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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Does The Gestational Age Differ In Two Of My Scans?

Hi had an ultrasound test on 2014/02/27 reflects gestational age 27 weeks 6 days fetal weight 1261 g and oligohydramnios is present follow up scan done with different Doctor on 2014/03/01 reflects gestational age 30 weeks 2 days fetal weight 1152 g diagnosis symmetrical IUGR and severe oligohydramnios .question posed why does gestational age differ bet the 2 scans if 27 weeks 6 days is correct then weight of 1261 g will not qualiy diagnosis as IUGR.Can fluids be supplemented via vein or what can be done to rectify a fluid level of 4.1 cm.
Mon, 11 Apr 2016
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OBGYN 's  Response
Hallow Dear,

The retarded growth of the baby, baby weight estimations and the other findings in the scan are suggesting that your baby is suffering from intrauterine growth retardation.

The low amount of amniotic fluid (oligohydramnios) is a serious turn that your pregnancy has taken. I would have appreciated had you mentioned the amniotic fluid index (AFI) values. If they are under 5, it is a serious level and you may need to effect the birth of the baby since it seems it is not safe in the uterus.

However, if AFI is between 5 and 10, some efforts should be made to increase the weight of the baby. High protein diet with lots of fresh fruits and green leafy vegetables, moderate carbohydrates and low fat diet might help you achieve this. Drink plenty of water with the hope of increasing amniotic fluid volume. Intravenous fluids though tried have not shown any promising results in oligohydramnios. Please get Manning's score done which includes 4 parameters by ultrasonography and one by electronic foetal heart monitoring. Each index carries score of 2. The score => 8 is safe while one =
Please try to find out the cause of oligohydramnios. Are you having high blood pressure, diabetes, any abnormality in the baby, etc.. Depending upon Manning's score, the AFI and underlying cause, further management will have to be planned by your Obstetrician.

If at all immediate delivery is indicated, such babies do not sustain the stress of vaginal delivery and need to be delivered by Caesarean section. The delivery should be planned only in well equipped health facility with availability of Neonatal Intensive Care Unit and Expert Neonatologist.

I hope this helps you.

Dr. Nishikant Shrotri
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Why Does The Gestational Age Differ In Two Of My Scans?

Hallow Dear, The retarded growth of the baby, baby weight estimations and the other findings in the scan are suggesting that your baby is suffering from intrauterine growth retardation. The low amount of amniotic fluid (oligohydramnios) is a serious turn that your pregnancy has taken. I would have appreciated had you mentioned the amniotic fluid index (AFI) values. If they are under 5, it is a serious level and you may need to effect the birth of the baby since it seems it is not safe in the uterus. However, if AFI is between 5 and 10, some efforts should be made to increase the weight of the baby. High protein diet with lots of fresh fruits and green leafy vegetables, moderate carbohydrates and low fat diet might help you achieve this. Drink plenty of water with the hope of increasing amniotic fluid volume. Intravenous fluids though tried have not shown any promising results in oligohydramnios. Please get Manning s score done which includes 4 parameters by ultrasonography and one by electronic foetal heart monitoring. Each index carries score of 2. The score = 8 is safe while one = Please try to find out the cause of oligohydramnios. Are you having high blood pressure, diabetes, any abnormality in the baby, etc.. Depending upon Manning s score, the AFI and underlying cause, further management will have to be planned by your Obstetrician. If at all immediate delivery is indicated, such babies do not sustain the stress of vaginal delivery and need to be delivered by Caesarean section. The delivery should be planned only in well equipped health facility with availability of Neonatal Intensive Care Unit and Expert Neonatologist. I hope this helps you. Dr. Nishikant Shrotri