Another problem diagnosed
Fifth baby and I am learning new things all the time
This time it seems that I have Moderate Polyhydramnios
Too much amniotic fluid
In our NHS Trust they diagnose Polyhydramnios
By measuring the depths of pockets of fluid around baby
My deepest pocket from 28 weeks has been at almost 8cm
Anything over 8cm is Moderate Polyhydramnios
My deepest pocket yesterday was 9.6cm
The sonographer did not seem overly concerned
She checked that I was being seen by my midwife soon
And we set up a Consultant appointment for Monday
But apart from that I was given very little information
It is on coming home that I have read about the possible reasons
For having excess fluid
Gestational diabetes is mentioned again
But also fetal abnormalities
Perhaps baby is peeing too much
Or not swallowing enough
None of this was talked about at the appointment yesterday
There was no mention of cord prolapse
Or baby being unable to settle into a position for birth
Of the need for a controlled release of my waters
Or being induced early
Another reason added to the list I have been given
To opt for early induction
Do you know recently I have been grieving never being pregnant again
Feeling so sad about the last 4 weeks ever with a bump
But this has cured me
I am done having babies
I want my daughter here
And then I never want to go through this again
Our family will be complete
And we can begin the next
Post baby making
That sounds magical right now
But first we must get our Sprinkle of Stardust here safely
And pray that she stays
So what is Moderate Polyhydramnios?
Polyhydramnios is where there is too much amniotic fluid around the baby during pregnancy. Amniotic fluid is the fluid that surrounds your baby in the womb.
Too much amniotic fluid is normally spotted during a check-up in the later stages of pregnancy.
It isn’t usually a sign of anything serious, but you’ll probably have some extra check-ups and will be advised to give birth in hospital.
What are the causes?
It’s often unclear why too much fluid sometimes builds up during pregnancy, but it can be due to:
a twin or multiple pregnancy
diabetes in the mother – including diabetes caused by pregnancy (gestational diabetes)
a blockage in the baby’s gut (gut atresia)
a problem with the placenta
the baby’s blood cells being attacked by the mother’s blood cells (rhesus disease)
a build-up of fluid in the baby (hydrops fetalis)
a genetic problem in the baby
Most babies whose mothers have polyhydramnios will be healthy.
With the diagnosis comes an increased risk of premature birth
An increased risk a prolapsed umbilical cord
A problem with baby that may well require treatment after birth
Polyhydramnios also means that birth choices may well be limited
To keep mummy and baby as safe as can be
Even if your baby seems fine, and you don’t have to go to a specialist hospital, you’ll be carefully monitored during labour. This is for a number of reasons:
The extra fluid in the womb makes it difficult for your baby to settle his head down into your pelvis. So if the umbilical cord is pulled down into your vagina and in front of his head, your doctor may recommend an emergency caesarean.
The placenta may come away early if your womb suddenly shrinks as the amniotic fluid is released.
You have an increased risk of heavy bleeding (haemorrhage) after your baby is born because your womb has been stretched, so your doctor or midwife is likely to recommend a managed third stage.
If you have diabetes, which can cause your baby to be bigger, or if you simply have a big baby, your midwife will monitor the progress of your baby during the pushing stage for signs that his shoulder may have become caught. Most big babies don’t get a shoulder stuck during the birth, although diabetes and a big baby do increase the chance of it happening. If it does happen, your midwife or an obstetrician will help you get into a position that frees your baby.
If your symptoms are getting worse and you’re in late pregnancy, or your baby is showing signs of distress, your obstetrician may recommend your labour is induced. This is likely to involve breaking your waters. If further complications develop, your doctor may recommend a caesarean.
So there is a lot to digest
And I am now trying to rest as much as possible
And have turned into a demon symptom spotter
I am at the hospital to see a Consultant on Monday
And I am going armed with questions
And I want to try and make a plan for birth
I have been told many times now that I should be induced
Because I am over 40
Because Sprinkle is large for gestation
And now because of this excess fluid
So if I am to be induced
I want to make a plan
For the earliest safest time for that to happen
I want my baby here
I want her to be in my arms
Healthy and well
And in the meantime if someone would like to give me some good news
That would be very much appreciated
By a tired and emotional older mummy to be
Trying to make the most of her last ever weeks of pregnancy