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Is High Level Of AFI During Pregnancy Indicative Of Any Risk Factors?
Question: In growth scan AFI(Amniotic Fluid) was discovered as 29. Now my wife is 29 weeks pregnant. Apart from prelabour is there any other complications. Please suggest.
Brief Answer:
Diabetes should be ruled out
Detailed Answer:
Hi,
AFI more than 25 is considered to be polyhydramnios.
This can occur due to diabetes in mother, congenital anomalies in the fetus, infections like TORCH, placental anomalies or idiopathic.
So, if fetal and placental anomalies are ruled out by ultrasound, and there is no history of any fever or infection during pregnancy, then diabetes is one of the most important cause to rule out.
Polyhydramnios can cause preterm labor, however uncontrolled diabetes is there, then it can lead to fetal problems like macrosomia, sudden Intrauterine futility or intrauterine growth restriction.
So, oral glucose tolerance is advised and further treatment should be done accordingly.
Control of diabetes is a must during pregnancy.
Hope you found the answer helpful. Feel free to ask further.
Regards,
Dr. Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Diabetes should be ruled out
Detailed Answer:
Hi,
AFI more than 25 is considered to be polyhydramnios.
This can occur due to diabetes in mother, congenital anomalies in the fetus, infections like TORCH, placental anomalies or idiopathic.
So, if fetal and placental anomalies are ruled out by ultrasound, and there is no history of any fever or infection during pregnancy, then diabetes is one of the most important cause to rule out.
Polyhydramnios can cause preterm labor, however uncontrolled diabetes is there, then it can lead to fetal problems like macrosomia, sudden Intrauterine futility or intrauterine growth restriction.
So, oral glucose tolerance is advised and further treatment should be done accordingly.
Control of diabetes is a must during pregnancy.
Hope you found the answer helpful. Feel free to ask further.
Regards,
Dr. Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Hello madam, Thanks for your prompt response. This was detected in growth scan yesterday, attached the report image files. Sugar report says its 140 and normal. EFW - 1629g Placenta - posterior high Fhr - 160 Afi - 29 Fetal moments - normal Our doctor told us to wait for next scan in 4 weeks and should not use any medications. 1. Is there any medication that help us? Please suggest us further 2. She is supposed to have air travel tomorrow to travel home. Journey tome 90 minutes. Can she go ahead with her journey
Brief Answer:
Gestational diabetes should be ruled out
Detailed Answer:
Hi,
AFI of 29 will cause discomfort to her and can lead to preterm labor.
In my opinion , oral glucose tolerance test should be repeated with 75 gm glucose to rule out any gestational diabetes mellitus, which can develop anytime in pregnancy.
She can travel by air, however cautiously walking and avoiding any haste.
Hope you found the answer helpful.
Regards,
Dr. Deepti Verma
Gestational diabetes should be ruled out
Detailed Answer:
Hi,
AFI of 29 will cause discomfort to her and can lead to preterm labor.
In my opinion , oral glucose tolerance test should be repeated with 75 gm glucose to rule out any gestational diabetes mellitus, which can develop anytime in pregnancy.
She can travel by air, however cautiously walking and avoiding any haste.
Hope you found the answer helpful.
Regards,
Dr. Deepti Verma
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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