polyhydramnios at 24 weeks

I'm so glad I found this forum. Hopefully someone will have some advice for me.

I'm 24 weeks with b/b twins. At my 20 week level II ultrasound, my perinatologist told me that Baby B had extra amniotic fluid. It was only slightly high and he didn't seem too concerned, but did send me for a GD test (which was negative). He said it could be caused by anything from GD to a major birth defect, but there were thousands of reasons why this could happen and sometimes the baby is fine and they never find a cause.

My regular ob told m not to worry about it, he sees it a lot with twins and while it should be followed, didn't think it was a big deal.

Okay...I'm at my 24 week ultrasound to re-check fluid and check babies weight. Now we have extra fluid in both babies, but the ultrasound tech said it was only slightly elevated and she really didn't think it was anything to worry about because they babies looked great otherwise (no fluid pools in their anatomy).

Well, the receptionist called today to say that my Peri had reviewed the films and now they want to see me weekly. Of course, it's Friday and I can't talk to the doc and I'm kinda freaking out (a little).

If everyone keeps saying it isn't a big deal, then why do they want to see me every week????

Anyone have any experience with something like this?? Any advice is appreciated.

Thanks!

 

not sure y they would say all is well but wanna see u every week.... perhaps just to monitor the fluid to see if it increases would be my guess.... but heyy look at it this way better safe than sorry good luck to u hun hope everything turns out well

 

It sounds to me like they are just being careful. If they really thought it was something to worry about, they would have recommended more testing and giving you tons of worst case scenarios. I am glad they are doing the extra monitering just in case.

 

I also think they are trying to be proactive and overly-cautious. It isn't uncommon to have polyhydramnios, but it is a reason to watch extra close to make sure there is NOT an issue developing. Especially at the stage you are at, the earlier they catch something, the better the chances of overcoming it. You only have a few weeks until your babies have an excellent chance at life if born -- and even if they were born now they have a chance. Since they don't see anything else going on, I would bet the babies are doing great and that there is nothing to be worried about. I think it is great that your doctors are going to watch so closely though! My prayers are with you-- I do think it will all be just fine! Are your babies sharing a placenta?

 

Did they actually diagnose you with polyhydramnios or did you just use the word to describe? I ask because I did the same thing! My OB kept talking about how much fluid I had and it was nothing to worry about but of course I freaked out and looked it all up on line and came up with it on my own. After three weeks of worrying I finally flat out asked if I had TOO much fluid and he said no. I had a "nice" amount to see clearly on ultrasounds (which is the only time it was mentioned). He also mentioned that he expects extra fluid with twins vs. singletons and they just monitor it more closely. I would guess they're seeing you weekly just to be safe. And I bet that your twins are fine!

 

It was a diagnosis. At my 20 week Level II, Baby B was diagnosed, but Baby A was only on the high side of normal. At the 24 week ultrasound, Baby A was well over the limit too.

I'm sure my doctor is being cautious, just like you all said. I really hope this turns out to be one of the "unexplained" cases of extra amniotic fluid.

I may ask for a repeat on my GD test, because I think the lab might have messed it up. They took my blood BEFORE I drank the glucose and realized the mistake afterwards. Now I'm wondering if they got rid of that vial of blood or not.

Anyway, I'll keep you all posted. Thanks for listening and for all your support.

Cheers!

 

I had polys with my twin A but she had anencephaly which causes polys. Just take it easy because they can cause ptl. I'm not saying this to scare you or freak you out, just talk to your doc and keep those babies bakin as long as possible!

 

So sorry for your loss. Thank you for the advice.

Peyton is beautiful. We wish you a short NICU stay!

 

My baby B had a low fluid level and they checked us weekly - they are probably being careful - things can happen very quickly and it is better to be overly cautious!!
congratulations on your sweet boys!!!!

 

I had that diagnosis with my first singleton. My GD glucose test came out normal, but I still feel that the problem was blood sugar related. They didn't do anything about it, they just monitored me closely. By 37 weeks, I was measuring 44 and my peri estimated that the baby weighed 9.6 and I had so much excess fluid that she was still floating! When she was born, she was healthy except that he blood sugar dropped dramatically right after she was born and she had to spend a few days in the NICU on a sugar IV until her glucose leveled itself out. Neither my Dr. or the neonatologist were able to tell me why it happened.

Now I'm in my 16th weeks with twins and I'm being much more careful about my diet than I was the first time. I'm staying away from corn syrup and sugar and making sure that all my my meals are high in protein as well as carbs. Most likely my glucose will come out normal again, but I'm going to treat myself as though I'm on a GD diet just in case. Hopefully it helps these two!

 

My sister had this with her first dd... they watched her closely and were especially concerned b/c she seemed so tiny....but my sister's in laws are all tiny, so it was really just a genetic thing and not as a result of pg complications... She did get a lot bigger than I did with my first... And we are id. twins... I had an 8lb baby and she had a 6lb baby...and yet she was huge compared to me... it was the extra fluid!! I think as long as they can see that the placenta is functioning well and the kidneys and bladder are working then the only other thing to be concerned about is if your uterus gets irritated from the extra growth as a result of the fluid... But like some of the pp have said, you are so close to having a much better chance of viability....even holding off until 30 weeks isn't so far away...

 

I had this with my twin pregnancy around 25 weeks. MY GD test came back normal. My peri said sometimes they see this and there is nothing to be alarmed about, that it is more common in twin pregnancies. I was monitored more frequently. They wanted to keep an eye on the fluid levels because too much fluid could cause PTL. In my case, I developed PTL and went on bedrest. My peri put me on indomethacin for a few days at a time to help reduce the amount of fluid when I became very uncomfortable. Babies were born healthy at 36w6d. The more frequent monitoring should ease your worries. It sounds like they are just trying to be cautious. Hang in there!

 

Thank you, thank you everyone! I'm feeling so much better about it. I have my first weekly visit with my peri tomorrow. I'll let you know how it goes.

Cheers!