Hi, I'm Monica. If you came here googling SUA, chances are you just had your twenty week anatomy scan and found out your baby has SUA. I don't want to scare you, you are probably already scared enough. I know this because I was pregnant with a baby with SUA. He died. Part of the reason he died was SUA. No one told me this could be a problem. So that is why I've made this post on my blog. Let me tell you my story.
I had what was a routine pregnancy until the twenty week anatomy scan. It revealed Jimmy had SUA. I saw a genetic counselor who informed my husband and I that SUA was a soft marker for some genetic defects. As a result, we scheduled an amnio. The results were negative for any genetic defects. We were very excited. Our OB told us that basically the only thing we had to worry about is that Jimmy could have IUGR (intra uterine growth restriction) or be small for gestational age. We were also told that he could possible arrive early. We received additional ultrasounds to check for growth and a BPP at 37 weeks. It revealed a healthy boy of more than seven pounds. I was allowed to progress PAST my due date. Finally, my OB scheduled me to be induced at five days after my due date. However Jimmy stopped moving on the Saturday before the Monday of his scheduled induction. The autopsy revealed that he most likely had a cord accident. Jimmy's cord was also compromised because it only had the one artery instead of the normal two. Doctors induce labor for a variety of reasons from safety of the mother/baby to convenience for the family. My doctor's decision not to induce at 37, 38, 39 weeks, or even on my due date EVEN though his cord, his lifeline, was compromised likely contributed to his death. Do I know that for sure? No. Babies with perfectly normal cords also die of cord accidents. However after speaking with my OB, she regrets not inducing. It just makes sense. If the cord is compromised, there is no reason to go past a due date when 37 weeks is considered "full term". Some doctors induce at 38 weeks with SUA. I just happened to get one who did not believe in "unnecessary" inductions. I have since switched doctors.
It pains me to write this. I don't want to scare any mothers. I just want you to know everything. PLEASE ask you doctor for extra monitoring, especially non-stress testing and bio-physical profiles. Also, ask to be induced at term. If she/he says, "NO", demand a justification. The good news is that statistics are on your side, so you and your baby will probably be OK despite SUA. I wish you the best.
Just a disclaimer: I'm not a doctor, I'm a history teacher. Take my advice as just that.... advice from a history teacher. Please seek informed advice from a medical doctor about this. And please get a second opinion.