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Discussion Starter #1
Hello ~<br><br>
Today was a wonderful day because I got to see my little love! The baby looks great and has a normal body weight. However, they did detect that we have SUA or single umbilical artery. That means instead of 1 vein and 2 arteries, there is only one vein and oen artery. The doctor told me not to worry....... I can't do that! I did some research online and 1/2 - 2/3 of all cases everything is fine. However, there can be problems, and 1 in five babies have multiple problems......<br><br>
Anyone have this or have had it????? Anything you can share with me??? I am worried.
 

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Your doctors will likely keep a close eye on problems because of the 2 vessel cord, but everything will probably be just fine and baby perfectly healthy.
 

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I'm going to copy/paste a post I made earlier this week about it in another thread on this board.<br><br>
My daughter had a single umbilical artery. We found this out at the big 20 week ultrasound when the perinatologist oh so casually mentioned it. I was scared. I wouldn't google this. You'll find a load of stuff that will make you stay up at night. I scared myself silly and spent the next half of the pregnancy worried about the baby. It's no wonder my bp went up in the third trimester. Our peri told us that he believed our daughter had the two typical umbilical arteries but early in the pregnancy one disintergrated for whatever reason. The remaining artery grew larger to compensate. It's just one of those things that happen. There are many of us walking around who probably had SUAs but we don't know since back in the day there weren't these super duper ultrasounds. An SUA would have been discovered when the doctor cut the cord.<br><br>
A SUA is in and of itself not an anomaly but it can lead to anomalies in a small percentage of babies. I think something like 70% of babies with an SUA are perfectly normal and healthy. The rest may have kidney or heart issues but if the ultrasound shows the kidneys and heart are fine, I wouldn't worry. My daughter's ultrasound showed her kidneys and heart were fine. If I'm not mistaken the heart and kidneys are affected because the same tissue that forms the heart and kidneys have something to do with the umbilical artery. Someone correct me if I'm wrong.<br><br>
I had to do a couple of NSTs in the last few weeks of my pregnancy but that had more to do with my mild pre-eclampsia than the SUA. My ob wasn't concerned about the SUA at all. There wasn't any talk of induction or a section because of the SUA. I ended up having both but for reasons wholly unconnected with my daughter's umbilical cord.<br><br>
Something like 1 in 100 woman whose babies have SUAs have intrauterine growth restriction so doctors tend to monitor the baby's growth more closely if there's an SUA.<br><br>
And my daughter is perfectly fine today. She's met all her milestones. I wish you all the best. I'm sure things will turn out just fine. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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My story - We suspected an SUA, even though the OB and Midwifes refused to tell us. The reason we suspected is I was watching the tech and noted the 2V CI and then the mention of 2 vessel cord present in her notes she typed up. Our care providers totally failed to tell us and monitor the pregnancy closely because of this. I had one additional US, 4 weeks later under the guise of checking the hand they could not see. We asked 3 different times about everything being ok, when all three times the answer was yes, we figured the OB saw something different on the two US's we had done.<br><br>
I had my 1st US at 31 wks. Baby was measuring 33 w 4 d. My follow up US was at 35 w. Baby was measuring 35 w 2 d. That was the only monitoring my care providers offered/provided. Even when she was breach for the last 3+ weeks of my pregnancy, they refused to do anything, saying they would handle it in L&D.<br><br>
At birth, we had some of the many common problems that are associated with SUA's....she was by far the smallest of my two children (DS1 was 9 pounds 2 ounces; DS2 was 10 pounds; DD1 was 7 pounds 6 ounces). There was virtually no amniotic fluid left when I know my water never broke or leaked out. She was also born silently, which is one of the potential complications of an SUA.<br><br>
My advice is to advocate for yourself and research the potential complications and effects. I know another lady whose baby had this and was born with heart problems. I wouldn't take the SUA lightly, and I would read the research even though it is scary, because at least you will know what could happen and do whatever is in your power to prevent it. I was petrified when I researched SUAs about the very real possibility of stillbirth or very early death after birth --- but I also had people re-assure me everything would be fine.<br><br>
Had we ben told that we had an SUA, we would have demanded more monitoring towards the end in the form of NST's; We would have demanded that they turn my daughter through external version instead of allowing them to just push off the fact she was breach. We would have done so many things different. It is sometimes recommended that these babies be born at or before you hit 40 weeks.<br><br>
The autopsy could not make a definate ruling as to the cause of death, but the SUA was confirmed in pathology. They put the cause of death was probably a "True Knot" in the Cord, but they could not confirm it.<br><br>
I guess I am the one person who is going to tell you to research, read what you know, and be prepared....if you don't feel things are right with your pregnancy advocate for yourself in it with this condition, because there are some really serious and multiple complications, including death, that can result from it.<br><br>
We lost our daugther to stillbirth at 40 weeks 2 days on Oct. 12, 2006. That is a day in my life I will never forget for as long as I live.<br><br>
Our providers may narrowly escape a lawsuit because the proof is so tenious, but in my heart I don't think I can ever forgive them for misleading us and not giving us the opportunity to make informed decisions that could have prevented our child's loss.
 

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I cried for days after the 20-week ultrasound because I was so scared. My whole feeling regarding the pregnancy went downhill from that point. What had been something happy was tinged with fear and worry. When I said "don't research or google" I was trying to prevent the OP from going through what I went through but perhaps that's wrong of me to do so. What works for me may not be right for another mama or her baby. You do raise a good point. We should all be advocates for ourselves and our babies because no one else will or can do that. I'm truly sorry for your loss, Khaoskat. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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Discussion Starter #6
Thank you for your postings!! I really appreciate them. It has been a long and emotional day. I did do the google search as soon as I got home from my appointment. It was definitely very scary to read all the possiblities. However, she is very healthy right now and I am going to pray that she stays healthy. I am so so so so so so so so so sorry for your loss khaoskat! I am going to push with all my being to make sure that my baby gets checked in the right ways. Thank you for your words because I really needed to hear them.
 

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Didn't read the other posts, so sorry if I am repeating anything.<br><br>
I am 34 wks with SUA. My perinatalogist told me that since the baby checked out fine on the u/s that the babe is at no higher risk for any anomalies than any other baby. I found that it is a bad idea to read about SUA on the internet, better to talk to the dr about your specific case as really SUA is just a variation of normal in many cases. I was told that the only thing I needed to worry about was water level and IUGR. I am now going in once a week for NSTs and fluid checks. Everything has been going great. The fluid level is something they worry about because the cord is smaller (even though that 1 artery may be larger than usual) and hence if there isn't sufficient water there could be an internal cord accident. I have 1 more appt with my peri for a growth scan and as long as everything keeps checking out I will continue the once a week NSTs and AFIs. If something starts to not look right I will go in twice a week. Although I am at the dr alot now, my dr is really relaxed about this.<br><br>
I cried too when I found out, but once I got all of the facts it is not something that I worry about at all (and I am a worry wart). I am much more concerned about my borderline bp than the SUA.<br><br>
Good luck!!<br><br>
Beth
 

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Thank you Beth for your response!!! I pm'd you with some questions. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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My youngest DS had a SUA...I had a couple of extra ultrasounds to monitor growth and non-stress tests a few times at the end; he was born completely healthy and over 9 pounds--so no problems growing! I think they did do an ultrasound after he was born to check his kidneys, but I can't remember if that's because of the SUA or because my older son had kidney reflux (we're kind of a mess of obscure, relatively minor health problems around here <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">)
 

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My second daughter had SUA. It did involve lots and lots of NST's and BPP's - weekly in fact from 28 weeks. She was very healthy, but I did end up with a c-section. She wasn't tolerating even the smallest of contractions at 41.5 weeks so they sectioned me. I believe her cord (which was super, super thin by the way) was compressed.<br><br>
They did ultrasound her kidneys when she was born and did lots of extra tests. She lost more then 10% of her body weight in the hospital so we had to stay an extra day to be sure her kidneys were working properly. They did tell me that if she didn't stop losing weight they'd IV her, but my SIL donated some breastmilk and she perked right back up.<br><br>
The only anomaly we've noticed with her, is that her ears are completely different shapes - we joke she's got an ear from me, and one from my husband. Everything else appears to be completely normal.<br><br>
It's such a scary diagnosis because there's not much info out there, and what info there is is truely frightening. I have heard lots and lots of positive outcomes ancedotaly (sp?) though, so try not to worry too much. If the ultrasound doesn't show any other problems, most likely everything will be just fine.
 

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My friend just delivered a perfectly healthy (and nearly 10 pound!!!) girl with SUA. There was some concern about size, but obviously that is just a "concern" and isn't always a necessary worry.
 

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Thank you ladies for the additional responses! Since I orginally wrote this posting in April I am feeling so much more postive and I just feel so much faith that she is going to be okay!<br><br>
Thank you again for the positive stories!! I just know that my little one is going to be healthy and strong too!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Hi Rachel,<br><br>
Just to put your mind at ease more, I just had my last growth scan with my perinatalogist last week. I was just shy of 36wks at the time and the u/s showed the baby to be 7lbs already (that puts baby in 77th percentile) and my water was great (it measured 23 that day). The baby has been looking great at all of my NSTs and I was told last week that there appears to be no reason to induce even at 40wks and that as long as things continue as they are I will be going into labor naturally! My only suggestion now, is to eat something right before they hook you up to the EFM for the NST (I always have a granola bar). I don't think it skews the results in the slightest (they never tell me not to eat it and I eat it right in front of the nurse). This will just wake the baby up so that he/she will perform for the test and will possibly save you from some needless worrying during the test.<br><br>
Beth
 

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Great suggestion Beth!!!! I will absolutely do that!!! THANK YOU!!<br><br>
I am SO happy that you and your baby are doing so well!!! That is so wonderful!!!!!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
Thank you again!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
Rachel
 
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