KIDNEY FOUNDATION FOR CHILDREN
SAVING YOUNG LIVES
The mother of one of your patients comes to your clinic to consult you regarding her second baby who is unborn.Your new patient is a 22 week old fetus..The mother shows you the ultrasound scan which says that there is a left renal pelvis dilatation of 6 mm..She wants your advice .What should you do as a pediatrician?
SECOND TRIMESTER CONSULT FOR UNILATERAL HYDRONEPHROSIS
4 Questions that need to be answered
Can't say unless a fetal anomaly scan has been done.
A 30 week pregnant mother consults you for her unborn baby..The baby's antenatal USG shows bilateral pelvicalyceal dilatation.Left kidney pelvis AP diameter is 8 mm and the Right kidney pelvis is 15 mm. What is your advice to the parents of your patient.?
COUNSELLING THE PARENTS
Provided The opposite kidney has been carefully
evaluated and found to be normal
THIRD TRIMESTER CONSULT FOR BILATERAL HYDRONEPHROSIS
6 QUESTIONS TO BE ANSWERED
YES. AP Diameter > 7 mm in the third trimester is
> 15 mm dilatation in third trimester is severe
Left kidney mild dilatation
Right kidney severe dilatation
Look for oligohydramnios- indicator of poor renal function
Hyperechoic kidneys, cysts in the kidney,Indicators of
Opinion can only be given if a fetal anomaly scan has