Brief Answer: ATTACH USG SCAN & OTHER BLOOD REPORTS. Detailed Answer: Hello, Thanks for writing to us. Normal AFI (Amniotic Fluid Index) is 8-18 cm. Your AFI is 24 cm which is quite high than normal level and it is more suggestive of POLYHYDRAMNIOS. It is seen in 1% of pregnancies. Underlying cause could be Gestational Diabetes Mellitus (GDM), fetal birth defect like esophageal or duodenal atresia, facial cleft, Renal disorder, Down syndrome, multiple pregnancy, Intrauterine infection (like TORCH), Rh incompatibility etc. Kindly, upload or attach ultrasound scan and other blood reports to assist you better and give proper guideline. I will discuss in details on follow-up section after viewing all reports. Waiting for your response. Do the things at the earliest. Regards, Dr Soumen

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Brief Answer: ATTACH ALL REPORTS. Detailed Answer: Hello, Thanks for response. I have already mentioned the causes of high amniotic fluid index (AFI). Just go through my earlier text in details. Here, we need to rule out POLYHYDRAMNIOS. Kindly, upload last ultrasound scan and other blood reports to assist you better and give proper guideline. Regards, Dr Soumen

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Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for attaching reports. I have reviewed both reports and it indicates mostly mild POLYHYDRAMNIOS as AFI is 24. Your blood glucose level is also within normal limit. Gestational Diabetes (GDM) is possibly ruled out and if your previous anomaly scan reports was normal, then you do not have to worry much. You are near term and amniotic fluid volume is always highest physiologically at this stage. Mild Polyhydramnios (or asymptomatic) is treated conservatively with periodic monitoring and no major intervention is generally taken to reduce volume. COMPLICATION: It is mostly associated with preterm labor. However, possibility is quite low in your case as you are near term. Other maternal complications are premature rupture of the membranes (PROM), abruptio placenta, malpresentation, postpartum haemorrhage and cord prolapse. MODE OF DELIVERY: There is a higher incidence of Caesarean section in such case. As your last delivery was by Caesarean, it will be also elective C-section as per your doctor's recommendation to reduce associated complication. In the mean time, you would limit salt and water intake. Take adequate bed rest in the left lateral position and do periodic check up to your doctor for complete assessment of pregnancy & well being of the baby. Hope, I have guided you properly. If you don't have any other query, you can close the discussion. All the best and good luck. Regards, Dr Soumen

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Brief Answer: HELLO Detailed Answer: Hello, Thanks for follow up query. Followings are my comments: 1) If your previous anomaly scan report and TRIPLE or QUADRUPLE test was within normal limit, then you have nothing to worry about harmful effect of growing baby. In this case, mild polyhydramnios is quite physiological. 2) High Amniotic Fluid volume may be due to physiological if underlying causes are not found. Near term (around 36 to 38 weeks) fluid volume is highest and mostly formed by fetal urine. Pulmonary fluid and filtered through placenta can increase fluid volume to some extent. 3) As per planned C-section date (29th Nov), it is the ideal time. We recommend 38th week gestational age (two weeks before actual delivery date) for highest fetal maturity to conduct elective C-section. If you are asymptomatic with mild Polyhydramnios, then there is no need to prepone your planned C-section date. Just do periodic check up for complete assessment. 4) You need adequate bed rest. You can go for work 1-2 weeks XXXXXXX if you can handle your daily activity. Your regular journey and working place will be more comfortable. Otherwise, you need to stop working until you deliver your baby and thereafter. Hope, above information will be more helpful. Wish your good health. Take care. Regards, Dr Soumen

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