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Lab results for amniotic fluid, Doppler test and ultrasound - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hiii
User :   How much should be the amniotic fluid index at 19th week of pg
User :   ???????
Doctor :   hi
Doctor :  
i will help u in this
User :   please
Doctor :  
there are two indexes like amniotic fluid index and amniotic fluid index per pocket
User :   ok
User :   can you be little bit fast
User :   Its very slow response
Doctor :  
i am sorry
Doctor :  
it sahould be between 5 and 20
User :   ok
User :   if it is 8 then
User :   is it less
Doctor :  
no
Doctor :  
it is slightly less
User :   and dopplers effect is positive
Doctor :  
but if it is less than 6 then it is dangerous
User :   at 39th week
Doctor :  
what is the exact value of afi now?
User :   afi is 8
User :   her EDD is 19th sept
Doctor :  
ok
Doctor :  
then fine nothing to worry
Doctor :  
why did u go for afi?
User :   ok
User :   and what about the normal
User :   sorry
User :   dopplers effect
Doctor :   normal is 6 to 20 afi
User :   it was in the report
Doctor :  
what was the doppler test result?
User :   it says increase distolic flow in mca
Doctor :   ook
User :   (pi-1)
Doctor :  
ok
Doctor :   WHY DID U GO FOR AFI?
User :   we did not go for it
User :   but it was part of
User :   his sonography
User :   n I guess doctor
User :   suggested for this
User :   and we should know this thing
User :   right
User :   Either we should go for c ssection or normal
Doctor :   OK

User :   it also depends on this
Doctor :  
NOTHING LIKE THAT
Doctor :  
what about FHS?
User :   ok
User :   FHS?
User :   waht is that
Doctor :  
FETAL HEART SOUNDS ?
User :   normal
Doctor :  
did u do NST ?
User :   growth ormal
User :   NST?
Doctor :  
THAT IS non stress test
User :   can you please tell me
User :   what happens
User :   in that
User :   ?
Doctor :   non stress test indicates if baby fine now or else in stress
User :   ok
Doctor :  
colour doppler tells us about the blood supply to the baby from the mother
User :   but it is already 9th month
User :   right
Doctor :  
yes
User :   so bllod supply means waht?
User :   now babys system will be
User :   functioning
User :   by its own
Doctor :  
baby depends upon the mother for blood supply until it is deliverd outside
User :   ?
User :   ok
User :   so if this test is =ve means..is there any harm for the baby
Doctor :  
baby can survive on its own only after coming out from mothers womb
User :   +ve*
Doctor :   doppler postive means there is adequate blood supply to the baby
User :   as I mentioned ...it says increase distolic
Doctor :  
ok
User :   flow
User :   in mca
User :   what does that mean
Doctor :  
jcan u pls give me 2 minutes time
User :   ok
User :   no problems
Doctor :  
reduced diastolic flow indicates problem in blood circulation
User :   and increased?
Doctor :  
if the diastolic flow is increased it is normal nothing to worry
User :   ok
User :   and waht is mca?
Doctor :  
i dont have any idea about that MCA
Doctor :   MCA IS THE ARTERY which supplies blood to the baby
User :   ok
User :   and hemoglbin has been reduced to 8.4
User :   10.3
User :   some 10 days back it was
User :   10.3
Doctor :  
ok
Doctor :  
hb of ur wife?
User :   yes
Doctor :  
reduced hb is dangerous but 8.4 is a bit reasonable
User :   ok
Doctor :  
mca is middle cerebral artery
Doctor :  
is there anything else written about mca?
User :   but still 7 days are there because her EDD is 19th
User :   no
Doctor :  
ok
User :   it was just diastolic flow increase in mca
Doctor :  
actually increased diastolic flow in the MCA with absent diastolic flow in the aorta implies that baby is in danger
User :   ?
User :   ok that I have to look into the report
User :   u mean to say
User :   report should mention
User :   abt both of the things
Doctor :   yes u just see and tell me
User :   what kinda denger is this?
User :   for the baby
Doctor :  
it indicates that acid levels in the fetus are increased in the baby
User :   so what happens?
User :   if it increases
Doctor :  
if baby is in danger it may lead to fetal death
User :   ok
User :   this is very serious
User :   ?
User :   sorry
Doctor :  
but we dont have complete report right
User :   for the question mark
User :   wait a sec
Doctor :  
as u are telling that babys heart sounds are normal nothing to worry
User :   yes it says
User :   fatal activity
User :   is normal
Doctor :  
then fine
Doctor :  
normal hb should be atleast 10 in pregnant women
User :   ok
Doctor :  
why did it come down?
Doctor :  
she dint take iron folic acid tablets?
User :   umbilical artery shows normal
User :   diastolic flow
Doctor :  
ok
User :   yes she is taking
User :   that I dont know
User :   how it got reduced
Doctor :  
pregnant women needs more hb as she have to share blood with the baby
User :   ok
Doctor :  
so there is a mismatch between both of them
User :   if umbilical artery shows normal diastolic flow
User :   is it normal?
Doctor :  
yes it is normal
User :   ok
User :   no danger for the baby
Doctor :  
yes no danger
User :   ok
User :   :)
Doctor :  
ok
Doctor :  
u acn go either to cs/nvd
Doctor :  
can*
User :   so what do u suggest
User :   ?
User :   afi is 8
Doctor :  
thats not a problem
User :   mb 8.4
User :   hb
User :   P
Doctor :  
after nvd she will recover early
User :   hb*
User :   nvd?
User :   is i normal delivery\
Doctor :  
normal vaginal delivery
User :   ok
Doctor :  
but she will suffer at the time of delivery
User :   but what do u suggest
User :   what sill she suffer?
User :   I did not get
Doctor :  
cs is easy at the time of delivery and she will need time to recover
User :   ok
Doctor :  
it is very difficult as it pains a lot
User :   ok
Doctor :  
u can go for either of them
Doctor :  
u there?
User :   but what do you say?
Doctor :  
.it depends upon ur wife convinience
User :   ok
User :   thanks
User :   a lot
Doctor :  
welcome
Doctor :  
pls fill the feed back form
Doctor :  
are u there?
Doctor :  
are u there?
User :   yes
User :   I did
Doctor :  
thanx
Doctor :  
good night
User :   ok
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