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Scan showed anterior placenta with a maturity of grade III. Meaning?

Mar 2016
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Practicing since : 2011
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Yesterday August 1st, i have done another scan and the report say the below:

A single live fetus is seen with normal fetal movements and with normal cardiac activity in the vertex presentation.(Fetal heart rate 143 beats/min).

Placenta is anterior and shows a maturity of grade III.
Qty of liquor amnii is more for gestational age.(AFI 15 cm). Single largest vertical pocket measure 6.5 cm.

Expected approx fetal weight is 3246 +/- 202 gms XXXXXXX OS is closed. Cervical canal length is 3.3 cm.
Single loop of cord around the fetal neck.
1. A single live fetus of gestational age of 38 weeks 0 days in vertex presentation. EDD is 15/08/2013.
2. Single loop of cord around the fetal neck
3. Polyhydramnios

My doc has asked me take another glucose well in the last three scans the EDD was 11th aug and this scan it has gone doc wants to stay with the last three scan edd and tells me that child has not flexed the head in the cervix and is way up. What to..can i still have a normal delivery if i wait or do i need to go for elective csec...i am worried pls reply
Posted Fri, 23 Aug 2013 in Pregnancy
Answered by Dr. S Patra 1 hour later

Thanks for writing to us on Healthcare Magic.

First of all, I want to explain your ultrasound scan report one by one.

1) Your baby is mature enough with normal weight and corresponds to current gestational age. Placenta is also mature and placed in right position.

2) Single loop of cord around fetal neck is seen in few percentage pregnancy during 2nd/ 3rd trimester. It usually does not cause any problem or complication during delivery of the baby. Though, special measures are needed to be taken by healthcare attendant/ staff to avoid asphyxia or respiratory distress of the baby during delivery.

3) Normal AFI (liquor is more than gestational age but AFI is 15 cm. If polyhydramnios is considered, then you need to undergo another glucose test to rule out gestational diabetes as per your doctor's recommendation.

Second thing, late scan EDD always differs from original EDD, calculated from LMP (Last Menstrual Period). Therefore, we consider previous scan report to calculate EDD approximately. Your doctor also want to stay with previous one.

In this circumstance, you need to undergo overall check up at 1 week interval until you feel strong, constant, regular lower abdominal pain (sign of true labor pain) or watery discharge. In that case, you need to contact with your healthcare provider/ hospital.

Here, you can wait XXXXXXX 2 weeks if overall assessment including fetal well being remains quite good. Mode of delivery (either vaginal or caesarean) is decided after pelvic assessment and overall progression of labor at that stage. Your obstetrician can help you regarding this.

Hope, it helps for your information. If you need any clarification, you can freely ask me.

Wish your good health and successful motherhood.

Dr Soumen
Above answer was peer-reviewed by
Follow-up: Scan showed anterior placenta with a maturity of grade III. Meaning? 23 hours later
Thank you Dr. Soumen

Thanks for your reply

Ok then my doc is considering the due date which had come up in the previous three scans according to my LMP that is August 11th. She has done one XXXXXXX examination and told me that head is way high and not flexed. so she has called me on 6th august for another check up and then she will decide whether we have to go for a csec and she told me that she can wait only till 12th. So even if i do not get labor untill that day can I wait till 15th august which is my latest due date.

I will be doing my glucose test as told by my doctor on Monday and check if everything is normal.

Please clear my doubt whether is it safe for me to wait till i get labors atleast untill the latest EDD or a week more.
Answered by Dr. S Patra 2 hours later

Thanks for your follow up queries.

In general, a pregnant women can wait up to 2 weeks (max 42 weeks gestational age) from original EDD if fetal biophysical profile (includes movement, tone, heart rate, amniotic fluid volume and breathing) is normal and labor does not start in this time period. It is called postdated pregnancy in medical term. In such case, close monitoring is required for proper assessment if you want to wait few more days or one week beyond original EDD. Some fetal risk will be there like less movement, decreased liquor volume, fetal distress etc.

Therefore, it is ideal to decide mode of delivery (either normal or C- section) within original EDD to eliminate certain fetal risk. If your cervix is not dilated or labor does not start within EDD, you need to undergo elective C-section as per your doctor's recommendation. It is the best choice to deliver a healthy baby.

Lastly, you need to do necessary blood glucose test and visit to your obstetrician for complete assessment at scheduled date.

Hope, I have answered your query. If you do not have any other query, you can close the discussion.

Good luck. All the best.

Dr Soumen
Above answer was peer-reviewed by
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