Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

190 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Pregnant. Sonography showed borderline GTT. Does it indicate any abnormality?

Answered by
Dr.
Dr. S Patra

OBGYN

Practicing since :2011

Answered : 4047 Questions

default
Posted on Fri, 1 Feb 2013 in Pregnancy
Question: hi Doct,

my wife is 30 week 2 days pregnant and just had sonography.
it shows
BPD =8.3 cm (33 week 4 day)
HC = 29.9 cm (33 week 2 days)
A.C = 26.4 cm ( 30 week 4 days)
F.L. = 5.9 ( 30 week 6 days)

her GTT results are on border.
I am little concerned as why BPD and HC values are showing that of 33 week 4 days. Does this main Head of baby is bigger than expected. Does it indicate any abnormality?
doctor
Answered by Dr. S Patra 2 hours later
Hello XXXXXXX

Thanks for query. I have gone through medical history and sonography report.; below are my comments:

1. Normal weight gain is 10-12 kg throughout the pregnancy period. Your wife gains 13 kg weight as compared to pre pregnant state. It is little higher than normal and may be due to big baby with better growth & development.

2. Report reveals that BPD (Bi Parietal Diameter) & HC (Head Circumference) are slight higher than normal as compared to gestational age. In this stage standard BPD & HC measurements are 7.6 cm & 27.4 cm respectively. AC(Abdominal Circumference) and FL (Femoral Length) is normal and corresponds to gestational age.

3. Above normal BPD & HC measurements suggest that head is more mature and slight large or overestimated methodically during sonography. Baby is big enough as compared to maternal weight gain, BPD & HC. However it does not suggest anything abnormality.

4. Please do a repeat Ultrasonography scan after 4 weeks for assessment of fetal development and consult with your Obstetrician regarding this.

5 In addition you may also do the following:
- Take healthy diet & Periodic check up.
- Continue Iron/calcium supplements
- Avoid heavy work and stress
- Adequate rest with left lateral position
- Maintain personal hygiene properly

Hope I have answered your query. If you have any further questions I will be happy to help.

Wish your wife better health and successful motherhood...

Regards,

Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Lab Tests
Medical Topics

Recent questions on  Prenatal development

doctor1 MD

My daughter has recently found out that she is pregnant. Her cycle is 33 to 37 days long on average. Her Dr has put her at 9 weeks and says the babys growth is too slow and that she may miscarry. Her period was due a month ago and to my mind this should make her baby 6 weeks ( in fetal growth or 8 weeks gestational - as the doctors measure it) No heart beat was detected. Her hormone levels were 18300 and 2 days later 18500. Is there any chance this baby will grow and survive?

doctor1 MD

Okay, here goes. My LMP was August 17th and I started on Clostil on August 20th (recommended by my OBG). I am now pregnant but only had sexual intercourse with my Partner on September 3,4 & 5. My first pregnancy test were very pale to the point u had to hold it up to the light to see. I visited my OBG on Sept 20th & U/S showed nothing, we even thought it was a false neg. He told me to come back on Sept 27th n there it was a Sac. HE didn t tell me how old I was at the time but based on my cal I guessing I m now around 6wks fetal age n 8 wks gestational but due to the time I had my period and when I had intercourse I didn t know it would have been possible to be preggo. How many days do u think I ovalated for with the Clostil and the fact I got preggo around those dates?? And is this even possible, I thought I would have only ovalated 14dys after LMP??? Please assist.

doctor1 MD

hi,i'm puja,married on 21.11.2011,intercourse was happened from 23rdnov. and from that day i was using saheli contraceptive pills,but 21.12.2011 was detected that i am pregnant,after usg report the fetus is 6 weeks.i have the question that is there will be any abnormality in fetal development?if yes,i'l do for abortion

doctor1 MD

Hi, My wife and I are expecting our third child, however right at the start of the pregnancy she was diagnosed with Typhoid. While, she has recovered from it and does not have fever, we are worried about the effects of the medicine given to her, on our unborn child. I am listing the sequence of events below and would appreciate if someone would assist us. 2nd week of March, baby conceived. 25th March severe food poisoning and fever (2 weeks of weakness and loss of appetite). Pregnancy confirmed in the 2nd week of April. At the same time, severe flu, bronchitis and fever for ten days (advised Cefspan 400mg for 7 days + Panadol Also Zantac 150mg, twice a day for one month prescribed as Gynecologist suspected UTI. Widal test conducted on 21st April - Salmonella TO 1:80 (doctor failed to diagnose typhoid) 2nd May Typhoid IgG and Typhoid Igm positive, Antibody Index 1.8 Rocephin 1g Iv twice a day for 3 days advised. 2 days gap - Symptoms prevailed so Rocephin 2g IV once a day for 3 days advised again. 21st May Fever, weakness, indigestion and loss of appetite still persisted - Infectious Disease Consultant visited - advised Rocephin 2g IV advised once a day for 15 days (21st may till 4th Jun) 28th May 2010 Unable to retain food or medicine - physician advises Abdominal USG Readings: Liver 135mm (upper 160mm), outlines smooth, no dilatation of the hepatobiliary ducts, no focal defect. Gall bladder normal in size and shape BUT contains thick echogenic sludge. No stone or mass - Spleen measures 100mm (upper 120mm) - Pancreas normal, no para-aortic lymph nodes or mass seen - Right Kidney 101x40x15mm - Left Kidney 97x51x20mm - Gravid uterus 12.5 weeks Fever completely finished on the 1st of June, though there were temporary relapses after even slight exertion. Currently no fever but weakness, indigestion and nausea still persist. The above has left my wife extremely weak and she is still unable to retain anything complex and has to instead rely on basic items like milk and bread. Our physician has also indicated that she might have an ulcer in her stomach. In light of the cocktail of medicines given to her, we are extremely perturbed about the condition of the baby and the effects the medicines might have had on it. So far, we have only had the Anomaly scan done, readings of which are listed below. I would appreciate if someone could share some advise about what other tests we could get done to ensure the well being of both the mother and the baby, and whether there is any research available on the administration of the medicine cocktail on pregnant humans. Obstetrical USG (anomaly scan) conducted on 28th May 2010 Reading: Single Intrauterine fetus, cardiac activity present, fetal movements present, liquour amnii adequate, placenta fundal POSTERIOR upper mid uterine segment, B.P.D 18mm 12.6 weeks. Femur length 8mm 12.4 weeks. F.A.C 61mm 12.6 weeks. Gestational age 12.5 weeks. EDD 05-12-2010, Fetal weight approx 75gms. Nuchal Translucency measures 1.3mm (upper 3mm). No gross fetal anomaly seen.

doctor1 MD

Hello, I am pregnant and this is my situation. Last period nov 4th 1st scan dec 13th due to brown bleeding, sac was low but saw fetal heart beat 2nd scan dec 16tj due to red bleeding, doctor did not see heartbeat and scheduled dc for dec 18th. Dr...

doctor1 MD

Hi Doc. I did a urine test and found out I had an E. coli infection. Susceptibility tests indicated that it was sensitive to cotrimoxazole, so I stopped the blind treatment of Augmentin 625 and started the cotrimoxazole course. However, still...

doctor1 MD

I'm 18 weeks and 3 days pregnant and I haven't felt my baby move yet! this is my first child! is this normal? should I worry?