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Forum: October 2014 Playroom

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  • 2 Post By AmyLM
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  #1  
June 3rd, 2014, 11:19 AM
Bigsurprise75's Avatar Veteran
Join Date: Feb 2014
Location: Maryland
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Went for my routine 22 week appointment and it was mentioned that I have SUA??? Single umbilical cord artery. HUH?? I had no idea. The doctor does not seem to be too concerned. She said baby is in the 28% percentile right now. But reading up on several sites its not something to be taken lightly. Anyone heard of this or had this?? They did not even mentioning doing anything about it. I am so confused and worried. I just mentioned that I had the amnio and everything came back normal but still.......

PS: The umbilical cord has 2 arteries and one vein when normal.....
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  #2  
June 3rd, 2014, 11:50 AM
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First of all, don't panic and stay off of Google! My SIL had this with my niece. They were concerned about issues with her kidneys...regurgitation, I believe. Anyway, she was and is fine. She will be 5 in July and is a normal, healthy, little girl. They did several u/s on her after she was born and I believe she was on antibiotics for the first year of life (not sure it was needed, though), and I am sure she had an u/s of her kidneys every year as part of her physical. But, always normal and healthy.
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  #3  
June 4th, 2014, 07:54 PM
pr1madona's Avatar Mega Super Mommy
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Not to worry you, but there is a higher risk of heart defects with SUA. Just something to be aware of and may want to get a fetal echo just to make sure everything is fine:-)
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  #4  
June 4th, 2014, 08:57 PM
flitabout's Avatar Platinum Supermommy
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A good friend of mine had this exact thing happen to her. Her son was born at 30 weeks do to serious IUGR. He weighed only 1lb 15oz. She is actually up in Minneapolis right now for a follow up appointment after having to having to have a bad kidney removed. This isn't something that should just be casually dismissed. I would push to get in to a good peri to monitor blood flow and growth.
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  #5  
June 4th, 2014, 09:19 PM
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I don't want to be alarming either, but they suspected that I had this with my last pregnancy. My OB immediately sent me to see a high risk OB specialist. They actually got me in the next day, that's how seriously they took it. My understanding is that it can cause serious complications. In my case, after a second ultrasound they determined that the baby's cord was normal. I could be wrong, but I don't think it is something that would show up on an amnio.
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  #6  
June 5th, 2014, 08:32 AM
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thanks guys for not making me feel like I am overreacting. DH got that part down good Like I said at my last appointment my OB said not to worry but nothing about what extra measures they will take to monitor the baby or whatever else they can do from here on out. I am so mad at myself for not asking any questions when I could have I just took it in not knowing what this really meant.
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  #7  
June 5th, 2014, 08:37 AM
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That sounds really scary! I am sorry you are going through this I hope that it turns out to be nothing serious.

It strikes me as odd that they would say it's no big deal when it might be a problem. Perhaps they were just trying to stop you from stressing out about it, but even if that were the case, it seems rude to keep you in the dark. I would maybe follow up and get a second opinion. I hope everything turns out okay!
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  #8  
June 5th, 2014, 08:50 AM
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there is no evidence of IUGR. you had an MFM detailed level II sono to rule out congenital defects for that reason... it is isolated defect per MFM. you will be getting growth sonograms because of it, as I had explained. If there is any IUGR, the recommendation is for serial NST testing which begins at 32 weeks weekly. it is actually fairly common.


so this is what my OB just emailed me. I honestly don't remember her "explaining" to me they will do more sonograms ans stress tests to monitor babies growth. This place is like zoo anyway so I would not be suprised if she just meant to tell me. Anyway I do feel a bit better. All I can do is hope for the best. I just wish I wasn't such a worrier this time around.
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  #9  
June 5th, 2014, 05:28 PM
pr1madona's Avatar Mega Super Mommy
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IUGR is something that most likely would develop as the pregnancy progresses and not necessarily be seen now. But it is good they are doing growth US frequently. I would just also ask they check the heart in detail each time. A lot of people I know whose babies have CHD's also had a SUA. Not saying SUA causes CHD's, but there is a positive correlation. And level 2 US only can see so much of the heart.
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  #10  
June 5th, 2014, 06:02 PM
flitabout's Avatar Platinum Supermommy
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I am happy to hear the your OB isn't playing around with anything. Only having the 2 vessels rather than 3 isn't in itself something to worry about but it can mean there are other issues. Which is sounds like have be ruled out. If they are going to monitor you, then you should be fine. The biggest thing to look for is the growth restriction. If this does happen and there are no other issues it may just mean an early delivery and babies usually pick up the missing growth very quickly, and beyond being small in size will be right on track with all of the developmental milestones.
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  #11  
June 5th, 2014, 06:32 PM
Ninky's Avatar Platinum Supermommy
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Hi, I saw this post on the recent posts list and saw you mention SUA so I'd thought I'd chime in.

I had SUA with my daughter. Basically it means the nutrients baby receives can be restricted by not having the 2nd vessel to carry stuff in. It can lead to inter uterine growth retardation (smaller baby weight), kidney problems, etc. HOWEVER, it's actually very common. Although it CAN be serious, in most cases it's not. What will happen, as your Dr. mentioned, is you'll begin to have biweekly (or weekly, depending on your doctor) bio-physical profiles (AKA ultrasounds), which they will measure the baby, look at the organs, count movements, etc. For me it started as biweekly, and then it became weekly toward the end of the 3rd trimester. You'll also have non-stress tests. In short, they'll monitor you very closely so that they can catch any of the things SUA can cause, and be prepared for them at birth, etc.

Please don't panic. Like I said, it's pretty common. My Daughter will be 6 in September. She was born a week early (I was induced) and weighed 6 lbs, 7 oz. Healthy and normal.

Good luck, and don't stress out too much! Hope this helps you out a bit.
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