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single umbilical artery

post #1 of 14
Thread Starter 
I'm 17 weeks 2 days, and I had an ultrasound last night and everything looked great, except for the single umbilical artery. The ultrasound tech didn't seem concerned, just said to talk to my OB about it, and the ER doctor didn't mention it.

Unfortunately, I had a long car ride home and googled it. Google terrified me. I've spent the entire day trying to tell everyone our great news (it's a girl!) and not show how terribly nervous I am.

I have an appointment with a midwife in the morning. Without going into the big whole long story, I have had nothing but problems with 90% of midwives, doctors, and nurses. I'm really nervous that they are going to try to blow this off, just like they've done with every other serious thing that has come up during my pregnancy.

I know no one here is an expert, but any information would be helpful. What should their first step be? What kind of tests should they run? The tech said it would require additional ultrasounds, when should they start that, and how often?

I know it depends on me specifically, but I've had repeated terrible experiences with midwives, doctors, and nurses. If I don't tell them exactly what I want done, they won't do anything. They said my severe dehydration was just me needing a nap. That my hyperemesis was normal morning sickness. That severe reactions to both compazine and reglan were side effects that would go away the longer I took them. Now they are saying my inability to walk without severe pain (we've had to move because I couldn't use the stairs anymore) is normal.

I don't mean to lump every midwife, doctor, and nurse together, because I've had a few who have been fantastic, but I want to be prepared for them saying "it's nothing" and not do anything. I want to be able to say "please do this test, check this" and if they don't, get a referral elsewhere.

Sorry this is probably jumbled. I just know the only way to keep my stress level down is to be able to know that it's being monitored correctly, and that they are doing what they need to do as my medical team, and that I'm able to recognize when they are not.
post #2 of 14
<hugs>

I wish I knew something about it, but I don't.

But I am pissed off on your behalf about the care providers brushing everything off.
post #3 of 14
My last baby had SUA. One of the big concerns with SUA is growth restriction, which is probably why the tech mentioned extra ultrasounds. In my case, we had a fetal echocardiogram at 22 weeks because they wanted a clearer picture of his heart, and we were also offered amnio, which we declined. I was also scheduled for growth ultrasounds every other week starting at 28 weeks. I don't know how typical that schedule is; I had a history of previous growth restriction that played into it also.

My ds was born healthy and without any growth restriction or other issues. I did end up having a c-section because he did not tolerate labor well.

I'm sorry that you've had such a difficult time with care providers in the past. I hope that you can find someone who you can trust this time.
post #4 of 14
This is one of the (many) reasons why techs aren't supposed to tell you that sort of thing. An ultrasound tech is not a diagnostician. She should have included the information in her report to your provider and then let your provider handle it.

So now you get an extra night of worry, and possibly for nothing.
post #5 of 14
My DD (a preschooler) had a SUA. She doesn't have any of the health problems that you probably found out when you Googled SUAs. Most of the people that I've known who've had kids with SUAs haven't had any health problems.

We found out from a perinatologist. SUAs can occur in perfectly normal pregnancies so try not to worry too much. I know - easier said than done. Sometimes SUAs can occur in pregnancies where the baby *may* have some heart or kidney issues. Being monitored for growth issues is probably a good idea. I didn't have a lot of ultrasounds because the doctor could tell from other methods that DD was growing as she should. I had a long, rough labor and I ended up with a c-section (no regrets there), but part of the reason I opted for a c-section after 24 hours of labor was the SUA. I was concerned about extra distress to DD from a single umbilical artery. By the way, I'm absolutely not saying you need to have a c-section because of a SUA. The majority of moms of babes with SUAs didn't have c-sections and the babies were fine.

SUAs probably occured in the past, but no one knew until the birth when the cord was cut because ultrasounds weren't available back in the day. I remember at the birth of DD, the doctor cut the cord and said "Oh, she has a single umbilical artery" and I was thinking "yeah buddy..that's old news."
post #6 of 14
Thread Starter 
Lady Lilya - thank you. It is frustrating, but it's taught me valuable lessons, and I now prepare myself as much as possible before and after I have appointments, no matter how small the issue.

2xy - I realize the tech shouldn't have said anything. I had been telling her about the issues with my health care team and I think she mentioned it so I would know. I'm sure glad she did! I walked into my appointment today, and they had no idea why I was there! They didn't even have my ultrasound information. So, if I hadn't been told by the tech, I would have found out at a much later time, probably when something was wrong, or when a different doctor wanted to know what I was told about it.

I went to my appointment this morning. The midwife was really nice, but really didn't know anything about it, at all, beyond it's when there's only one artery and not two. She just tried telling me to follow up with another ultrasound at 32 weeks. I didn't feel that was adequate, given the fact that she didn't know much about it.

I had to ask multiple times, but I had them do a quad screen test. I also had her move my ultrasound up to 24 weeks. It's just a normal ultrasound with a normal technician, and she said there was no reason for me to even see a Dr. (instead of a midwife).

I wasn't entirely happy with the appointment. I wasn't given any information, I was the one giving information. I'm glad I was able to get the ultrasound sooner, but she wouldn't refer me to a Dr, or have any sort of specialist do the ultrasound, or ask that anything specific be looked at/for on the ultrasound.


Thank you so much for sharing your experiences! I really appreciate it. I worry so much when I don't have information, so the more information I get, the better I feel. For the first time this whole pregnancy, I was able to walk in, be assertive, and get something done.

I'm going to continue to read up on it as much as possible. Now that something is happening, I'm able to relax a bit more, and just continue to inform myself with knowledge I will hopefully never need to use.
post #7 of 14
Hi, my son has a SUA..we did growth scans every 4 weeks and he's growing fine.

I do have a question for the other ladies in here...is it normal for SUA babies to not tolerate labor?
post #8 of 14
My friend had this & as a result a lot of follow up ultrasounds. It can lead to difficulties - for her they said their first concern is the kidneys but in the follow up they actually found a small heart defect (that was repaired after birth & has not been a problem since).

All that said her doctor told her that some women just make this type of cord - it's not necessarily a problem.

Good luck - I hope the rest of your pregnancy goes smoothly.
post #9 of 14
My first had SUA. He was born healthy after a LOOOONG labor. He weighed 8lbs 12oz so no growth problems
He tolerated labor just fine. It was a vaginal birth. We did do a couple extra U/S to monitor growth along the way.
Try not to stress too much mama!
*hugs*
post #10 of 14
My daughter had SUA. (she's 2.5 years old now) We had 2 or 3 extra scans just to make sure she was growing on track. If this baby got recognised as having SUA I don't think I'd do the extra scans again.

For the birth, it's important to avoid AROM and other interventions. I ended up pushing flat on my back with an epidural after AROM and of course (no surprise here), her heartrate kept falling. I got to 9cms and they could see her head on each push when we decided to go for a c-section.

I know that had they let me give birth at home it would have been less invasive and she'd have been fine.

Try not to worry, honestly 100s of babies are born with SUA and some are never diagnosed until after birth when they look at the cord. It's only as scans become more comprehensive and advanced that they notice it more.

I kept a piece of my daughter's cord and can't wait to compare it to the new baby's if this one has a normal cord!
post #11 of 14
Just wanted to say that I had my baby Thursday and everything went great. I started early labor Tuesday night and had mild, irregular contractions until Wednesday night. I had 4 hours of active labor and pushed him out in 8 minutes. He was born screaming and pink. I didn't have an AROM and my water didn't break until pushing so I think that helped a ton.
post #12 of 14
Quote:
Originally Posted by micah_mae_ View Post
Just wanted to say that I had my baby Thursday and everything went great. I started early labor Tuesday night and had mild, irregular contractions until Wednesday night. I had 4 hours of active labor and pushed him out in 8 minutes. He was born screaming and pink. I didn't have an AROM and my water didn't break until pushing so I think that helped a ton.
Hey, congrats!
post #13 of 14
OP, I just found out last week that my baby also has a SUA. I plan to request a higher level scan to double check the heart and kidneys, and then later I've been told I'll have a few scans to check growth.
post #14 of 14
Quote:
Originally Posted by stelly View Post
Hey, congrats!
Thanks
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