Polyhydramnios - Mothering Forums

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#1 of 29 Old 10-07-2008, 09:27 PM - Thread Starter
 
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I just had my third u/s done (the second was elective for our own reasons) and they've re-confirmed that I have polyhydramnios, or excessive amniotic fluid for those who don't know what that means.

The tech told us that percentiles within the 10 to 90% range are normal. I'm in the 95th precentile for polyhydramnios. She said I have the maximum allowable, whatever that means.

I just had the u/s done yesterday late afternoon. I was told then that I had been referred to the perinatologist that was there to review my exam. I haven't heard from anyone yet about when my next appt will be. So I've done some research online. Is that stupid or what? Honestly I'd prefer ignorance about this problems this could cause.

My GD test came back high about a month and a half ago, but due to some other complications I have, I didn't have the 3 hr. test done. I have been monitoring my blood sugars tho and I've never gotten a reading about 4.9. On the contrary I've been on the very, very low end of the scale with readings at 3.1 - 3.6 normally.

At my 19 week appt they found a choroid plexus cyst on his brain. I didn't have further examinations done, I wasn't aware of them. My OB is useless.

Can you guys please tell me something about this? Has anyone else had the more severe end of polyhydamnios? Input please!! I'm killing myself going over the long list of very bad possibilities associated with this.

I've been having problems breathing for a few weeks and its getting worse and worse. Now its at the point where if I lay down I have to concentrate on breathing, fighting off the panic constantly. I feel like I'm going to pass out. The problem is when I sit up I'm in a ton of pain due to the other complication I have. Is the feeling like I'm going to pass out due to the cramping of my lungs or am I really not getting enough oxygen when I lay down?

Oh, and he's frank breech, as he has been for the last 4 weeks. My last daughter was breech and therefore a c/s. In our elective u/s it showed the cord around his neck, like a necklace. I wasn't worried about it then, but now I'm worrying about cord prelapse and a bunch of other crap that hadn't entered my brain until last night.
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#2 of 29 Old 10-07-2008, 09:56 PM
 
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Sage just I wish I had more info for you. I hope the Peri is more helpful than your OB has been.
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#3 of 29 Old 10-07-2008, 11:01 PM
 
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s :
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#4 of 29 Old 10-08-2008, 01:42 AM
 
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Sage,

I cannot tell you how shocking it was to come on here and see a post about this topic. A few hours ago, I got a call from my mw asking if the U/S tech for my biophysical profile said anything to me about the results. I told her that she said it was a perfect 8/8 and that I have adequate fluid. Well, come to find out, I have polyhydramnios. I believe my mw said that my total AFI was 25.49. I know I had a pocket of fluid that was almost 12 and the other pockets were smaller. I am so confused. She said it was classified as "severe polyhydramnios," but everything I've seen says that 25.49 is just in the "mild" category. I know some methods use the deepest pocket method also (which is a pocket over 8...which, clearly my 12 was).

Anyway, I, too, have been reading online. BAD IDEA. I am scared to death. I am supposed to call and get in with a high risk specialist tomorrow (who my mw referred me to). I am freaking out. I know there is a higher risk of cord prolapse. I was also told my baby is about 10 pounds according to the BPP, but that it can be off as much as 1-2 pounds. My mw said my GTT may have missed GD and that I may have a problem processing sugar. I'm really scared. I can't really offer advice either. I am just beside myself too.

I just wanted to let you know that I feel your pain. I am almost 42 weeks and this could be a reason my labor hasn't started yet...too much fluid.

I was planning a homebirth. Now I'm at a loss for what is going to happen.

I don't mean to hijack your thread. I just wanted to let you know I know where you're coming from. I hope someone else can provide some more answers for you.

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#5 of 29 Old 10-08-2008, 02:15 AM - Thread Starter
 
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aw Shannon, I'm so sorry that you're in my boat, or I in yours, or that there's a boat at all!

I know, I read online and now I'm terrified. I don't know what to do. When I talk with the peri, I'll post back and share what he said. Hold my hand, I'll hold yours.
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#6 of 29 Old 10-08-2008, 10:10 AM
 
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I had polyhydramnios with two of my pregnancies. It was fairly severe with my older son and not as severe with my younger son. Both of them were big babies (9,9 and 10,12), but I didn't have GD with either of them. I also measured 4-5 weeks ahead for most of the pregnancies and was fairly uncomfortable due to that. Other than having a few extra u/s to monitor the fluid levels and the babies, my midwife didn't really do anything differently because of the polyhydramnios.

In my case, at least, it turned out to be absolutely nothing. I just had high fluid levels (and when my water broke, it was a deluge!). Both boys were born on time and healthy, and are now completely healthy and normal at ages 4 and 2. They're still really big for their ages, leading me to think that's why they were so big at birth.

Try not to read too much online, as the worst case scenarios always pop up on Google and aren't helpful to read. Lots of people just have unexplained high fluid levels and it means nothing at all.
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#7 of 29 Old 10-08-2008, 11:07 AM
 
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Sage! My understanding is that your polyhydramnios is at the mild end. During my last ultrasound (2 weeks ago) my AFI was 20, and I asked, thinking that was high. Both my doctor and the tech told me that they don't even begin to worry until it hits 25. Thats the begining of worry! Your case is still mild!

Quote:
Normal fluid levels may vary, but are usually considered an AFI of 5-25 centimeters or a fluid level of about 800-1000 mL.
http://www.americanpregnancy.org/pre...hydramnios.htm

If it makes you feel any better, I'm having troubles with breathing, too. Baby is up under my ribs, and it just makes it tough to get a deep breath. If you develop a foamy cough (meaning you cough up liquidy foam) get help ASAP. Otherwise, it's probably just being super pregnant.

57 years ago my grandma was pregnant with my uncle. Her doctor said she had the most amount of fluid he'd ever seen. My uncle was well over 9 pounds, and perfectly healthy. Of course, they didnt' have ultrasound back then, so I have no idea what the AFI was, but he was an old GP who'd been around the block a time or 2, so I'm sure he knew what he was talking about.

You'll be ok!

"Listen, are you breathing just a little and calling it a life?"~Mary Oliver

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#8 of 29 Old 10-08-2008, 01:00 PM
 
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I just want to give both of you(all four,including babies,6 with partners...)

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#9 of 29 Old 10-08-2008, 01:02 PM
 
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Quote:
Originally Posted by Schrody View Post
I had polyhydramnios with two of my pregnancies. It was fairly severe with my older son and not as severe with my younger son. Both of them were big babies (9,9 and 10,12), but I didn't have GD with either of them. I also measured 4-5 weeks ahead for most of the pregnancies and was fairly uncomfortable due to that. Other than having a few extra u/s to monitor the fluid levels and the babies, my midwife didn't really do anything differently because of the polyhydramnios.

In my case, at least, it turned out to be absolutely nothing. I just had high fluid levels (and when my water broke, it was a deluge!). Both boys were born on time and healthy, and are now completely healthy and normal at ages 4 and 2. They're still really big for their ages, leading me to think that's why they were so big at birth.

Try not to read too much online, as the worst case scenarios always pop up on Google and aren't helpful to read. Lots of people just have unexplained high fluid levels and it means nothing at all.
Schrody,

I know you said you didn't have GD with your sons. How do you know? Did you have a GTT? I had a GTT and it was normal. My mw said sometimes they can miss GD I guess. They're predicting my baby to be 10 pounds. I'm worried that she'll have blood sugar problems, even though my GTT was normal. I was only 7 pounds, and my DH was just over 7 pounds...so we didn't think I'd have a big baby.

Did you have a homebirth or hospital birth?
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#10 of 29 Old 10-08-2008, 01:32 PM
 
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I had a hospital birth with a midwife for my older son and a hospital birth with my midwife's back-up ob (my midwife was on vacation that day) for the second one.

Both times I passed the GTT with flying colors and never showed any signs of GD. Neither boy had any blood sugar issues after birth or lost much weight. Both of them are now at the top of the charts for height and near the top for weight and always have been, so I really believe they were just big babies who grew into big boys. My 10,12 baby was also over 22 inches long at birth. Now he just turned two and he's 38" and 35 lbs. I have no trouble believing he was the size he was meant to be at birth. My dd was 9,4 at birth (also no signs of GD for me or blood sugar issues for her) and is now tall-ish and average weight.

FWIW, I was a 9 lb baby (now 5'7) and DH (who grew to be 6'2 and large-framed) was only right around 8 lbs. So it doesn't seem like either of our birth weights really related to the babies' sizes.
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#11 of 29 Old 10-08-2008, 01:59 PM - Thread Starter
 
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Thank you coyotemist, but I don't know what any of my numbers are. She just said that I'm in the 95th percentile. I don't know how much fluid I'm carrying. I'm calling my OB today to see if he's gotten the results yet.
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#12 of 29 Old 10-08-2008, 02:17 PM
 
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I read that an AFI of 25 equals the 95th percentile, but I didn't document that source. Looking it up again, and I'll post it!

"Listen, are you breathing just a little and calling it a life?"~Mary Oliver

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#13 of 29 Old 10-08-2008, 02:30 PM
 
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On page 2 of this document there is a chart showing gestational age and AFI to get the percentile. That will tell you what your AFI is pretty closely.

www.ijr.ir/download.asp?code=ijr085131

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#14 of 29 Old 10-08-2008, 04:31 PM - Thread Starter
 
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well they said since I'm not quite 32 weeks ( I will be tomorrow) they'll do another u/s in 10 days to check on it. Levels typically go down after 32 weeks. I'll think happy thoughts till then.
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#15 of 29 Old 10-08-2008, 07:37 PM
 
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I'm thinkin happy with ya!

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#16 of 29 Old 10-08-2008, 09:44 PM
 
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Sage I hope all is well, mama.

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#17 of 29 Old 10-08-2008, 11:22 PM
 
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I had "unexplained" polyhydraminos with my last pregnancy. I think the reason was just that I had a big baby (ds was 10-10 at birth). I did not have GD, and they tested ds's blood sugar a few times after birth just to make sure, and it was fine. He was big, so it makes sense to me that he'd have a bigger pool to swim in . He was totally fine, though I did end up with a c/s (not necessarily related to the amniotic fluid issue).



Lex

Mindfully mothering SIX kids (ages 4, 5, 7, 8, 11 & 11) in a small house with a lot of love.
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#18 of 29 Old 10-08-2008, 11:46 PM
 
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I had the same experience as the previous poster. I, too, worried a lot...but, thank God everything turned out fine. But, I do understand how worrisome it is to be in that position.
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#19 of 29 Old 10-09-2008, 01:44 AM
 
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i had polyhydramnios with ds born in july. he had cysts on his rght kidney also.

im happy to say he is just fine and happy

i cant help you with the cysts on his brain but i cant give you assurance that high amniotic fluid did not hurt my baby or me even tho i was told i was killing my baby gotta love the obs these days.

just take it easy. i was on bed rest until 39 wks (diagnosed at 36 wk us) then had a section.

gl to you mama
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#20 of 29 Old 10-11-2008, 06:52 PM - Thread Starter
 
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I gained FIVE pounds yesterday. Is that normal???
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#21 of 29 Old 10-11-2008, 07:19 PM
 
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Hi Sage, I'm sorry to hear about all your stress! I have learned the hard way myself (more than once!) not to research potential health issues online!!

I had severe polyhydramnios during my 1st pregnancy. I ended up being in one of the *rare* worst case scenarios. The u/s techs thought they were seeing ovarian cysts on the screen but they were actually pockets of fluid in my dd's small intestine. She was born with jejunal atresia- no hole had developed in her small intestine so she wasn't digesting the amniotic fluid like babies are supposed to. I will spare you the details.She nearly died, had abdominal reconstruction surgery when she was 22 hours old, lived in the ICU her first 6 weeks of life & it was the most terrible thing I'ver ever lived through. And I was just 17! BUT, it is so rare that one ends up in the "worst case scenario"! In fact, I'm not even sure why I'm telling you about my experience because all it's going to do is stress you out!!

Seriously though, in all the 17 yrs since she was born I've come across many mamas who had or have polyhydramnios but I have *yet* to meet a mama who's baby was actually born with a similar birth defect as mine was. The internet is full of the scariest stories but most of the time, things turn out just fine.

I will be thinking positive thoughts for you. I hope you get some reassuring answers asap!!

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#22 of 29 Old 10-11-2008, 10:34 PM
 
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I can't help with the polyhydramnios, but as far as the big babies go... Sometimes like 75% of large babies are born to moms who DO NOT have GD. Yes, the GD screen does miss a few cases of GD. But it's more likely that your baby is just big.

My first baby was 7lbs 10oz and my second was 9lbs 8oz. I did not have GD either pregnancy.

Can you get your hands on a copy of Henci Goer's Thinking Woman's Guide? I'm thinking there might be something in there on polyhydramnios.
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#23 of 29 Old 10-12-2008, 11:04 PM - Thread Starter
 
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OK.. I'm getting concerned. On Friday I went from 195 to 200 lbs, in a day. On Saturday no gain or loss. This morning I was 200.3 and now I'm 204.8. I just spent 5 hours at the hospital and all my blood work is fine, my blood pressure is ok. This must be from the polyhydramanios right? But this can't be a good sign.

For those of you who have had it before, did you gain like this??
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#24 of 29 Old 10-12-2008, 11:22 PM
 
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It might just be fluid retention. I've been gaining like that just from fluids, and I can tell because the carpal tunnel symptoms have gottne much worse. You've been at the hospital, what was their take on the weight gain?

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#25 of 29 Old 10-12-2008, 11:26 PM
 
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I had polyhydramnios. I had GD and I also had pretty bad PIH so I was in for an u/s or BPP plus BP check every other day. I went in one day and fluid levels were about 60%. 2 days later I was at 97%. I would gain and lose up to 10 (yes TEN) pounds in one day.

I was induced because of my fluid levels and BP at 38+6. FTR DD was 6lbs 10oz.
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#26 of 29 Old 10-13-2008, 12:37 AM - Thread Starter
 
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I told them that I gained 5 lbs in one day and they said they'd need to keep an eye on my blood pressure. I hadn't weighed myself for the second time at the time I was in the hospital.

Livvie'smom, how early were you induced?
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#27 of 29 Old 10-13-2008, 02:59 PM
 
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Hi Sage_SS. I have no experience with polyhydramnios but your thread sparked my interest. I have a borrowed copy of the Henci Goer book (Thinking Woman's Guide) so I looked it up in there last night - unfortunately I found nothing. So don't go out of your way to get a copy of that book hoping to find something about polyhydramnios in it!

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#28 of 29 Old 10-13-2008, 06:03 PM - Thread Starter
 
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ok, thanks for the heads up Limabean!
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#29 of 29 Old 10-13-2008, 10:19 PM
 
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Bummer, I was hoping Henci Goer would have something for you.

Normal fluid retention in pregnancy can cause you to lose/gain several pounds during the course of a day. That's why you are supposed to weigh yourself at the same time every day, even when you're not pregnant. Also using different scales can show a difference of several pounds.

Hang in there, and try not to get too freaked out.
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