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Hi, I gave birth to a baby boy on June 9th, 2020. However, I have some concerns about my pregnancy. My last menstrual period (LMP) was on September 1st, 2019, and I got married on September 8th, 2019. The estimated due date (EDD) by LMP was given as June 7th, but the EDD by ultrasound was given as June 14th. On June 1st, my water level was around 11cm and I was healthy. However, during a check-up on June 9th, my doctor informed me that my amniotic fluid index (AFI) had dropped to 6.5cm and my cervix hadn't opened yet. They recommended an emergency C-section due to the risk of fetal distress from low AFI. Could I have waited for spontaneous labor? Is there any medication to increase AFI? Can labor be induced with low AFI?

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Artificial Intelligence Health Assistant's Answer

It's understandable that you have concerns about your pregnancy and the decisions made regarding your delivery. In situations where the amniotic fluid index (AFI) drops significantly and the cervix remains closed near or after the due date, medical intervention may be necessary to ensure the well-being of both mother and baby.

Waiting for spontaneous labor when there is a risk of fetal distress due to low AFI can be risky because it may lead to complications such as respiratory problems for the baby. In such cases, doctors often recommend an emergency C-section to minimize these risks.

While there are no medications specifically designed to increase AFI levels directly, maintaining good hydration by drinking plenty of fluids can help maintain adequate levels of amniotic fluid throughout pregnancy.

Inducing labor with low AFI is possible, but it depends on various factors such as the overall health of the mother and baby, the specific circumstances, and the medical opinion of your healthcare provider. They will consider whether induction is safe and appropriate in your case.

It's important to remember that every pregnancy is unique, and decisions regarding delivery are made based on individual circumstances. It's always best to consult with your healthcare provider to discuss any concerns or questions you may have about your specific situation. They can provide personalized advice and guidance based on a thorough evaluation of your medical history and current condition.

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