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