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What Does This Ultrasound Report Indicate?
Question: Hi
I missed to attached report in my last msg, rewriting my concern again. My wife has gone through doppler USG yesterday, can you please help me in knowing the risk and preventive measures.
we had a past history of diastolic reversal flow which led to premature delivery of 33 weeks and baby expired after 3 days.
I missed to attached report in my last msg, rewriting my concern again. My wife has gone through doppler USG yesterday, can you please help me in knowing the risk and preventive measures.
we had a past history of diastolic reversal flow which led to premature delivery of 33 weeks and baby expired after 3 days.
Brief Answer:
fairly normal USG
Detailed Answer:
Hello,
thanks for THE QUERY TO HCM,
You haven't mentioned the period of gestation for your wife for comparision. The overall USG for level 3 scan is fairly normal , just that AC growth as mentioned is not corresponding to Period of gestation as mentioned. However S/D ratio for umbilical artery and MCA studies have been normal , however IUGR can be considered is FL/AC ratio is more than 25%.
If there was a history of IUGR earlier then a regular 3 weekly follow up should be maintained hence with this pregnancy. If APLA SYNDROME, GESTATIONAL HYPERTENSION, THROMBOPHILIAS have not been ruled out already then they should be during this pregnancy. However no uteroplacental insufficiency is noted during this scan but surveillance plan should be made for 3 weekly scans further.
Regards
fairly normal USG
Detailed Answer:
Hello,
thanks for THE QUERY TO HCM,
You haven't mentioned the period of gestation for your wife for comparision. The overall USG for level 3 scan is fairly normal , just that AC growth as mentioned is not corresponding to Period of gestation as mentioned. However S/D ratio for umbilical artery and MCA studies have been normal , however IUGR can be considered is FL/AC ratio is more than 25%.
If there was a history of IUGR earlier then a regular 3 weekly follow up should be maintained hence with this pregnancy. If APLA SYNDROME, GESTATIONAL HYPERTENSION, THROMBOPHILIAS have not been ruled out already then they should be during this pregnancy. However no uteroplacental insufficiency is noted during this scan but surveillance plan should be made for 3 weekly scans further.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi
Her last LMP was 28 XXXXXXX 2015, scan done at other lab a week back didnot tell us anything of IUGR but yes she had mentioned delayed conception right from the USG done in 3rd month as well...i have no idea of the diseases mentioned above but yes we have done TORCH test that was found to be OK (Non Reactive). History of IUGR is not exact as we found Diastolic reversal flow during 8th month io first pregnancy due to which we had to go for delivery but as mentioned earlier baby expired after 3 days..plz confirm if we need to visit any high care gynaecoloy hospital to avoid any incidence...we are in kashmir and have no issues if you suggest to visit any hospital in XXXXXXX if required...
Her last LMP was 28 XXXXXXX 2015, scan done at other lab a week back didnot tell us anything of IUGR but yes she had mentioned delayed conception right from the USG done in 3rd month as well...i have no idea of the diseases mentioned above but yes we have done TORCH test that was found to be OK (Non Reactive). History of IUGR is not exact as we found Diastolic reversal flow during 8th month io first pregnancy due to which we had to go for delivery but as mentioned earlier baby expired after 3 days..plz confirm if we need to visit any high care gynaecoloy hospital to avoid any incidence...we are in kashmir and have no issues if you suggest to visit any hospital in XXXXXXX if required...
Brief Answer:
answered
Detailed Answer:
Hello,
She is 23 weeks +6 days as on date , calculated from her LMP. So with that the ultrasonological age of 22 weeks +- 1 week is fine .Presently there is no discrepancy in growth apart from the AC but thats acceptable and can be reclassified during next scan at 28 weeks if she is clinically found to be small for gestational age on examination in subsequent visits to your obstetrician.As the cause of REVERSAL OF BLOOD flow last time was as early as 33 weeks , so she should be under surveillance 2 weekly from 28th week onwards .
I am not sure how are the facilities in KASHMIR, but i guess ARMY GENERAL HOSPITAL IN LEH, do take care of civilians as well and there are gynaecologists, if i am not wrong. You may enquire prior and find out first. They are competent with XXXXXXX army standards, so you needn't travel to XXXXXXX If you wish to then GANGARAM HOSPITAL is the preferred one.
regards
answered
Detailed Answer:
Hello,
She is 23 weeks +6 days as on date , calculated from her LMP. So with that the ultrasonological age of 22 weeks +- 1 week is fine .Presently there is no discrepancy in growth apart from the AC but thats acceptable and can be reclassified during next scan at 28 weeks if she is clinically found to be small for gestational age on examination in subsequent visits to your obstetrician.As the cause of REVERSAL OF BLOOD flow last time was as early as 33 weeks , so she should be under surveillance 2 weekly from 28th week onwards .
I am not sure how are the facilities in KASHMIR, but i guess ARMY GENERAL HOSPITAL IN LEH, do take care of civilians as well and there are gynaecologists, if i am not wrong. You may enquire prior and find out first. They are competent with XXXXXXX army standards, so you needn't travel to XXXXXXX If you wish to then GANGARAM HOSPITAL is the preferred one.
regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi
Thanks for your suggestion, they are all encouraging. It was very nice having consultation with you.
Thanks for your suggestion, they are all encouraging. It was very nice having consultation with you.
Brief Answer:
Thanks
Detailed Answer:
Thanks.
please close the query if you have no further questions.
Thanks
Detailed Answer:
Thanks.
please close the query if you have no further questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi
i will close just wanted to tell you that apart from Delispirin 75 which she is taking since a week has been given another medication OPTITHIK. Is this ok to have it. she was also given Maintain 500 inj which another doc has asked to stop today..plz suggest
i will close just wanted to tell you that apart from Delispirin 75 which she is taking since a week has been given another medication OPTITHIK. Is this ok to have it. she was also given Maintain 500 inj which another doc has asked to stop today..plz suggest
Brief Answer:
answered
Detailed Answer:
Optithik 25 and delisprin 75 may be continued but inj. maintain 500mg is no longer required.
answered
Detailed Answer:
Optithik 25 and delisprin 75 may be continued but inj. maintain 500mg is no longer required.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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