Is an AFI of 1.9 inches at 28 weeks of pregnancy concerning?

Question

Hello doctor,

I am currently 28 weeks pregnant, and I underwent an ultrasound last week, and the AFI level came to around 1.9 inches. The baby's growth is good (more than 1000 g). My NIPT results were also normal. I wanted to check and discuss with a gynecologist through video conferencing regarding my AFI level and the precautions needed by me. Here is the snapshot of the observation:

Growth: Good.
Doppler: The Doppler flow profiles are normal.
Amniotic fluid: Oligohydramnios
There is no evidence of structural abnormalities.
Ultrasound type II in singletons and first multiple births - 339486Q. Thank you for your referral for suspected fetal growth restriction (AC p0) and oligohydramnios, AFI 2.7 inches.
NIPT includes incidental findings normal.
ETSEO normal.
TTSEO normal and normal biometrics
Your findings were partially confirmed. The growth restriction was not observed here. Normal biometrics with EFW p26. No indications of structural abnormalities as far as can be assessed at this time (incomplete research). Normal Doppler profile.
An oligohydramnios with AFI 1.9 inches.
Findings discussed with the couple.
There is currently no obvious cause for the oligohydramnios.
The kidneys are bilateral and appear normal. There is also bladder filling and normal genitalia seen.
There is also no story of broken membranes. Sometimes, oligohydramnios is the first manifestation of placental insufficiency. This is not seen today in biometrics and dopplers. Revision agreed here to follow up. Until then, care with your own healthcare provider.
Depending on the next check, advice will follow further pregnancy guidance in the first or second line.

I am also sharing the blood test results. Is it possible to have a video call today?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

It shows that oligohydramnios mostly seems due to an idiopathic cause. So, there are no abnormalities, no specific reason, no preeclampsia, no diabetic conditions, no fetal anomalies seen in the report (attachment removed to protect the patient's identity), and no chromosomal abnormalities as per your NIPT (noninvasive prenatal testing) report.

I can answer your video call anytime. You shall follow some international treatment protocols for it.

Regards.

Answer 2

Hello,

Welcome back to icliniq.com.

Micronutrients with supplements are helpful to increase the fluid level. Increasing oral fluid intake can help to maintain fluid levels. You have to watch for fetal movement counts daily, weekly ultrasound scans, and biophysical profile assessments are required for fetal well-being till 34 weeks of gestation. Fluid is required for the fetus to have all nutrients, clearance of body fluids, and protection purposes.

I hope I have helped you.

Thanks.