Hi doctor,My wife aged 23 years have autoantibodies SSA strong positive 3+, SSB borderline positive and RO 52 strong positive 3+. She lost her first pregnancy before a year because complete congenital heart block (CHB) was found in the fetus by TIFFA at19 weeks with a condition of fetal hydrops bradycardia. She conceived again and now going with 36th week. Her medications are Aspirin 75 mg one daily, Wysolone 5 mg once daily, HCQs 200 once daily, Folvite 5 mg, Sandocal 500 daily two, Livogen and taking protein powder also. To suppress antibodies, rheumatologist put her on steroids and anti-inflammatory drugs since 12th week. There is no problem till now except fetus growth restriction. Because of that, our doctor advised to go for delivery at 37 weeks. Fetus weight grew just 200 g in the last two weeks, but my wife increased to 59 kg from 49.5 kg. But, she has lost initially 3 kg in her first trimester. She did not have any complication right now. Is delivery at 37 weeks necessary? What are the risks from fetus side if she gets delivery at 37 weeks? Will the baby growth remain normal after birth? If we extend the term up to 38 weeks, do we need to face any risk? For your reference, I have enclosed latest fetal scan report and doctors prescription. Please understand all my concern and give the valuable advice for us. Thank you.
Hi. I have gone through your question and understood your concerns. I have reviewed the reports (attachment removed to protect patient identity) and the prescription. For further information consult a fetal medicine specialist online -->