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Fetal Hydronephrosis is enlargement of one or both of the baby's kidneys. It occurs in up to 4.5% of all pregnancies and is typically not clinically significant. In this video, Dr Nari Heshmati, a board certified OBGYN in Washington State, discusses this finding, how we follow it up, and when it can be something serious such as an obstruction that needs surgery. He reviews statistics from a variety of sources including uptodate and clinical trials.