I have good news to report. My pregnancy has continued along smoothly in the last trimester. Other than getting tired, having lower back pain and pain in my hip joints (which is awful at times) things have been okay. The doctors have continued to monitor the baby’s velamentous cord insertion condition.
Today I had my final appointment with my high-risk doctor. He seemed optimistic and positive. The only thing that concerned me is that the baby’s amniotic fluid has continued to drop. It’s still in the normal range which is considered to be between 5 cm and 24 cm. Just last week on Monday it was 13 cm, then it dropped to 11 cm on Thursday and today it is 9 cm. [Update: days later I had another ultrasound and the fluid measured 16 cm. I guess that goes to show that the numbers change as the baby moves around. And I’m having different doctors doing the ultrasounds, and getting different results. So, it’s still anybody’s guess and doesn’t give me a lot of confidence that we “really” know how much amniotic fluid is surrounding the baby. I’ll just hope for the best. This is another area where the doctors know a lot but they don’t know EVERYTHING. But the doctors say don’t worry, so that’s what I’m gonna do. ;)]
I’m now almost 36 weeks along in this pregnancy, but the baby’s weight is measuring as if she’s 38 weeks along. She is about 7 pounds 10 ounces according to my high risk doctor. He says it’s no problem since I’m scheduled for a c-section. I’m wondering if she will come early since she’s bigger. I only have 3 weeks until my c-section, but it’s anybody’s guess.
The Importance of Amniotic Fluid:
The amniotic fluid is part of the baby’s life support system . It protects your baby and aids in the development of muscles, limbs, lungs and digestive system. Amniotic fluid is produced soon after the amniotic sac forms at about 12 days after conception. It is first made up of water that is provided by the mother, and then around 20 weeks fetal urine becomes the primary substance. As the baby grows he or she will move and tumble in the womb with the help of the amniotic fluid. In the second trimester the baby will begin to breathe and swallow the amniotic fluid. In some cases the amniotic fluid may measure too low or too high. If the measurement of amniotic fluid is too low it is called oligohydramnios. If the measurement of amniotic fluid is too high it is called polyhydramnios.
Too Little Amniotic Fluid:
Oligohydramnios is the condition of having too little amniotic fluid. Doctors can measure the amount of fluid through a few different methods, most commonly through amniotic fluid index (AFI) evaluation or deep pocket measurements. If an AFI shows a fluid level of less than 5 centimeters (or less than the 5th percentile), the absence of a fluid pocket 2-3 cm in depth, or a fluid volume of less than 500mL at 32-36 weeks gestation, then a diagnosis of oligohydramnios would be suspected. About 8% of pregnant women can have low levels of amniotic fluid, with about 4% being diagnosed with oligohydramnios. It can occur at any time during pregnancy, but it is most common during the last trimester. If a woman is past her due date by two weeks or more, she may be at risk for low amniotic fluid levels since fluids can decrease by half once she reaches 42 weeks gestation. Oligohydramnios can cause complications in about 12% of pregnancies that go past 41 weeks. (http://www.americanpregnancy.org/pregnancycomplications/lowamnioticfluidoligohydramnios.htm)