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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Polyhydramnios In Pregnancy

Hi I am 37 weeks pregnant now and i was detected with polyhydramnios last week. AFI :deepest pool is 11cm. it also said limited visibility of stomach through out scanning. the doctor said it could be oesophagael atresia. I had the 20 week scan but no abnormalities were found then and everything was normal. also no diabetes.
Thu, 19 Mar 2015
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OBGYN, Maternal and Fetal Medicine,  's  Response
Hi, I have gone through your question. Polyhydramnios in pregnancy can be due to:
1. Some anomaly in the fetus
2. Diabetes mellitus
3. Idiopathic( no cause found)
Since there is persistent limited visibility of the fetal stomach bubble throughout the ultrasound scan, there are chances of esophageal atresia or tracheo esophageal fistula in the fetus.
Your ultrasound at 20 weeks was normal because in some types of tracheo esophageal fistula, there is delayed appearance of Polyhydramnios as stomach is a bit functional.
I would suggest you to consult a fetal medicine specialist so that proper counselling can be done and a detailed anomaly ultrasound can be done, so further line of management can be decided.
Karyotype of the baby should be done at birth because tracheo esophageal fistula has a risk of chromosomal anomaly.
Hope you found the answer helpful.
Wishing you good health.
Regards,
Dr Deepti verma
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Suggest Treatment For Polyhydramnios In Pregnancy

Hi, I have gone through your question. Polyhydramnios in pregnancy can be due to: 1. Some anomaly in the fetus 2. Diabetes mellitus 3. Idiopathic( no cause found) Since there is persistent limited visibility of the fetal stomach bubble throughout the ultrasound scan, there are chances of esophageal atresia or tracheo esophageal fistula in the fetus. Your ultrasound at 20 weeks was normal because in some types of tracheo esophageal fistula, there is delayed appearance of Polyhydramnios as stomach is a bit functional. I would suggest you to consult a fetal medicine specialist so that proper counselling can be done and a detailed anomaly ultrasound can be done, so further line of management can be decided. Karyotype of the baby should be done at birth because tracheo esophageal fistula has a risk of chromosomal anomaly. Hope you found the answer helpful. Wishing you good health. Regards, Dr Deepti verma