What does my ultrasound scan report indicate?

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Posted on Thu, 18 Jun 2015 in General Health
Question: hello doc , in our earlier conversation i told you about me having two miscarriages with two D&Cs. I am now 10 weeks 5 days pregnant. Underwent an ultrasound at 10 weeks 2 days. this is what my ultrasound report says

The Placenta : Left wall . Its inferior limit extends down to the internal OS but does not span across it. It has a homogenous echopattern :grade-1 . There is no retroplacental collection. There is a synechial band at the fundus.the placenta is partially implanted over it . No fetal body part is impniged upon by this. CRL 28.9 mm. 9 week 5 days fetus with 179 bpm heart beat No choriodecidual seperation.

I have also been diagnosed with UTI , with cirobacter koseri present 10^3

My doc is worried about the synachie as this was observed in the second pregnancy but after D&C and in all ultrasound after that ( i got ultasound done at 7 weeks and 9 weeks as well in my current pregnancy) it was missing till now... Pls advise my chances of having a normal baby. Currently i am on bed rest ( from 8th week onwards) . My Progesterone level in week 8 was 16.2
doctor
Answered by Dr. Rakhi Tayal 1 hour later
Brief Answer:
Chances of normal pregnancy and healthy baby are present.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
I have gone through the details. The baby's growth is normal as per the dates. The small septa that has been detected has no placental attachment on it. It can sometimes restrict the baby movements as the baby grows bigger.
Usually such septae are asymptomatic and do not interfere with the normal growth of the fetus. There are chances of having a normal baby with this septa.
Please follow the treatment plan carefully and go for regular ultrasound scans every 3-4 weeks to see the baby's development.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakhi Tayal 1 hour later
Hello Doc, Thanks for your reply. Just one clarification., In my Ultrasound report it says that the placenta is partially implanted over it though in your reply you have mentioned as the placenta is not attached , it may not be a concern... pls confirm.

Also i want to undertsand is there any issue with the placenta position..kindly advise. In future could the placenta be attached to the septa and be cause of a worry. in my understanding this septa is an outcome of earlier D&Cs but unfortunately are not detected during non pregnant ultrasounds.

I have uploaded my ultrasound report for your consideration.

Also these frequent UTI with citrobacter koseri organism could cause a harm to the baby ?

Also , i am sorry to say but when you say there are chances , it doesnt sound very hopeful... i will request if you could be explicit .. Any precautions i need to take.. Any opinion on the medication that i am taking... Kindly advise . Thanks
doctor
Answered by Dr. Rakhi Tayal 1 hour later
Brief Answer:
Details below.

Detailed Answer:
Hello.
Thanks for writing again.
The partial attachment of placenta on synecheal band can cause a lesser placental blood supply as the synachea are not highly vascular bands. Since only a small part of palcenta is attached on synachea it is not worrisome.
If more of placenta gets attached to septum then it is a cause of worry. Follow up scans can help us in detecting this.
Frequent urinary infections can cause a preterm labor. It is best to take complete treatment and repeat a urine culture after completing the antibiotic course. Take plenty of fluids orally to avoid recurrent urinary infections. You can get your husband's urine culture done and get him treated if he is also infected. This will help in preventing recurrent infections.
You are getting the right medicines. We cannot predict the growth of placenta. Still the chances of having a normal baby with a full term delivery are more than 75%.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 13772 Questions

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