Patient's question:
Patient Age: 27Condition Description: On August 12th, ultrasound showed biparietal diameter (BPD) of 90mm, femur length of 72mm, placental maturity 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 Effects: The doctor suggested induction of labor to attempt a vaginal delivery. If the attempt was unsuccessful, a cesarean section would be necessary!
Desired Help: Should we wait and see if a vaginal delivery is possible under these conditions, 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 currently. If the amniotic fluid index is less than 5 cm, the possibility of fetal hypoxia is relatively high, and it is easier for the baby to experience hypoxia during a vaginal delivery, requiring early cesarean section to terminate the pregnancy. Whether you can have a vaginal delivery also depends on whether your cervical condition is mature. Only if your cervical condition is mature is it possible to have a vaginal delivery. It is recommended that you monitor the health of the baby and, if there are any abnormalities, undergo cesarean section to terminate the pregnancy at any time to ensure the safety of the baby.