
35 Weeks Pregnant. Will It Be Safe Fort Baby To Get Delivery Early?

Thanks for writing.
If your LMP is 1st march, 2012 then you are 35 weeks which is definitely early to deliver and not completely safe.
Cesarean section is not the only option to deliver if you have only low AFI as problem.
AFI refers to the total fluid content around the baby.
If your colour doppler showed just a low AFI with no other abnormalities like decreased fetal growth, blood flow changes of increased resistance in the vessels or reversed Systolic/Diastolic( S/D) ratio then its NOT an indication for urgent termination of pregnancy.
You can get a non stress test/ cardiotocography (fetal heart rate tracing ) done to see for any fall in heart rate. This is because low AFI can cause decreased fetal heart rate by umblical cord compression.
IF CTG is normal, then there is no indication for a delivery now.
Besides an AFI below 5cm is considered serious for urgent intervention.
You can do a weekly follow up with ultrasound and biweekly follow up with CTG to ensure your baby is safe.
35 weeks is not too early but definitely its not a fully mature baby.
You were given steroids to ensure that your baby's lung develop completely in case you need to deliver.
Cesarean is not the only option.
You can use drugs to induce uterine contractions which can make you deliver normally.
There might be risk of fetal distress during your normal delivery as you have slightly less fluid which can make you land into a cesarean section.
But doing a cesarean section with an AFI of 8cm is no rule provided you have no other indications of c-section.
Your doctor just told you the possibility of cesarean. You can definitely discuss with her the reason before its decided.
You should take plenty of fluids atleast 8 glasses per day to increase the fluid around your baby.
Keep a strict record of your baby movements.
Also regular check of Blood pressure and weight is essential.
Take care.


thanx
ANY DELIVERY AFTER 37 COMPLETED WEEKS IS CONSIDERED SAFE FOR THE BABY AS THEN THE BABY IS FULLY MATURE.
NO , YOURS IS NOT A RARE CASE. SLIGHT DECREASE IN FLUID IS COMMON.
ONLY THE CAUSE OF FLUID DECREASE NEEDS TO BE ASCERTAINED. SLIGHT AMOUNT OF DECREASE CAN BE PHYSIOLOGICAL AND DUE TO INDIVIDUAL VARIATION.
BUT WHEN IT GETS SIGNIFICANT, CAUSES LIKE HYPERTENSION( RAISED BLOOD PRESSURE), FETAL GROWTH RESTRICTION AND CERTAIN CONGENITAL ANOMALIES
(RENAL ANOMALIES) OF THE BABY NEED TO BE RULED OUT.
THESE MUST HAVE ASCERTAINED DURING YOUR ULTRASOUND.
THE BEST THING IN YOUR CASE IS YOU ARE NOT HAVING ANY ASSOCIATED CONDITION LEADING TO DECREASED AMNIOTIC FLUID.
YOU NEED TO TAKE ALL STEPS TO ENSURE THAT YOUR PREGNANCY GOES WELL.
AVOID UNDUE STRESS.
TAKE GOOD SLEEP.
TAKE GOOD AMOUNT OF FLUIDS AND HEALTHY DIET.
COUNT FOR THE BABY MOVEMENTS DAILY.
REGULAR (WEEKLY) ANTENATAL CHECK UP WITH YOUR DOCTOR.
KEEP A CHECK THAT YOU ARE NOT PASSING WATERY FLUID FROM YOUR VAGINA AS THIS INDICATES THAT YOUR BAG OF WATER HAS RUPTURED WHICH CAN LEAD TO LOW FLUID.
REPEAT YOUR ULTRASOUND WEEKLY TO ASSES THE FLUID.
TRY GETTING CTG (NON STRESS TEST) ATLEAST WEEKLY.
IF THE FLUID DECREASES FURTHER (BELOW 5CM), YOU NEED TO BE DELIVERED.
TAKE CARE.

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