My scared in pregnancy

Selepas antenatal check up hari ni, fikiran ummi agak terganggu. The ultrasound result showed ummi has polyhydramnios ( AFI 29), or in lay man term air ketuban banyak.

Rasanya pregnancy kali ni betul-betul merisaukan ummi.
In early pregnancy, ummi had low lying placenta. Time tu dok risau takut placenta ummi tak naik2 sebab if possible ummi tak nak lagi undergo caesarian section. But now placenta ummi di 'consider as' placenta praevia type I-II. The specialist said she will allow me for normal delivery but low threshold for caesar.

Next, ummi was found to have soft murmur..( maknanya ada added sounds pada jantung). Proceed with ECHO ( detail scan for heart) , noted ada trivial TR, mild PR and MR. I was referred to medical, but everything goes fine. Maybe normal physiological during pregnancy. I wish to repeat the ECHO again after this pregnancy. Mana tau kot2 memang betul ummi ada murmur pasal dulu ummi selalu dapat syncopal attack.

Then, ummi have to do MOGTT ( ujian untuk check kandungan glucose dalam darah in pregnancy women) sebab from urine dipstick glucose 4+. Tapi ummi rasa mungkin sebab time tu ummi baru lepas breakfast. Anyhow, to be in the safe side, better ummi buat. Tambahan lagi Khaira dulu besar, birth weight 3.85kg. One of the causes for big baby is gestational diabetes mellitus. Dulu dah dapat order ummi kena buat MOGTT post natal, tapi ummi defaulted. Syukur alhamdulillah result normal.

Today, the other problem yang timbul. ..POLYHDRAMNIOS.
They will proceed with detail scan this friday or next friday because this scan need to be done by feto-maternal specialist.

Ummi takut...sungguh..ummi betul2 takut.
Ummi hanya mampu berdoa.
Ya Allah, kurniakanlah aku anak yang sihat sempurna. Ya Allah..berkatilah anak di dalam kandungan ku ini...

" Allah tidak membebani seseorang melainkan dengan kesanggupannya. Ia mendapat pahala (dari kebajikan ) yang diusahakannya dan mendapat siksa ( dari kejahatan ) yang dikerjakannya. Ya Tuhan Kami, janganlah engkau hukum kami jika kami terlupa atau tersalah. Ya Tuhan kami, janganlah engkau bebankan kepada kami beban yang berat sebagaimana Engkau bebankan kepada orang-orang yang sebelum kami. Ya Tuhan Kami, janganlah Engkau pikulkan kepada kami apa yang kami tidak sanggup kami memikulnya. Beri maaflah kami, ampunilah kami dan rahmatilah kami. Engkau penolong kami, maka tolonglahkami terhadap kaum kafir"
- surah Al-Baqarah ; 284-286

------------------------**---------------------

A bit about polyhydramnios.....

Polyhydramnios may result from failure of the fetus to swallow and absorb amniotic fluid in normal amounts. This may occur as a result of gastrointestinal disorders, neurological problems, or a variety of other causes.

Polyhydramnios occurs in 3 to 4% of all pregnancies and 65% of Polyhydramnios cases are unkown.

What causes polyhydramnios?

As mentioned above, 65% cases are idiopathic.

Diabetes or gestational diabetes may be a maternal cause of this condition, or the cause may lie with the fetus. The following conditions may be a result of the fetus:

• twin to twin transfusion syndrome
• heart defects / failure
  
• cleft lip
• cleft palate
• Neural tube defects
  
• esophageal atresia (incomplete development of the esophagus)
• tracheoesophageal fistulas (aberrant connections, sometimes ending in ‘blind pouches’, between the trachea and the esophagus)
• duodenal atresia
• chromosomal abnormalities
• small bowel atresias and obstructions

to be continued...until next friday ( after my detail scan...)