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35 weeks pregnancy High BP with Low AFI
Hi, I am 35 weeks+ 1 day pregnant. My bp remains around 120/90-95. My afi was around 7.3 in ultrasound done 3 days ago. It also says nuchal cord around neck loosely. Growth is seen normal with baby's weight around 2300 gms with normal Doppler readings. I am taking depin 10 mg twice a day for bp and arg 9 pouch 3 times a day for increasing afi. Can I hope for normal delivery without risk or c-section is the only option. also, is it necessary to take steroid injection for lungs maturity at 36 weeks. Please suggest.
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Steroid injection you may take. Keep a watch on baby movements Normal delivery depends on many factors like clinical examination findings, baby weight, head descent, progress in labour, your blood pressure, fluid around baby Your treating gynecologist is best to decide and guide you Connect for more details and information here Go to my website www.familygynaec.com For articles on pregnancy advice Blog section YouTube channel Dr Harita Kothia videos
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AFI will not allow u to have normal delivery With Only bp issue normal delivery can be achieved using eclampsia preventive measures Low Af is direct threat to baby Steroids to secure lung maturity followed by section wud be right approach
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Normal delivery is possible, avoid stress, monitor blood pressure,lie on left lateral position, drink adequate water, observe for baby movements.can take injection.if everything is normal you can wait for normal delivery
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Yes please take steroid injection for baby lungs maturity
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Since yours is a high risk pregnancy there are more chances of Caesarean section
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Trust your treating doctor
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Good evening.. We can try for Normal delivery with these complications (like Bp and Low AFI) unless AFI becomes very low or baby heart rate becomes abnormal or BP shoots up and it complicates further . -Yes U should take Steroid injection 2 doses 24 hours apart each- for baby s lung maturity, which helps in having a healthy baby even if u have a preterm baby. -Eat healthy, restrict salt intake , have plenty of fluids, glucose water, coconut water. - monitor BP at home once daily and more the readings and show to ur doctor ( she ll adjust the medication accordingly) - Watch for fetal movement’s - more than 3-4 movements in one hour should be there . If less or no movement , drink hot milk or water , wait for one more hour ,if less immediately see ur doctor.
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Get AFI test twice weekly and fetal doppler weekly once . - if Fetal Doppler is not yet done .. please get it as soon as possible. ( we will know how the blood supply is going to the baby from mother ) . - we should drag the pregnancy till 38 weeks and if everything goes good , can induce and try for normal delivery.
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Hope everything goes well .. all the best.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.