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Is color dopler ultrasound for rubella infection necessary during pregnancy? - Online Doctor Chats

Date : 25-Jul-2014
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1566 Questions
User:hello doctor
my wife is 4 months pregnant. she had rubela infection before. in early pregnancy she had some bleeding due to slight placental abruptio. till now we did 3 ultrasound tests, in all the tests baby's growth is excellent, and there is no more bleeding. in short everything was excellent in 3rd ultrasound test which we did aft completing 3 months. now her gynac is asking us to do color dopler ultrasound to check baby's wellbeing as she had rubella infection which affects baby's vital organs. she is taking torchnil an aurvedic tablets from last 8 month. so my question is it really necessary to do this test
Let me read your query for few minutes to be able to have a good discussion here.
User:ok sure
Doctor:Rubella infection is one serious infection. It does affect the heart of the baby leading to congenital abnormalities. Your gynecologist wants to make sure every thing is set right before she delivers the child.
Doctor:It's good to know that ultrasound scan upto 18-20 weeks is normal.
Doctor:I presume she has already got her anamoly scan done.
User:In second utrasound
Doctor:Regular ultrasound is able to figure out if there are any heart defects, but doppler ultrasound scan is more specific and it gives clear picture of the heart.\
User:Heartbeat of baby was
Doctor:Anamoly scan is done at 18-20 weeks.
Doctor:More specific check up of the heart is performed during that time.
User:When we did first ulrtrasound
User:6.4 week
User:baby's heart rate was 118bpm
User:no other test
User:only ultrasound 3 times till now
Doctor:When was the last ultrasound scan done?
User:1st of XXXXXXX
User:after completing 3 months
Doctor:Do you have this scan report with you.
Doctor:3 months roughly corresponds to 18-20 week.
User:yes I do have
User:all 3 reports
Doctor:I guess that is the anamoly scan which I am talking about.
User:Anything need to know from reports?
Doctor:If this scan was normal, you can get the doppler ultrasound scan without apprehension.
Doctor:All the details mentioned in the anamoly scan are important.
Doctor:In the back ground of rubella infection, I particularly will look at the babies heart development.
Doctor:Have you followed?
Doctor:Do you have any other questions?
User:In last report
User:doctor written
User:No Major congenital/developmental fetal anomaly identified
User:Nasal bone (3.6 mm) & nuchal fold(1.8mm)
User:visualised normal for gestational age
User:So everything is good?
Doctor:It looks normal. Any other detail provided in the scan?
Doctor:I guess you provided the final impression on the scan.
Doctor:More specific details about spine, heart, kidney, etc., etc., may be provided higher up.
Doctor:You can check those.
Doctor:Or you can scan and upload the report here.
User:ok sure I will upload soon
User:thanks for your time
Doctor:Thanks for visiting me here. Bye for now.
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