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Am pregnant, done ultrasound. Previous child miscarried. Is everything normal?

n 6th May,2011 my wife lost her first child. At that she developed eclampsia and doctor had to do ceassarian section at 7th months of pregnancy and unfortunatately our child dead. But now my wife again is 23 weeks pregnant. Today she does ultrasound . The parameters are BPS=5.43cm, FL=4.13cm, EFW=580 gms, Amniotic fluid is average in amountAFI=14.8cm, placenta anterior in location and not low lying. Maturation grade=1+. PSV=28.58cm/s, ED=8.09cm/s. RI=0.73cm/s. Please tell me are everything normal?
Asked On : Tue, 19 Jun 2012
Answers:  2 Views:  38
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OBGYN 's  Response
Thanks for writing to us.
You need to attach the complete report of ultrasound scan including the period of gestation to which these parameters correspond, her period of gestation by dates, etc. A complete assessment is necessary to comment on this.
I hope this information has been both informative and helpful for you.
Dr. Rakhi Tayal
Answered: Fri, 7 Dec 2012
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OBGYN Dr. Aarti Abraham's  Response
Mar 2013
I appreciate your query.
Based on the parameters that you have typed, the ultrasound report appears normal for 23 weeks of pregnancy.
Regarding Doppler indices , you have not mentioned the vessel.
But overall, the report appears normal
But this is just the ultrasound report.
The complications of eclampsia cannot be ruled out only by ultrasound.
The aim of the pregnancy is to keep her blood pressure under control throughout.
She should keep her body weight in check, and be alert to sudden increase in weight .
Please provide a low salt diet to avoid water retention.
Rule out kidney disease, have regular eye check ups, monitor her weight, blood pressure, urine for protein, liver function tests.
Watch out for pedal , facial edema.
Other additional tests are serum uric acid, LDH, platelet count etc.
Watch out for lethal conditions like pre eclampsia and eclampsia by monitoring all these risk factors, and warning signs are sudden increase in blood pressure, failure to respond to medications, decreased urine output, pain in the upper abdomen, altered mental state etc.
Drug therapy for this condition will be decided by your gynecologist / physician taking into account various parameters.
Go for regular, intensive antenatal check ups.
The pregnancy and the baby will have to monitored with serial ultrasounds, amniotic fluid volume and colour doppler.
There is a role of low dose aspirin in preventing foetal complications.
Ask her to rest in the left lateral position to increase blood flow to the baby.
It is better to have home blood pressure measurement also to pick up the earliest signs of severe disease.
All the best for the pregnancy.
Answered: Fri, 7 Dec 2012
I find this answer helpful
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