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growth retardation and low amniotic fluid

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I accompanied my wife to an ultrasound to discover our pregnancy is in serious jeopardy. At 19 weeks, our baby is equivalent in size to one at 16 weeks. The ultrasound ruled out any physical birth defects and we passed the genetic screening without any cause for concern. Our perinotologist believes a placental problem is the root cause of the growth retardation and doesn’t believe the baby will survive. Factors that led her to this conclusion are: an enlarged placenta, low amniotic fluid level (5.9 and 5.6 AFI over the past 2 weeks), and a 2 vessel umbilical cord.

The doctor has a “wait and see” attitude but my wife and I would like to be proactive. We're in the process of getting a second opinion, but in the mean time, is there anything we can do that might help increase our odds in rescuing this pregnancy?
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First Helper PeteW1
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replied May 31st, 2008
Extremely eHealthy
i dont know much about this but i know nothing is for sure when it comes to babies, they are incredably resiliant and have a way of healing themselves

now im not saying it wont happen and im not saying dont fight like hell to get a second opinion and get something ddone, i am a huge believer in second (nd third and forth) opinion

i hope everything works out, good luck
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replied May 31st, 2008
Extremely eHealthy
There's always a chance that your baby will survive. Most umbilical cords have more than 2 vessels. When the cord only has two vessels, it causes a intra-uterine growth restriction. It is not certain that your baby will die. Your wife does need very close monitoring though and more ultrasounds than a normal pregnancy would. I would defitely seek out a second and possibly third opinion if it were me.
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replied May 31st, 2008
Experienced User
Wait and see attitude is unacceptable, when it comes to this sort of situation. I would find a different doctor ASAP! I knew a couple that had this sort of issue and had a healthy baby girl. Yes, it might be true, but find a doctor that you have trust in and feel comfortable with. If it is indeed in jeopardy, time will tell! But, for your peace of mind, get a second, third, etc. opinion! I have no faith in doctors and the medical profession at athis point. There are some good/bad just like everyone else in the world. Please, get some different opinions. I hope they are more positive than what you have received. I know this was traumatic for your wife and you, just know that people care, and don't give up hope just yet.
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replied June 1st, 2008
Experienced User
Always get a second opinion
Definatly see another doctor about it, and don't give up hope. My older sister was told by a doctor once that she had a miscarriage becasue he couldn't find a heartbeat. It ended up being the doctors mistake and the baby was fine.

Also remember that ultrasounds don't always measure size accuratly, and your baby could indeed actually be growing quite normaly.

I hope that you get better news!
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replied June 6th, 2008
Experienced User
Re: growth retardation and low amniotic fluid
PeteW1 wrote:
I accompanied my wife to an ultrasound to discover our pregnancy is in serious jeopardy. At 19 weeks, our baby is equivalent in size to one at 16 weeks. The ultrasound ruled out any physical birth defects and we passed the genetic screening without any cause for concern. Our perinotologist believes a placental problem is the root cause of the growth retardation and doesn’t believe the baby will survive. Factors that led her to this conclusion are: an enlarged placenta, low amniotic fluid level (5.9 and 5.6 AFI over the past 2 weeks), and a 2 vessel umbilical cord.

The doctor has a “wait and see” attitude but my wife and I would like to be proactive. We're in the process of getting a second opinion, but in the mean time, is there anything we can do that might help increase our odds in rescuing this pregnancy?



This sounds exactly what I went through with my daughter. I had very low fluid and a 2 vessel cord. My daughter measured behind starting at my 18 week u/s. Then at 18 weeks she measured 16 weeks and it just got futher and futher behind from there. By time I was 28 weeks she was only measuring 22 weeks by her head measurement and 19 weeks by her body measurements. I also had a problem with my placenta. She was delivered by an emergancy c-section at my 28 week u/s. My daughter did pass away at 4 months of age but it was NOT NOT NOT due to being born early!!!!! Babies born early and small DO survive. The medical equipment and knowledge they have now days gives premature babies a bigger fighting chance at survival. My daughter passed due to a heart defect, but did have other defects.
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replied June 29th, 2008
Experienced User
Justforfun - so sorry about loosing your daughter. But you are right. Small and premature babies do survive! it is when they have other defects that make the outcome more worrisome.

The doctor has a wait and see attitude because there isn't a lot you can do to be proactive in this case. Many babies develop IUGR due to placental insufficiency, and end up being delieved prematurely. YOu can't do anything to "fix" the placenta, or put more fluid into the uterus..it's just impossible. You can always see another doctor, i'm unsure if there are maybe medications or other treatments you can take to help the placenta, but i'm doubtful. Mom will need close monitoring using weekly ultrasounds if not more, and perhaps bedrest. It is VERY important to keep her bloodpressure down as well as this could cause more damage to the placenta. Keep your hopes up. I've seen healthy babies delivered as early as 25 weeks, and have scanned babies that make it to 30+ weeks with IUGR and low AF.
Good luck
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replied March 1st, 2009
Total Placenta Previa, Trisomy 18 & 21 and Choroid Plexus Cy
Is there anyone who can shed some light from a personal experience. My AFP came back low. At 33, w/this baby my DS's chance is 1/95 but it should be 1/700. The u/s showed 2 choroid plexus cyts and the potential for Trisomy 18. Help...I have had 3 previous pregnancies with NO COMPLICATIONS from start to finish!
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replied July 21st, 2009
low AF
Hi PeteW1, how's your bb goes?

Can you update here as my sister in law is having a very similar case as you.

Hope to hear from you soon.
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replied April 23rd, 2010
I went to the dr yesterday and was told my amniotic fluid is low (about 1/2 of what it should be) I am 18 wks pregnant. I also have a tear on my placenta which has been causing me to bleed for 2 months now. The tear they are calling a hemorrage and the dr said yesterday it was still actively bleeding. This pregnancy is worrying the life out of me. The babys heartbeat was good yesterday and was growing like it should so they told me just to come home and drink lots and lots of water and cross my fingers, is there anything else I could do? I am just really worried.
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replied May 10th, 2010
Very Low Amniotic Fluid
My wife has been diagnosed with very low amniotic fluid. Doctor is recommending termination. She is in 18 weeks. Does anybody know any alternative - please suggest.
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replied June 5th, 2010
no Amniotic Fluid around baby
I went through some thing similar today.On 10 week ultrasound doctor said there is no amniotic fluid around baby(only 1.5 where as it should be 10 - 20 cms) and abnormality in kidney.Baby will not survive. We can wait or terminate proactively.
We are devastated and not able to accept that we can;t do any thing. Not able to make a decision whether we should wait and let the fetal die pre or post birth or terminate it. Doctor is very sure it won;t survive and due to no AF lungs are not being developed.
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replied July 4th, 2010
i found out at 13i have low amniotic fluid and now 14 weeks and sometimes leak but dont know whether it is watery discharge or fluid, does drinking more actually help?
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replied August 30th, 2011
We are going through the exact same situation, 19 weeks, size of 16, and very little amniotic fluid. Doctors are not very hopeful either, but I am trying to stay positive and hope for the best. Please let me know how everything goes. Best wishes for you guys and your baby. Mitz
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replied November 19th, 2011
Our baby was born with a single artery umbilical cord (2 vessel cord). 75% of the time it will be fine. We didn't know until he was born and his ultrasounds came out normal and mother healthy. He was born 4 pounds 6 oz at 35 weeks. If you see a clear fluid leak, you should go to the doctor. They can test it to see if it is amniotic fluid. You can get an infection if it is.
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