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Reports of the ultrasound scan at 29 weeks of pregnancy - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   hi
Doctor :   Hi.
Doctor :   How can I help you?
User :   My wife has a ultrasound for 29 weeeks
Doctor :   Ok.
User :   report has come with negative things
Doctor :   Ok.
User :   they says thracic circumference falls at 2.5% percentile . wat does that mean
Doctor :   Can you please tell me what other findings were there in the report?
User :   also they say long bones are short ... long bones falls at 5th percentile
Doctor :   Ok
Doctor :   And the thoracic circumference.
Doctor :   Does your wife have any other health problems?
User :   nope
User :   even i dont have
Doctor :   Ok.
Doctor :   Have they mentioned a parameter called Estimated Fetal Weight?
Doctor :   EFW?
User :   yes i think its 971 grams
Doctor :   Ok.
Doctor :   Did they mention any percentile of the EFW?
User :   nope . i dont think so .
Doctor :   Ok.
Doctor :   The period is 29 weeks right?
Doctor :   What is the Amniotic Fluid Index or AFI?
User :   sorry i dont know . dont have the report at the moment ...
Doctor :   Ok.
User :   but the highlighted areas are
User :   thracic circumference falls at 2.5% percentile
Doctor :   I believe there is some growth restriction.
Doctor :   I cant confirm without the AFI.
User :   YEs . they say femur growth is less
Doctor :   Are you both short statured?
User :   i think so .. iam 5.6 and she is 5.2
Doctor :   Usually growth restriction needs special monitoring.
Doctor :   Once after the birth the baby may have to be put in an incubator.
User :   my gynic doctors said we should scan after 4 weeks
Doctor :   The baby should be given special care
Doctor :   Ok
Doctor :   I am saying in the eventuality that growth restriction is positively there.
User :   Do u suspect all these as major issues or minor issues . pls be frank sir
Doctor :   Growth restriction needs monitoring and special care. With good monitoring and timely care the growth can be restored.
User :   2.5th pecentile for thracic will lead to any major problem after birth
Doctor :   There could be complications in delivery like respiratory distress which should be carefully monitored
Doctor :   It means that the overall growth is less than the estimated,
User :   sorry forgot to tell u something . it says skeleton abnormality - Non lethal type
Doctor :   Ok.
Doctor :   The abnormality is in overall growth rather than the skeleton, thats why we asked for the EFW.
User :   what is respiratory distress sir
Doctor :   Respiratory difficulty
Doctor :   after birth.
User :   fine
Doctor :   I suggest that you find out the AFI also
User :   do u suggest something for me at the moment pls
Doctor :   If it is less then your wife may need some special
Doctor :   saline called Fructodex to be infused
User :   alright . hold on one sec . will get u the info . pls correct is am wrong. u need EFW and AFI .. anyother info ?
Doctor :   No. Thats all for now.
Doctor :   Are you there?
User :   EFW is 971 grams
Doctor :   Yes
User :   AFI cant check .. sorry
Doctor :   Thats ok
Doctor :   When you get the scan repeated
Doctor :   The AFI will be checked
User :   alright
Doctor :   Meanwhile she should take plenty of oral fluids
Doctor :   and a healthy diet
User :   what is the percenttage of my baby getting into normal shape
User :   before delivery
Doctor :   That depends on the underlying cause
Doctor :   If it is less liquor then it could be corrected with medicines
Doctor :   to an extent
User :   971 grams for 29 weeks is average or bad?
Doctor :   but IUGR can be corrected after birth too woth adequate care
User :   oh k
Doctor :   Yes
User :   971 grams for 29 weeks is average or bad?
Doctor :   I suggest that you follow what the Obstetrician says
Doctor :   and get a rescan after 4 weeks
User :   ok
User :   alright
Doctor :   meanwhile give her a good diet
Doctor :   plenty of fluids and lots of rest
Doctor :   Make her eat more fruits and vegetables
User :   any special food for bonedevelopement
Doctor :   She should take more calcium
User :   she is taking CCM tablet . wud that be fine
Doctor :   Is that a calcium supplement?
User :   yes suggested by gynic
Doctor :   Ok
Doctor :   Then she should continue taking that along with iron and folic acid tablets
User :   She is taking that also
Doctor :   Ok
Doctor :   That would be fine then
Doctor :   Please fill the feedback form say done when done
User :   have u seen cases like this and then baby started coming to normal stage
Doctor :   If it is IUGR the cause has to be first determined and then after that if the cause is corrected adequately then the improvement is good in most of the cases.
Doctor :   Have you filled the feedback form which I have sent?
User :   yes sir
Doctor :   Ok
User :   thanks a lot for ur help .
Doctor :   You are welcome
User :   may i have ur name
Doctor :   Do let us know of the future scan reports
User :   sure will do
User :   thanks iam done bye
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
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