Patient's question:
Patient Age: 27Condition Description: On August 12th, ultrasound showed biparietal diameter (BPD) of 90mm, femur length of 72mm, placental maturity of grade 3, and amniotic fluid (10–30mm). The doctor measured the pelvic inlet as 8.5cm. The estimated due date is August 6th.
Past Treatment and Effect: The doctor suggested induction of labor, but the trial was unsuccessful, and a cesarean section was required!
Desired Help: Under these circumstances, should we wait and see if a vaginal delivery is possible, or should we go to the hospital for induction of labor? Is induction possible, and what is the likelihood of success?
Doctor's answer:
Hello, strictly speaking, you are already 41 weeks pregnant and have low amniotic fluid, which means it's time to take measures. The normal range for the depth of the amniotic fluid pool is 3.0 to 8.0 cm. The normal range for the amniotic fluid index is 5.0 to 20.0 cm. The latter is more commonly used now. If the amniotic fluid index is less than 5 cm, the possibility of fetal hypoxia is relatively high, and a vaginal birth is more likely to lead to fetal hypoxia, requiring early cesarean section to terminate the pregnancy. Whether you can have a vaginal birth also depends on whether your cervical condition is ripe. Only if your cervical condition is ripe is it possible to have a vaginal birth. It is recommended that you monitor your baby's health and, if there are any abnormalities, undergo cesarean section to terminate the pregnancy at any time to ensure the safety of the baby.