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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnancy ultrasound showing low amnio fluid level and cord around the neck of the fetus. How to increase the fluid level?

Yes mam. Am 28 weeks pregnant. Latest ultra sound scans reveals my amno fluid level is less also breath presence and the cord is around the neck of the fetus .. Am very much scared about this situation.. Would there be any method to increase the fluid level mam I mean through medication? What measures I have to be taken to increase the fluid level? Kindly advice in return.. Thanks Sreedevi
Mon, 10 Dec 2012
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OBGYN 's  Response
Hello
I appreciate your query.
Decrease in the amount of amniotic fluid level during pregnancy is called oligohydramnios.
You have not mentioned the degree of oligohydramnios, which is assessed by the AFI ( amniotic fluid index ).
Severe degree is typically caused by fetal urinary tract abnormalities such as unilateral renal agenesis ( Potter's syndrome ), fetal polycystic kidneys, or genitourinary obstruction. Uteroplacental insufficiency is another common cause.
So your sonologist should rule out any fetal anomalies, or placental problems in your case. Also, your Blood pressure and other tests such as hemoglobin, blood sugar levels etc should be normal.
Minor degrees may also occur simply due to dehydration of the mother, or without a determinable cause (idiopathic).
Also, I hope you have not had any leakage of fluid per vaginum, as that might cause oligo.
Regarding the cord around neck, you need not worry at 28 weeks, as it might cause problems only during labour, that too ones that can be diagnosed easily.
Maternal hydration has been shown to significantly improve the amniotic fluid levels, and that is the maximum that you can do at this stage.
Increase your fluid intake ( water, clear soups, juice, coconut water ) to atleast 4 - 5 litres per day.
You might also take essential amino acid supplements.
Intractable oligohydramnios might require intravenous hydration.
Monitor the baby with serial ultrasounds, AFI estimations and Colour doppler
All the best.
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Pregnancy ultrasound showing low amnio fluid level and cord around the neck of the fetus. How to increase the fluid level?

Hello I appreciate your query. Decrease in the amount of amniotic fluid level during pregnancy is called oligohydramnios. You have not mentioned the degree of oligohydramnios, which is assessed by the AFI ( amniotic fluid index ). Severe degree is typically caused by fetal urinary tract abnormalities such as unilateral renal agenesis ( Potter s syndrome ), fetal polycystic kidneys, or genitourinary obstruction. Uteroplacental insufficiency is another common cause. So your sonologist should rule out any fetal anomalies, or placental problems in your case. Also, your Blood pressure and other tests such as hemoglobin, blood sugar levels etc should be normal. Minor degrees may also occur simply due to dehydration of the mother, or without a determinable cause (idiopathic). Also, I hope you have not had any leakage of fluid per vaginum, as that might cause oligo. Regarding the cord around neck, you need not worry at 28 weeks, as it might cause problems only during labour, that too ones that can be diagnosed easily. Maternal hydration has been shown to significantly improve the amniotic fluid levels, and that is the maximum that you can do at this stage. Increase your fluid intake ( water, clear soups, juice, coconut water ) to atleast 4 - 5 litres per day. You might also take essential amino acid supplements. Intractable oligohydramnios might require intravenous hydration. Monitor the baby with serial ultrasounds, AFI estimations and Colour doppler All the best.