Brief Answer:
You should continue her pregnancy.

Detailed Answer:
Hi,

Thanks for writing to us.

I can understand your concern.

I have worked through her report and in her report her PI is more then normal and it is showing notch in it.

If PI is high it will increased uteroplacental blood flow resistance, so it will cause preeclampsia and fetal growth retardation in the future.

Your doctor gave right treatment and advice because aspirin is helpful in decreasing resistance in flow and maintain normal flow, so the chances of preeclampsia and growth retardation decreased.

You should go for repeat scan after 4 weeks to see PI is decreasing or not.

Hope it is useful, feel free to ask more.

Good luck.

Regards
Dr.Richa

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Brief Answer:
In her present report fetal growth and parameters are according to age.

Detailed Answer:
Hi,

Sorry for delay, my net is not working properly due to bad weather.

Here are the answers of your queries-

- Your fetal growth seems normal in her ultrasound report, fetal parameters are normal according to gestational age.
-If medication works properly then chances of normal fetal outcome.
- Yes, should sleep in left lateral position to improve blood circulation.
-She should take balanced diet with complex carbohydrates, proteins and fat contents.
- She should take fish( if non- vegetarian).
-Low salt diet
-Lots of vegetables and fruits.
- Take calcium supplements in form of curd and milk
- She should maintain her weight, do some regular exercise and yoga
-She should attend her antenatal visits and continue her pregnancy under supervision.

- She can continue her job but she should not take any work load and long duty hours.
- She should take rest properly.

Hope it is useful.

Regards

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Brief Answer:
Abortion is not a good option in her case.

Detailed Answer:
Hi,

I can understand your anxiety and concern.

But if her next scan will not show any improvement in her PI index that does not mean that she definitely develop preeclampsia in the future and your baby growth is hampered means baby develop IUGR.

I will not suggest abortion in her case because her scan is not showing any congenital anomaly and fetal growth retardation now.

IUGR and preeclampsia occurs due to other causes also, so she should continue her pregnancy under expert supervision and she should delivered in a good hospital because chances of caesarean section higher in these cases.( if fetal distress is there).

Yes, her placenta is in a normal position and mild exercise and yoga is recommended in her case, as it increased placental blood circulation and it is not harmful.

In these cases blood circulation of the brain is maintained, so no brain injury is there, usually supply to liver is affected.

So in my opinion, you should think positive and if any complications arise in the future, it will resolve with proper management.

So enjoy your parenthood.

Good luck.

Regards

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Brief Answer:
Your baby growth is most probably normal.

Detailed Answer:
Hi,

Yes, I am positive because of her current report showing that everything is normal, only PI is increased ( other parameters are normal).

If in her next report fetal growth is not appropriate, you can consult an expert gynecologist and continue pregnancy under her guidance.
and should take treatment for fetal growth.

If everything goes well chances of healthy kid is almost 100%.

You can rule out Down syndrome with triple marker test, second level ultrasound and through amniocentasis, so why you are worried( as such her scan shows no chromosal abnormality).

If you are planning for an abortion, she will definitely carry her next pregnancy, but you should wait for at least 6 months to one year for next pregnancy.

Hope it is useful.

Regards

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