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What Does This Ultrasound Report Indicate?
Question: Hi
i am 24 w pregnant ,at 23 w 3d Placenta was Grade-2 maturity and placenta location - posterior covering OS extending 1.4 CMS Anterriorly, FHR - 140, BPD- 57, FL - 41.89, HC - 206.6, AC -190.94, AFI -11.3 CMs, Estimated Fetal wt- 613 GMS. I m worried becoz of Grade 2 maturity @second trimester. Let me know what this Grade 2 Signifies for my pregnancy ? what are the risk associated for baby growth and care that I need to take? (Note: I had my first miscarriage@16 wk of pregnancy, last year) please explain in details.
i am 24 w pregnant ,at 23 w 3d Placenta was Grade-2 maturity and placenta location - posterior covering OS extending 1.4 CMS Anterriorly, FHR - 140, BPD- 57, FL - 41.89, HC - 206.6, AC -190.94, AFI -11.3 CMs, Estimated Fetal wt- 613 GMS. I m worried becoz of Grade 2 maturity @second trimester. Let me know what this Grade 2 Signifies for my pregnancy ? what are the risk associated for baby growth and care that I need to take? (Note: I had my first miscarriage@16 wk of pregnancy, last year) please explain in details.
Brief Answer:
placenta previa
Detailed Answer:
Hello,
Thanks for the query to hcm,
There are 3 grades of placental maturity depending on the progression into trimesters.
The grading system is as follows:
grade 0: <18 weeks
uniform echogenicity
smooth chorionic plate
grade I: 18-29 weeks
occasional parenchymal calcification/hyperechoic areas
subtle indentations of chorionic plate
grade II: >30 weeks
occasional basal calcification/hyperechoic areas
deeper indentations of chorionic plate (does not reach up to basal plate)
seen as comma type densities at the chorionic plate
grade III: >39 weeks
significant basal calcification
chorionic plate interrupted by indentations (frequently calcified) that reach up to basal plate: cotyledons
an early progression to a grade III placenta is concerning and is sometimes associated with placental insufficiency associated with smoking, chronic hypertension, SLE, diabetes .
So THIS IS A FAIRLY ADEQUATE MATURITY AT 24 WEEKS AND NOT A CONCERN AT PRESENT but the os covered by placenta 1.4 cms anteriorly indicates PLACENTA PREVIA which makes you a high risk pregnancy because if this persists then there is no likelihood of a normal delivery.
So next step would be to get a review ultrasound at 32 weeks to check for placental relocalization which is tends to be atleast 2.5 cms away from internal os, then its safe.
In the meantime, avoid sex completely as this may initiate or cause bleeding which would not be healthy at all.
Regards
placenta previa
Detailed Answer:
Hello,
Thanks for the query to hcm,
There are 3 grades of placental maturity depending on the progression into trimesters.
The grading system is as follows:
grade 0: <18 weeks
uniform echogenicity
smooth chorionic plate
grade I: 18-29 weeks
occasional parenchymal calcification/hyperechoic areas
subtle indentations of chorionic plate
grade II: >30 weeks
occasional basal calcification/hyperechoic areas
deeper indentations of chorionic plate (does not reach up to basal plate)
seen as comma type densities at the chorionic plate
grade III: >39 weeks
significant basal calcification
chorionic plate interrupted by indentations (frequently calcified) that reach up to basal plate: cotyledons
an early progression to a grade III placenta is concerning and is sometimes associated with placental insufficiency associated with smoking, chronic hypertension, SLE, diabetes .
So THIS IS A FAIRLY ADEQUATE MATURITY AT 24 WEEKS AND NOT A CONCERN AT PRESENT but the os covered by placenta 1.4 cms anteriorly indicates PLACENTA PREVIA which makes you a high risk pregnancy because if this persists then there is no likelihood of a normal delivery.
So next step would be to get a review ultrasound at 32 weeks to check for placental relocalization which is tends to be atleast 2.5 cms away from internal os, then its safe.
In the meantime, avoid sex completely as this may initiate or cause bleeding which would not be healthy at all.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
what is the possibility of placental relocalize and what should do for that
Brief Answer:
placenta previa type 2
Detailed Answer:
Unfortunately you cannot do anything about it, its all natural , generally placenta climbs up to upper segment by 32 weeks naturally , hence the scan at 32 weeks. If the placenta is less than 2.5 cms from os then it is usually not safe to opt for a normal delivery as chances of antepartum or intrapartum haemorrhage are very high which then requires immediate c-section. So just avoid any intercourse at present till delivery or any jerks and jumpy rides while travelling , anything which can possibly cause any antepartum haemorrhage.
So you have to be really careful hence.
Regards
placenta previa type 2
Detailed Answer:
Unfortunately you cannot do anything about it, its all natural , generally placenta climbs up to upper segment by 32 weeks naturally , hence the scan at 32 weeks. If the placenta is less than 2.5 cms from os then it is usually not safe to opt for a normal delivery as chances of antepartum or intrapartum haemorrhage are very high which then requires immediate c-section. So just avoid any intercourse at present till delivery or any jerks and jumpy rides while travelling , anything which can possibly cause any antepartum haemorrhage.
So you have to be really careful hence.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
my Dr. prescribe me for Rovamicine Forte from day one continue up to 3 moths then recommend for continue 3 weeks and 1 weeks Gap then continue for 3 weeks it s till continue. now my question is its safe for taking Rovamicine Forte?
Brief Answer:
possible TORCH INFECTIION
Detailed Answer:
Hello,
There is all possibility that you may have been detected high on rubella titre , it is then that rovamycin forte would have been started for you. have you been detected TORCH POSITIVE? iF YES PLEASE SHARE YOUR TORCH REPORTS and the levels soon.
.
If you had been infected with Rubella (chronic infection) then it would have affected the fetus right in the beginning. The risks are high if mother gets infected during first and second trimester. The effects in fetus include constellation of symptoms constituting a syndrome that includes growth retardation, microcephaly (abnormally small head), cataracts, glaucoma, microphthalmia (abnormally small eyes), cardiovascular malformations, hearing loss, and mental retardation etc. Ultrasound scan done might help to reveal few of the anomalies, but most can be detected after baby is born.
Please share the reports.
possible TORCH INFECTIION
Detailed Answer:
Hello,
There is all possibility that you may have been detected high on rubella titre , it is then that rovamycin forte would have been started for you. have you been detected TORCH POSITIVE? iF YES PLEASE SHARE YOUR TORCH REPORTS and the levels soon.
.
If you had been infected with Rubella (chronic infection) then it would have affected the fetus right in the beginning. The risks are high if mother gets infected during first and second trimester. The effects in fetus include constellation of symptoms constituting a syndrome that includes growth retardation, microcephaly (abnormally small head), cataracts, glaucoma, microphthalmia (abnormally small eyes), cardiovascular malformations, hearing loss, and mental retardation etc. Ultrasound scan done might help to reveal few of the anomalies, but most can be detected after baby is born.
Please share the reports.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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