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Got A Seven Week Prenatal Exam. Doctor Speaks A Foreign
Question: Got a seven week prenatal exam. Doctor speaks a foreign language so we don't totally understand. Details are attached. He was concerned about the low heart rate. But based on all the information we can find online it seems normal? Are we misunderstanding something?
Everything we have found online suggests:
10.7mm CRL = 51 days age
At 51 days avg heart rate BPM is 110BPM
So then 107 would be good - just about average.
But the doctor seemed to suggest it should be much higher. Can you explain in detail for me?
Everything we have found online suggests:
10.7mm CRL = 51 days age
At 51 days avg heart rate BPM is 110BPM
So then 107 would be good - just about average.
But the doctor seemed to suggest it should be much higher. Can you explain in detail for me?
Brief Answer:
It seems normal in your case.
Detailed Answer:
Hello dear,
Thanks for trusting us about your health care .
I have gone through your history and report in detail and understand your concerns
Foetal cardiac activity usually established between 61/2 weeks to 7 weeks and is around 90-110/mins.
So in your case it is considered normal.
Hope found useful, feel free to ask more information
Good luck
Regards
It seems normal in your case.
Detailed Answer:
Hello dear,
Thanks for trusting us about your health care .
I have gone through your history and report in detail and understand your concerns
Foetal cardiac activity usually established between 61/2 weeks to 7 weeks and is around 90-110/mins.
So in your case it is considered normal.
Hope found useful, feel free to ask more information
Good luck
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Can you explain in more detail? The doctor was very worried - said the heart BPM should be more like 160 and this was a very bad sign. Why would he say that? Can you please be more details in your response?
Also I asked another doctor on here previously and they confirmed it was a problem but I still don't understand the explanation:
Replied by Dr. XXXXXXX , 15 hours ago
Brief Answer:
Heart rate is measured as Beats per minute (BPM)
Detailed Answer:
Hi,
I saw the attached reports and I understand your concerns.
Following is my reply:
1) Heart of baby is measured in Beats per minute ( BPM).
2) Average heart rate of baby should be above 140 beats per minute.
3) Since heart rate of your baby is 107 BPM it can happen than pregnancy might end up in miscarriage for heart rates below 140 BPM but this is not always true.
4) Heart rate can slowly improve and we might see better survival after few weeks. Keep hopes.
5) Other parameters including CRL appears good and according to age.
Let me know if you need anymore help.
I’m confused. Everything I see online is BPM for 7 weeks should be around 110. Am I confused about gestation date vs fetal age? Can you explain more?
Brief Answer:
110 is critical low threshold
Detailed Answer:
Hi,
You are right. 110 is minimum BPM heart rate. 140 is the average BPM. Anything less than 110 BPM is alarming and critical. But desirable range is around 140 BPM.
Brief Answer:
Heart rate is measured as Beats per minute (BPM)
Detailed Answer:
Hi,
Around 6 weeks when the heart beat starts it is slow and picks up by 7 weeks or 49 days. It should be above critical level of 110 BPM and should pick up to 140 BPM as the pregnancy crosses 7 weeks.
Minimum critical level at 9 weeks is 140 BPM. You early pregnancy is in transition after 7 weeks and improves as you approach 9 weeks.
However early pregnancy measurements have error margin and can vary. Hence always there is good chance of pregnancy going well and heart rate picking up.
Plenty of references can be found on pubmed and other books of fetal medicine for your reference.
Regards
Also I asked another doctor on here previously and they confirmed it was a problem but I still don't understand the explanation:
Replied by Dr. XXXXXXX , 15 hours ago
Brief Answer:
Heart rate is measured as Beats per minute (BPM)
Detailed Answer:
Hi,
I saw the attached reports and I understand your concerns.
Following is my reply:
1) Heart of baby is measured in Beats per minute ( BPM).
2) Average heart rate of baby should be above 140 beats per minute.
3) Since heart rate of your baby is 107 BPM it can happen than pregnancy might end up in miscarriage for heart rates below 140 BPM but this is not always true.
4) Heart rate can slowly improve and we might see better survival after few weeks. Keep hopes.
5) Other parameters including CRL appears good and according to age.
Let me know if you need anymore help.
I’m confused. Everything I see online is BPM for 7 weeks should be around 110. Am I confused about gestation date vs fetal age? Can you explain more?
Brief Answer:
110 is critical low threshold
Detailed Answer:
Hi,
You are right. 110 is minimum BPM heart rate. 140 is the average BPM. Anything less than 110 BPM is alarming and critical. But desirable range is around 140 BPM.
Brief Answer:
Heart rate is measured as Beats per minute (BPM)
Detailed Answer:
Hi,
Around 6 weeks when the heart beat starts it is slow and picks up by 7 weeks or 49 days. It should be above critical level of 110 BPM and should pick up to 140 BPM as the pregnancy crosses 7 weeks.
Minimum critical level at 9 weeks is 140 BPM. You early pregnancy is in transition after 7 weeks and improves as you approach 9 weeks.
However early pregnancy measurements have error margin and can vary. Hence always there is good chance of pregnancy going well and heart rate picking up.
Plenty of references can be found on pubmed and other books of fetal medicine for your reference.
Regards
Brief Answer:
It is explain below.
Detailed Answer:
Hello dear,
Sorry for the delay in my response.
I have gone through your history and references and understand your concern fully.
But in early weeks of pregnancy heart beat can be 90-110 beats /min.
In your case it is 107/min.is normal finding according to early weeks of pregnancy but yes it is true it should pick up with pregnancy advances and it should be 140/mins.
Rest of your baby parameters are normal and she is also not having any other symptoms along with this like abdominal pain and spotting so you should repeat ultrasound after 2 weeks for foetal well being.
Hopefully I am helpful to you.
Good luck
Regards
It is explain below.
Detailed Answer:
Hello dear,
Sorry for the delay in my response.
I have gone through your history and references and understand your concern fully.
But in early weeks of pregnancy heart beat can be 90-110 beats /min.
In your case it is 107/min.is normal finding according to early weeks of pregnancy but yes it is true it should pick up with pregnancy advances and it should be 140/mins.
Rest of your baby parameters are normal and she is also not having any other symptoms along with this like abdominal pain and spotting so you should repeat ultrasound after 2 weeks for foetal well being.
Hopefully I am helpful to you.
Good luck
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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