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What Do The Following Ultrasound Scan Reports Indicate?

Posted on Wed, 14 Dec 2016

Question: After 13 week pregnancy US scaning result is

1.Congenital anomaly noted
2.A cystic lesion in the foetal neck, Generalized oedema, ascities & plural effusion noted .

Can I continue this pregnancy ?

Answered by Dr. Deepti Verma (1 hour later)

Brief Answer:
Pregnancy not to be continued

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
The ultrasound report you have described is suggestive of XXXXXXX syndrome, which is a chromosomal anomaly.
It is not advisable to continue pregnancy in this case.
However, you should get amniocentesis done to confirm the cause.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Deepti Verma (14 minutes later)

1 .What's the reason to become this type pregnancy ?
2.How can I avoid this
3.Give more suggestions for next pregnancy

Answered by Dr. Deepti Verma (33 minutes later)

Brief Answer:
cannot be avoided

Detailed Answer:
Hi dear,
1. Such chromosomal anomalies can occur spontaneously or by genetic inheritance.
2. This cannot be avoided, as there is no preventive method.
3.You should get amniocentesis done.
If there is chromosomal anomaly, then the chances of recurrence in next pregnancy is 1%.
In this case, you should get early ultrasound and amniocentesis done to rule out any anomaly in next pregnancy.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepti Verma (17 hours later)

Hai Doctor,
1.Any complication to waiting still baby not alive ?
(Any logic for Waiting for normal abortion)
2.After 4 days ultrasound scan will show any positive result ?

3. If we wait, Will this situation change ? ( will cure this problem)

Answered by Dr. Deepti Verma (2 hours later)

Brief Answer:
No point in prolonging the pregnancy

Detailed Answer:
Hi dear,
1. There is no point in prolonging this pregnancy, as spontaneous intrauterine death of the fetus may not occur.
2.No positive changes are expected to occur in ultrasound.
3.No, waiting will not change the situation.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Deepti Verma (45 hours later)

Any advice for next pregnancy

Answered by Dr. Deepti Verma (2 hours later)

Brief Answer:
Preconceptional folic acid

Detailed Answer:
Hi dear,
You should take preconceptional folic acid from2 months prior to planning pregnancy as taking it reduces congenital anomalies in the fetus.
Get an early ultrasound around 11-13 weeks to detect any congenital anomalies.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Yogesh D