Wednesday, 20 August 2014

Single umbilical artery in surrogate baby, anxious moments for doctorsand parents

                                      Single umbilical artery in surrogate baby 

Dr.Anita Mani
anitadane@gmail.com

Today we scanned the surrogate mother and found that the baby has only Single umbilical artery, normally the babies have 2 .
The biological parent is already having an abnormal child , with the condition of downs syndrome.

We are planning her Caesarian tomorrow, as per the scan done today , there is very little fluid around baby , and she is having mild contractions at 36 weeks .In these cases , there are probably genetic variations in the parents , the reason for the sub fertility ,hence  there are more abnormalities and miscarriages , after infertility treatment . Genetic mutations are probably the main reason. 

Normally babies have one vein and two arteries in the  cord .In 1% of pregnancies there are only two vessels . In about 75% of those cases, the babies are born entirely normal and healthy and the missing artery isn't missed at all. One artery can support a pregnancy and does not necessarily indicate problems. For the other it is a sign that the baby has other abnormalities. It does increase the risk of the baby having cardiac, skeletal, intestinal or renal problems.  Although , additional testing (scans) can rule out many of these abnormalities prior to birth , we had a baby last year who had small swelling on forehead undetectable on  scan  , and had to have brain surgery recently to remove it. The baby  was the result, after several years of treatment for abnormal sperms .Now the baby is perfectly normal , after surgery . 


I hope tomorrow baby will be ok , waiting for delivery .

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