An ultrasound done during pregnancy may show: High levels of amniotic fluid Abnormally large placenta Fluid causing swelling in and around the unborn baby's organs, including the liver, spleen, heart, or lung area An amniocentesis and frequent ultrasounds will be done to determine the severity of the condition. Treatment Treatment depends on the cause. During pregnancy, treatment may include: Medicine to cause early labor and delivery of the baby Early cesarean delivery if condition gets worse Giving blood to the baby while still in the womb intrauterine fetal blood transfusion Treatment for a newborn may include: For immune hydrops, direct transfusion of red blood cells that match the infant's blood type. An exchange transfusion to rid the baby's body of the substances that are destroying the red blood cells is also done. Removing extra fluid from around the lungs and abdominal organs with a needle. Medicines to control heart failure and help the kidneys remove extra fluids.
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Chromosomal abnormalities and birth defects Liver disease What are the symptoms of hydrops fetalis? Symptoms can occur a bit differently in each child. Below are the most common symptoms of hydrops. During pregnancy, symptoms may include: Large amounts of amniotic fluid Thickened placenta Ultrasound of the unborn baby that shows enlarged liver, spleen, or heart.
After birth, symptoms may include: Pale coloring Severe swelling overall, especially in the baby's belly abdomen Trouble breathing Enlarged liver and spleen The symptoms of hydrops may look like other health conditions. It is almost always diagnosed during pregnancy or immediately at birth. How is hydrops fetalis diagnosed? Before birth your baby may need these tests: Ultrasound. This test uses sound waves to create images of blood vessels, tissues, and organs.
The healthcare provider will use the ultrasound to look at how your baby's internal organs are working. The provider can see how blood flows through different vessels. Fetal blood sampling. This test is done by removing some of the amniotic fluid around your baby for testing. How is hydrops fetalis treated? Treatment of hydrops depends on the cause. During pregnancy, hydrops may be treatable only in certain cases. You may need to deliver your baby early. In a newborn baby, treatment may include: Help for breathing problems.
This may be with extra oxygen or a breathing machine ventilator Removing extra fluid from spaces around the lungs, heart, or inside the belly using a needle What are possible complications of hydrops fetalis? Risks for other problems are also high for babies born with hydrops. Survival often depends on the cause and treatment. Key points about hydrops fetalis Hydrops fetalis is severe swelling edema in an unborn baby or a newborn baby.
It is a life-threatening problem. Hydrops develops when too much fluid leaves the baby's bloodstream and goes into the tissues. Before your visit, write down questions you want answered. At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests.
Also write down any new instructions your provider gives you for your child. Know why a new medicine or treatment is prescribed and how it will help your child. Also know what the side effects are. Know why a test or procedure is recommended and what the results could mean. Know what to expect if your child does not take the medicine or have the test or procedure.
If your child has a follow-up appointment, write down the date, time, and purpose for that visit. This is important if your child becomes ill and you have questions or need advice.
Hydrops Fetalis Symptoms & Causes