We are presenting a newborn baby born with an isolated single umbilical artery SUA. Second trimester ultrasound done at 27 weeks showed a SUA and there were no other associated anomalies in the fetus as well as in the placenta. The mother was counseled and closely followed up. The mother had pregnancy induced hypertension and anemia complicating pregnancy. Baby was delivered by emergency cesarean section at 36 weeks of gestation.
The indication for C-section was premature rupture of membranes and fetal distress. Baby cried immediately after birth. This was a preterm female baby with a birth weight of 2.
On examination, the baby was normal, and there were no dysmorphic features or obvious congenital anomalies. The ultrasound abdomen done on day 3 of life showed no anomalies.
Both the kidneys were normal. Echocardiography was done as part of routine screening in such babies. There was a small patent foramen ovale. The mother was reassured. The karyotype was done and it was reported normal.
The baby is now 1-month old and was brought for review. She is feeding well and gaining weight. Her present weight is 2.
The incidence of SUA varies from 0. Prenatal ultrasound evaluation for SUA should be done during the second and third trimester of pregnancy. Isolated SUA is a risk factor for adverse pregnancy outcome.
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Pregnant with twins: what to expect. Are ultrasound scans safe? A scan may be done in the third trimester to see how your baby is growing. There is no treatment for a single umbilical artery. Your doctor or midwife will watch how your baby develops before and after birth. If other problems are found, your doctor or midwife will talk to you about treatment. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems.
It's also a good idea to know your test results and keep a list of the medicines you take. Author: Healthwise Staff. Care instructions adapted under license by your healthcare professional.
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