worry can be well treated and won`t`cause baby harm) and he might check for any infections. In most cases no reason is found for the high amniotic fluid. All the best! kind regards, JR