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Should I Go For Abortion Inspite Of Having Abnormalities In Fetal Brain?

Posted on Mon, 29 Jun 2015

Question: Hello doc,
I am 13 week pregnant and on 06.06.2015 I did NT scan but the reports are not good. The report is showing deformed face and also had some problem in the head. Doctor advised me to go for abortion. I just want to know whether I will get any help if I go for a second opinion? Is there any hope for a better result?

Answered by Dr. Deepti Verma (41 minutes later)

Brief Answer:
you should consult a fetal medicine specialist

Detailed Answer:
Hi XXXX, I have gone through your question and understand your concerns. Deformation of face and abnormalities in the brain in the fetus are major congenital anomalies, and such a fetus can have chromosomal anomaly, genetic syndrome or isolated anomaly. I would suggest you to consult a fetal medicine specialist so that you can get a second opinion in ultrasound. Moreover, you should also get a chorionic villus sampling done to confirm the fetal karyotype and rule out fetal chromosomal anomaly, as the recurrence risk in further pregnancies will depend on its result.
If the fetal anomaly is confirmed in second ultrasound, then termination of pregnancy is right management as these are lethal anomalies and such babies usually do not survive after birth.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (1 hour later)

Hello doc,
Thanks for your reply. Do I have to consult a fetal medicine specialist or I can consult any other gynaecologist?

Answered by Dr. Deepti Verma (3 minutes later)

Brief Answer:
fetal medicine specialist preferred

Detailed Answer:
Hi XXXXX , thanks for responding. It's better to consult a fetal medicine specialist as he/she will be able to do chorionic villus sampling also to confirm the fetal karyotype and would counsel you accordingly.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health
Regards,
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (9 minutes later)

Hello doc,
In 13 week all the structures of foetus is formed? Is it possible that the deformed face can form after a few days? This is my first pregnancy and I have conceived it through IVF that's why I am very much worried and I don't want to lose it. Please give me some positive hopes so that my pregnancy go on smoothly. Is there no way to save my pregnancy any tests or any further treatment.

Answered by Dr. Deepti Verma (1 hour later)

Brief Answer:
please give me some information

Detailed Answer:
Hi XXXX, I can understand that it is a very hard time for you and your husband, as I have dealt with patients with such conditions various times.
Please send me the ultrasound report and images, if feasible and please tell the city you are residing, so that I can help you further.
Hope you found the answer helpful. Please get back to me with the information.
Wishing you good health.
Regards,
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (16 minutes later)

Hello doc,
I have already uploaded the reports. I stay in XXXXXXX Can you suggest any good fetal medicine specialist to whom I can consult.

Answered by Dr. Deepti Verma (24 minutes later)

Brief Answer:
printed report if feasible

Detailed Answer:
Hi XXXX, it would be more helpful if you can send me the printed report also. XXXXXXX fetal medicine centre is a place where you can consult for further management.
Hope you found the answer helpful. Please do get back to me with the information.
Wishing you good health.
Regards,
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar