Dilated fetal kidneys is quite a common finding on routine antenatal ultrasound. The significance of this depends of course on the severity of the condition.
Firstly, it can be a normal finding if it is mild, being more common in male fetuses. This is attributed to the effect of the progesterone hormone on the smooth muscle of the pelvis of the kidneys.
It can also be associated with certain chromosomal disorder, especially Down syndrome. However the increase in risk of having a Down syndrome fetus is only about 1.5 - 2 times. Your doctor will be better positioned to advise you whether you need an amniocentesis or not.
Occasionally, it can also be due to obstruction of the urine flow from the kidneys to the bladder and to the amniotic sac. Depends on the site of the obstruction, there may be dilatation of the kidneys, ureters, bladder or urethra. This may damage the kidneys and lead to renal failure later on. In such a situation, the amniotic fluid may be severely low and that will lead to pulmonary hypoplasia (immature lungs) or contractures (permanently flexed joints).
Another common cause of dilated fetal kidneys is vesico-urethral reflux whereby the urine from the bladder flows backwards towards the kidneys due to loose valves at the junctions of the bladder and ureters.
i think it is still better to discuss this issue with your OBGYN to assess whether you need further investigations because he or she will know more details about your pregnancy and able to advise you accordingly.
Hope this helps and good luck.
2006-07-12 05:12:13
·
answer #1
·
answered by wbh 3
·
0⤊
0⤋
My best advice is to get a second opinion if you are genuinely worried. At the least you could call a children's hospital with the specifics of how much more dilated and such to find out how common that is and what it means. They wont give medical advice without seeing you, but a doctor may explain how common or uncommon it is and what you might need to watch for.
2006-07-11 20:59:34
·
answer #2
·
answered by x_lil_redangel_x 3
·
0⤊
0⤋
you should defnitely see a neonatoligist or specialist in fetal medicine if you are not already. this could be nothing...but could also mean your baby has a defect with some of the valves in the urinary system...could be a sign of Kidney reflux which is often caught in ultrasounds where there is a valve in the urinary sytem that does not close properly and instead of urine emptying out causes it to "reflux" back up into the kidneys..my daughter is 3 and has this and it does not cause her any serious problems..but you should definitely have it investigated further...
2006-07-11 21:15:16
·
answer #3
·
answered by AndMan433 2
·
0⤊
0⤋
this is common in a fetus, not just this issue babies often times grow appentages while in the womb after diffrent rates one arm much longer one leg longer enternal organs are the same way god knows what he is doing and you stressing shows a lack of faith. a little cheeky humor.... my son in a sonigram made me extremely proud, till he was born and i found out that part grew faster then the rest of him and as he grew it seemed to shrink to be normal lol good luck . ask your doctor if im right, im sure i am .
2006-07-11 21:05:47
·
answer #4
·
answered by joe 4
·
0⤊
0⤋
no i would go and ask another doctor what he thinks . because my husband had his left kidney remove about seven yrs ago because of that , first he was having fever and had really bad pain on that side and the doctor told him that it was a infection so he will still having pain so he went back and they had to do surgey and took it out so i would ask another doctor
2006-07-11 21:09:17
·
answer #5
·
answered by angel h 4
·
0⤊
0⤋
Ask your doctor and keep asking him until he makes it clear what is going on. That is a pet peeve of mine that a doctor will tell you something like that and then not want to fully explain it. Especially when it concerns your baby. God bless.
2006-07-11 20:58:01
·
answer #6
·
answered by butrcupps 6
·
0⤊
0⤋
Please look in your local phone book for a number to your local hospital. Call labor and delivery and speak to a nurse or call a nurse advise line at your local hospital. Tomorrow morning contact your OB/GYN and address your concerns with them.
2006-07-11 21:04:41
·
answer #7
·
answered by Anonymous
·
0⤊
0⤋
if it is dilated "maybe" there is obstruction in the tract so it will cause dilation in the proximal area.
but since the doctor said it is OK so it is OK.
2006-07-11 21:02:10
·
answer #8
·
answered by SSS 2
·
0⤊
0⤋