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What Does My Ultrasound Report Indicate?

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Posted on Sat, 19 Apr 2014
Question: Ultrasound showed: BPD 38%, HC 3%, AC 9%, FEMUR LENGTH 13%. Overall 10th percentileU/s from 2/26 showed. BPD 35%, HC 21%, AC 11%, femur lenght 21%. Overall 14th percentile
doctor
Answered by Dr. Shafi Ullah Khan (2 hours later)
Brief Answer: Detailed answer provided Detailed Answer: Thank you for asking Miss XXXX! These are the fetal growth measurements also known as fetal biometry of your baby. These all are intended to keep the age , weight and growth profile of a baby. These are done in 2nd trimester onwards and are accurate from 12 to 22 weeks of gestation..Before that in first trimester Crown rump Lengths CRL and MSD mean sac diameters are the keys and Transabdominal ultrasonography may underestimate gestational age by an average of 1.6 days compared with transvaginal ultrasonography. BPD means Biparietal diameter i.e distance between two sides of the ead where parietal bone lies( Area just above the ear). HC is head circumference.AC is abdominal circumference. 10th percentile is to correlate the baby growth to other babies for example out of 100 babies your baby is larger than 10 other babies and smaller than 90 other babies in comparison. of the same gestational periods. A fetus is considered normal if they are between 10th and 90th percentile. The best parameters are the biparietal diameter (BPD) and the head circumference (HC), which are virtually linearly related to GA.And according to that your baby is currently 17 weeks and 3 days. Femoral lengths are different in different races so not a good indicator for Gestational age. Once the third trimester will reach, the focus will direct to maturity and accuracy of gestational age will fade away. Ossification centers ( in fetal bones ) and amniocentesis L/S ratios and biophysical profile and NST will predominate. So from all these mentioned reports you provided, the recent scan shows that you have a healthy baby, averaging 82 grams /2.9 ounces / 0.18 pound with age of 17 weeks and 3 days and good looking. The only issue which might be trouble in future is the decreasing percentile. The fetus is on the lowest limit of percentile chart of normal. A single more percentile drop will put in in growth retardation criteria.Stay in touch with your obstetrician and let him devise a complete plan to keep your baby out of trouble zone. So far so good. I hope it helps.Take good care of yourself and your baby.May the odds be ever in your and your baby's favour. Dont forget to close the discussion please Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shafi Ullah Khan (9 hours later)
Somwhat do you think is going on with the baby
doctor
Answered by Dr. Shafi Ullah Khan (17 hours later)
Brief Answer: Need clinical correlation Detailed Answer: Thank you for asking! Small for gestational age with intra uterine growth retardation has multi directional and multifactorial etiologies.Lets discuss some. 1-Reasons in Mommy include the following: High BP Pregnancy-associated hypertension Heart disease Higher diabetes Smoking Substance abuse Uterine malformations Prolonged high-altitude exposure (hilly areas) 2- Umbilical cord causes of IUGR include the following: Placental abnormalities abruption of placenta Placenta previa (ask doc) Abnormal cord insertion Cord anomalies I hope you see that in a right perspective when i mean that sorting that out needs a complete clinical correlation.correlation. Thats It. In nutshell such babies are at compromise and need alot of monitoring. I hope it helped.Dont forget to close the discussion.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (5 hours later)
But the babys following the same growth curve and is still growing. Is it possible its just a small baby and not iugr
doctor
Answered by Dr. Shafi Ullah Khan (11 hours later)
Brief Answer: Possibility is there Detailed Answer: Thank you for asking! If the growth curves being followed it is a possibility that baby is just small and no anomaly. But as i mentioned 10th percentile is the lowest limit of normal.It needs complete assessment with anomaly scans and regular monitoring with NST, Biophysical profile etc to sort out whether there is any fetal distress or just the small for gestation issue. Let the obstetricians decide what is best for the baby. Stay in touch and good luck. Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Does My Ultrasound Report Indicate?

Brief Answer: Detailed answer provided Detailed Answer: Thank you for asking Miss XXXX! These are the fetal growth measurements also known as fetal biometry of your baby. These all are intended to keep the age , weight and growth profile of a baby. These are done in 2nd trimester onwards and are accurate from 12 to 22 weeks of gestation..Before that in first trimester Crown rump Lengths CRL and MSD mean sac diameters are the keys and Transabdominal ultrasonography may underestimate gestational age by an average of 1.6 days compared with transvaginal ultrasonography. BPD means Biparietal diameter i.e distance between two sides of the ead where parietal bone lies( Area just above the ear). HC is head circumference.AC is abdominal circumference. 10th percentile is to correlate the baby growth to other babies for example out of 100 babies your baby is larger than 10 other babies and smaller than 90 other babies in comparison. of the same gestational periods. A fetus is considered normal if they are between 10th and 90th percentile. The best parameters are the biparietal diameter (BPD) and the head circumference (HC), which are virtually linearly related to GA.And according to that your baby is currently 17 weeks and 3 days. Femoral lengths are different in different races so not a good indicator for Gestational age. Once the third trimester will reach, the focus will direct to maturity and accuracy of gestational age will fade away. Ossification centers ( in fetal bones ) and amniocentesis L/S ratios and biophysical profile and NST will predominate. So from all these mentioned reports you provided, the recent scan shows that you have a healthy baby, averaging 82 grams /2.9 ounces / 0.18 pound with age of 17 weeks and 3 days and good looking. The only issue which might be trouble in future is the decreasing percentile. The fetus is on the lowest limit of percentile chart of normal. A single more percentile drop will put in in growth retardation criteria.Stay in touch with your obstetrician and let him devise a complete plan to keep your baby out of trouble zone. So far so good. I hope it helps.Take good care of yourself and your baby.May the odds be ever in your and your baby's favour. Dont forget to close the discussion please Regards