So I called my doctor to see what the results of the latest ultrasound were, and I was told to come in tomorrow morning to do the glucose test. She said she does not expect me to pass, and there will be a diabetic diet waiting for me when I leave. At first I did not think too much of all of this. I called my mom to tell her, and she wanted answers. She made me google it right quick, and this is the information I have found. I can honestly say that I am freaking out right now. By the way, I have been scheduled for another ultrasound on the 20th. This is some serious shit.
Excessive amniotic fluid (hydramnios or polyhydramnios)
How will I know if I have too much amniotic fluid?
Your healthcare practitioner may suspect this problem, which happens in about 1 percent of pregnancies, if your uterus is growing more rapidly than it should. You may also have unusual abdominal discomfort, increased back pain, shortness of breath, and extreme swelling in your feet and ankles. If you have these symptoms, your practitioner will send you for an ultrasound.The sonographer will measure the largest pockets of amniotic fluid in four different sections of your uterus and add them together to see where you rate on the amniotic fluid index (AFI). A normal measure for the third trimester is between 5 and 25 centimeters (cm). A total of more than 25 cm is considered high.
What could be causing this problem?
Experts don't know what causes many cases of hydramnios, particularly mild ones. Some common causes of moderate to severe cases include the following:
Maternal diabetes:
You can end up with high fluid levels if you have diabetes and you're having trouble managing it properly. Hydramnios is diagnosed in about 10 percent of pregnant diabetics, usually in the third trimester.
Carrying twins or multiples:
You're at risk for high fluid levels if you're carrying twins or multiples. Hydramnios is especially likely in the case of twin-to-twin transfusion syndrome, in which one twin suffers from too little amniotic fluid while the other creates too much.
Fetal abnormalities:
In rare cases, a baby will have a medical problem that causes him to stop swallowing fluid while his kidneys continue to produce more urine from the fluid he's already swallowed. This may include any condition that makes it hard for him to swallow, such as pyloric stenosis, a cleft lip or palate, or some kind of blockage in the gastrointestinal tract. Certain neurological problems, such as neural tube defects or hydrocephaly, can keep the baby from swallowing as well.
Fetal anemia:
In even rarer cases, hydramnios can be a sign that a baby has severe anemia caused by an Rh blood incompatibility or an infection such as fifth disease. In both cases, the problem can be treated with a blood transfusion in utero. In the case of fifth disease, the baby may recover without treatment.
What will happen if I'm diagnosed with hydramnios?
If you're diagnosed with hydramnios, your practitioner will order a high-resolution ultrasound to check for abnormalities and possibly amniocentesis to test for a genetic defect.You'll also need to have regular nonstress tests and ultrasounds for the rest of your pregnancy to closely monitor your baby's development, and you'll be watched closely for signs of preterm labor. If you haven't yet been tested for gestational diabetes, you'll be tested now.You'll be monitored carefully during labor as well. Because of the extra amniotic fluid, there's a greater risk of an umbilical cord prolapse (when the cord falls through the cervical opening) or a placental abruption when your water breaks. Both require an immediate c-section.That's why your caregiver will have you come to the hospital early in labor — or right away if your water breaks before you go into labor. You're also at increased risk for postpartum bleeding, because your overly distended uterus may not be able to contract well, so you'll be watched closely after you give birth, too.
Thursday, April 9, 2009
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1 comment:
Oh sweet Cori. Don't stress yourself out with the internet....sometimes I think it is helpful but in some instances it can hinder us too.
You'll do great tomorrow.... and even if you do have gestational diabetes....only a few more months and you'll be able to eat again. (it isn't a disease)
I'll be saying gobs and gobs of prayers and lots of energy your way.
Call the doctor tomorrow and get more answers.... if she thinks it is "just" GD? or is it something else?
We love you!! and let us know when you find something out!!
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