Q. How does moderate bilateral hydronephrosis affect the foetus?
Hello doctor,
This query is regarding my sister-in-law, who is 19 weeks pregnant. She had a routine USG yesterday that showed the fetus has moderate bilateral hydronephrosis. What could be the reason for this doctor? Should she continue the pregnancy or not? Will it be life-threatening for the kid after birth, or will it have lifelong complications? Is it treatable?
I am attaching the report doctor. Kindly go through it and advise us. After trying for five years, it is a precious pregnancy, and there was a miscarriage in the last pregnancy in the first trimester.
Kindly help us.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
I have reviewed the report (attachments removed to protect the patient's identity).
Moderate hydronephrosis can be due to chromosomal anomalies or mild reflux in the renal system. If there are no other anomalies in the fetus, then she should get a quadruple marker done. If the risk of Trisomy 21 and 18 is low, then there is nothing to worry about.
The baby should get a postnatal ultrasound to confirm any pathology in the kidney. It is a minor anomaly, and you should not worry as there are high chances of spontaneous resolution.
I hope this helps.
Thank you and take care.
Hello doctor,
Thank you for your reply.
Her quadruple marker test is already done, and results are expected. I am attaching the report for your review.
The USG I sent earlier does not show any other anomaly, right? And if there is no spontaneous resolution, does the kid has to undergo surgery?
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
The serum screening is regular, as in the report. So, there is nothing to worry about. The treatment, whether required or not, will depend upon the cause. It may be a mild cause and will not need any treatment. It will depend upon the postnatal evaluation of the baby.
I hope this helps.
Thank you and take care.
Hello doctor,
Thank you for the reply.
The USG was repeated for my sister-in-law, and a detailed USG was done.
I am attaching the report (attachments removed to protect the patient's identity).
Kindly review and give your advice.
If there is an obstruction, will it cause oligohydramnios further in pregnancy? Also, it is manageable, right? After delivery? Any chance of long-term complications?
Kindly review the report (attachments removed to protect the patient's identity) and advice. It will be beneficial.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
In this scan (attachments removed to protect the patient's identity), the renal pelvis dilatation is mild (less than 7 mm), and the amniotic fluid is adequate. There are no soft markers of chromosomal anomalies, so there is nothing to worry about at this stage. It is unlikely to cause any oligohydramnios in further gestation. Mild pyelectasis is unlikely to cause any long-term complications in the baby. However, the same treatment is to be suggested only after the diagnosis.
I hope this helps.
Thank you and take care.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
I have hydronephrosis in the left kidney. Can medicine dissolve kidney stones from that kidney?
In ultrasound, I came to know that I have two kidney stones, 44 mm in the left kidney 65 mm in the left ureter ... And I have hydronephrosis in the left ... Read full
Should I be concerned about fertility and pregnancy complications due to bicornuate uterus?.. do not require treatment for a bicornuate uterus. If there is a need, then a surgery called Strassman metroplasty is done. This surgery is recommended for women having repeated miscarriages. Usually, a bicornuate uterus will not affect fertility. ... Read full
Impacts on Pregnancy and Lactation After a Bariatric SurgeryObesity is known as a major risk factor in developing numerous chronic conditions, including diabetes, cardiovascular disease, musculoskeletal disorders, and various types of cancers ... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
Also Read
Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ... Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also... Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte... Read more»
Ask your health query to a doctor online?
Ask a Fetal Medicine Specialist Now* guaranteed answer within 4 hours.
