Has anyone had any experience with this, I am 22 weeks pregnant with a baby boy and had a level II ultrasound done 2 weeks ago which showed the baby's kidneys slightly dilated, they want me to follow up on 6/7/05. I have read that this is more common in boys because there uterers develop slower than girls sometimes. But the also say that it is a soft marker for DS. All of my AFP results came out excellent but the doctor says they are only 60% right, and all of the measurements are also good so far. The specialist told me that 95% of the time this will disappear, 4% of the time, women have to deliver early and the baby may have to go on antibiotics and possibly need surgery and 1%DS. Has anyone ever experienced this or know anyone that has? This is my first pregnacy after a misscarriage last year and I am nervous about Everything. I would appreciate anyones input-Thanks!
This condition is known as hydronephrosis..it is when the baby's kidneys are dilated more than they should be, and it's incidence is more in boys than girls......my nephew was born with this, they had to put him on antibiotics, but other than that he is perfectly fine....it is rare to have to have surgery to correct this, because it usually corrects itself when the child is older..but there are cases where surgery was a nessescity.......i hope this helped a bit
Hi there! My son too has hydronephrosis (bilateral). He was diagnosed at 24 weeks gestation. They assured me not to worry as it is common (in boys). My treatment while pregnant was just a follow up ultrasound at 32 weeks. I had him at 39 weeks and the paediatrition was on hand and examined him as soon as he was delivered. Prognosis/treatment was antibiotics (to prevent urine infections), Bactrim is the most common, which he is still on, at 15 mths old. He had an ultrasound at 2 weeks old and then every three months after that. These scans have had fluctuating results. At about 2-4 weeks old he had a MAG3 test, which your obstetrician may be able to tell you about, and also a test I called the 'catheter test'. He is still having renal scans and his antibiotics daily but the docs say the chances of him contracting a urine infection is much lower after 12 mths of age.
I expect my son will grow out of this condition as he gets older. He has been otherwise, perfectly healthy since birth and I expect him to stay that way.
That is just my experience so far. I hope that is of some help to you.
Last edited by holden's_mom; 09-03-2005 at 06:13 AM.
Wow! It always amazes me to hear about progress in this area. Years ago before ultra sounds I had my 2nd son who had a urinary reflux problem but back then there was often no way to tell because the babies looked normal at birth. He did have fevers as a infant and had trouble gaining weight. We did alot of test for things like cystic fibrosis, imunity disorder, took him off breast milk to be able to measure calories better with formula. The only odd developement he had was while he walked at 9 months he refused to sit. At 10 months of age he spiked a fever of 106 and was admitted with menigitis after he recovered and was sent home he spiked 106 again within a few days and we rushed him to the ER. Thank god a Dr. did a bladder tap ( inserted a needle through his abdomen to collect urine for testing) he had been living with refluxing of urine and urinary infections since birth. By the time it was diagnosed he had massive damage to the ureturs and kidneys. His ureters were megaurters ( huge and dialated beyond belief) The hydronephris had destroyed his left kidney and severly damaged his right. I know any unusual finding on ultrasound can be worrisome but i would trade that worry and antibiotics for my son in place of the hell he has gone through. We did find Dr. Hardy Hendren in Ma. who had pioneered surgery for this condition. before Hendren children with reflux were baged for life and a short life it was. My son had dozens of operations ( hospital stays of months at a time) to save what kidney function he had on the right for as long as possible, he had the left kidney removed and his right ureter repaired. Hypertension from kidney failure caused a stroke at age 2. he has always been ill and now at 25 is facing end stage renal failure and liver failure due to the years of stress on his body. we don't know what if any aggressive medical treatment he will decide on. When we talked about this happening a few years ago he said he had had enough, but now he has a 6 month old little girl he may decide to fight. When ever you are worried about something showing up on ultrasound just think of Mom's like me and my son who did not have the option of correcting or preventing problems, just having to deal with the results. Ignorance is not bliss.
i am 31 weeks preg now, but at 18 weeks my baby boy also showed dialated kidneys. he also had a soft marker in his heart. i was devistated and scared. the dr talked to us about an amnio, however they also did tell us that these things usually go away on their own. we opted for an amnio. 6 weeks later i was in severe pain and went to the er. they did an ultrasound and found that i had developed a blood clot in my uterus. may or may not be related to the amnio they said. i was in the hospital for 1 week, went home for 1 week on bed rest,then ended back in the hosp. for more pain. now 26 weeks, another ultrasound, kidneys still dialated. i just came home from my 4 week stay in the hosp.( i should explain that the clot was causing me to contract, so i needed monitoring and iv magnesium and terbutaline) however at 28 weeks my perinatologist did another us, the kidneys are fine. such a relief!!!! all along though, my dr kept telling me that this was common with little boys, and not to worry. i hope my story helps you.