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Childbirth

Share experiences and get support around labour, birth and recovery.

Unsure about low fluid diagnosis. Any experience to share?

3 replies

Matildaandthematches · 30/03/2011 20:09

Am nearly 40 weeks with first baby. At 36 weeks a routine scan (due to a BMI of over 30) showed reduced amniotic fluid levels (oligohydramnios). They weren't dire - the smallest pool of fluid was 2.8cm - but consultant advised induction at 41 weeks and continual foetal monitoring (scalp monitor) throughout labour as well as to go in as soon as contractions are ten mins apart. I was dead set on using the midwife led unit at the hospital and this would rule that out. The consultant would still support me having a low key birth at the MLU as long as I was aware of the risks but he really put the frighteners on me about there being a small possibility of brain damage or still birth due to cord prolapse so I decided to go with his recommendation.

Fastforward three weeks and I had another scan as wanted them to check the baby's movement and this time fluid levels are back up to being completely normal. The consultant had told me there was no hope of this happening previously!

I'm meeting with him tomorrow to see what he says about the new results. Obviously the hope is he'll say 'all fine now, go with your natural birth in the pool, no monitoring, no induction etc', but in my experience consultants won't often admit they are wrong!

Any ideas on what I should ask him tomorrow or how to make the decision on whether to go with the consultant's recommendation and be on the safe side or go for the birth I always wanted now that the fluid looks fine?

I've read lots of stuff on the internet on oligohydramnios saying that unless there are other indicators such as poor growth in the baby etc, it is often a misdiagnosis. On the other hand, this is a much wanted baby after recurrent miscarriages. If there's any real risk involved I'm happy to bin my birth plan and let them do whatever is necessary... Anyone had any experience of this?

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AgruminoMum · 31/03/2011 07:16

I am having similar discussions with my doctors (currently 41w+3), and came across this study (recommended by a fellow MNer):

www.jfponline.com/pages.asp?aid=1847&UID=

It sounds like it really depends how much the AFI (amniotic fluid index) is, see chart at the end of the article. If AFI is lower than 5, induction should be considered, while anywhere around 5-8 is still a good level, and you might just have to drink enough liquids to maintain a good level... Good luck!

Matildaandthematches · 31/03/2011 14:45

Thank you. That's really interesting. I went in this morning and they agreed the oligo is nothing to worry about now but sounds like the fact that it was ever spotted at all may still mean they won't let me use the midwife led unit at the hospital disappointingly.
Spectacularly they saw a trace of protein in my urine today so are now suggesting I stick with their induction and monitoring plan 'in case' it's preeclampsia. Wish I'd never bloody gone in now!
Hope you get the result you want too. My advice after this morning is keep a low profile! Reckon I've put the mockers on the whole low key birth thing by pushing so hard for it. Grrr...

OP posts:
AgruminoMum · 31/03/2011 19:01

Sorry to hear that! :( But if induction is at 41 weeks, so should still have about 10 days, which is plenty of time for things to start happening on their own... Probably best not to worry in advance...

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