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Fetal hydronephrosis, also called pyelectasis, is a condition that causes swelling of the kidneys in an unborn baby due to the accumulation of urine in the kidney.
The condition affects approximately 1% to 5% of all pregnancies and is usually identified during the second or third-trimester ultrasound scans.
The condition is classified as mild, moderate, or severe, depending on the size of the swelling. While most mild cases, which are less than 5mm in size, resolve on their own, more severe cases can cause kidney damage in the baby.
In some cases, fetal hydronephrosis may indicate the presence of Down’s syndrome, but this is not always the case. Therefore, doctors generally perform a detailed scan to rule out other abnormalities. During pregnancy, follow-up ultrasounds are recommended to determine the severity of the condition. If hydronephrosis persists even after birth, ultrasound and X-ray are performed to ensure the baby’s kidneys are healthy and to know whether a surgical correction is necessary for the proper functioning of the kidneys.
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