Hydramnios

QUESTION

Dear Ms. Ultrasound
Thank you soo much for giving the opportunity to ask you a question that worries me very much.

I am 25 weeks pregnant and my doctor told me that my uterus is big and I have Hydramnios. My first child has 4 years old and I didn't have this problem when I was pregnant with him.

Until now my ultrasounds on my actual pregnancy were fine. I worry about Hydramnios because I was told that baby could have malformations or some infection or that even the excess of amniotic fluid can cause some birth defects. It is true? IF an infection is present in fetus or amniotic fluid can it be observed on an ultrasound?

May baby have hearts defects ? I must mention that since my second trimester I took a lot of intramuscular penicillin (benzathile penicillin , Two weeks 2x 2.4 mil unitsand-on 15/16 weeks pregnancy and after a month I repeated-24/25 week pregnancy) for that my VDRL test was uncertain.( I can't explain how or way , I even wanted to divorce) .

Please help me with an answer.Thank you very much.

ANSWER

Hello
Polyhydramnios or too much amniotic fluid can mean that there is a problem with the fetus.
The greater the degree of fluid the greater the likelihood of finding a major malformation.
Before you worry too much, you must find out from your doctor how much extra fluid there is. Sometimes it is borderline and there are no problems with the baby.
A thorough ultrasound of the baby should be done checking all the babies anatomy with a detailed looked at the heart. If this is fine and the baby is growing appropriately you can breathe a sigh of relief.
If after your follow up ultrasound you have any further questions, just let me know.
With regards,

--Jane, RDMS

Jane Foley

Jane Foley has worked as a Sonographer (Ultrasound Technologist) since 1979. Jane has lived and worked in many parts of the world including Saudi Arabia. She is a Registered Diagnostic Medical Sonographer or RDMS. She pulls a wealth of information from her experience in the field of Radiology and her interactions with such a broad cross-section of cultures she has visited. She now makes her home on the island of Maui with her English husband, Michael.