Patient's question:
At 37 weeks and 3 days, the ultrasound shows a biparietal diameter of 92mm, femur length of 72mm, chest diameter of 71mm, abdominal diameter of 98mm, and amniotic fluid of 48mm, which is considered the normal lowest value. The placenta is grade II, and the position is LDA. Regarding the previous treatment and its effectiveness: The doctor now says there is low amniotic fluid, and it will continue to decrease after 37 weeks. The umbilical cord is wrapped around the neck once with mild indentation. Yesterday's fetal heart monitoring data showed about 10 minutes with a rate of 180 beats. The doctor recommends a cesarean section, but I want to have a natural birth. Can my current condition allow me to try a vaginal birth first?Doctor's answer:
If the largest dark area is normal, if it is exponential, it means oligohydramnios. The risk of natural labor is relatively high. If it is indeed oligohydramnios, it is recommended to have a cesarean section, which will be very safe. If you give birth naturally, the risk of fetal breathing difficulties and risk of death is higher, and it is very likely that during the trial labor, due to fetal distress, it will be converted to a cesarean section.For the patient, if the cesarean section condition is severe, immediate symptomatic treatment and appropriate medication should be administered. Otherwise, it may lead to a recurrence of cesarean section. In addition, the patient needs to pay attention to their diet and psychological care. I hope the answers to the above questions can help everyone. Thank you.