33 weeks pregnant mother

Question: Is afi 4 cm grade 2 maturity is indicative of immediate cs at week 32?

1 Answers
Answer: Hi dear, Your AFI is too low.Amniotic fluid index(AFI),should be anywhere between 10- 18. Ideally 12 is good. But since your level is borderline,I would advice you to consult doctor.as high AFI could make the normal delivery difficult and you could deliver through c section .also low AFI could give you preterm delivery. low AFI has few reasons: 1- birth defects,which could give kidney problems or urinary tract issues in baby 2-placental problem.if the placenta is not providing enough nutrition to baby,then baby would stop recycling fluid 3-if mother has fluid early leakage 4- maternal complications like diabetes,high BP 5- dehydration Risks: 1- baby could not develop lungs and muscles well.as from second trimester,baby starts to swallow the fluid and recycle it 2- increased chance of miscarriage or still birth 3-preterm birth Treatment: 1- plenty of fluids to be taken.barley water is good in such conditions. 2- some cases IV fluids are administered 3- injecting fluids through amniocentesis 4- amnio infusion through catheter during labor
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