Hello,
I appreciate your query.
Based on the parameters that you have typed, the
ultrasound report appears normal for 23 weeks of
pregnancy.
Regarding Doppler indices , you have not mentioned the vessel.
But overall, the report appears normal
But this is just the ultrasound report.
The complications of eclampsia cannot be ruled out only by ultrasound.
The aim of the pregnancy is to keep her blood pressure under control throughout.
She should keep her body weight in check, and be alert to sudden increase in weight .
Please provide a low salt diet to avoid water retention.
Rule out
kidney disease, have regular eye check ups, monitor her weight, blood pressure, urine for protein, liver function tests.
Watch out for pedal , facial edema.
Other additional tests are serum uric acid, LDH,
platelet count etc.
Watch out for lethal conditions like
pre eclampsia and eclampsia by monitoring all these risk factors, and warning signs are sudden increase in blood pressure, failure to respond to medications, decreased urine output, pain in the upper abdomen, altered mental state etc.
Drug therapy for this condition will be decided by your gynecologist / physician taking into account various parameters.
Go for regular, intensive antenatal check ups.
The pregnancy and the baby will have to monitored with serial ultrasounds,
amniotic fluid volume and colour doppler.
There is a role of low dose
aspirin in preventing foetal complications.
Ask her to rest in the left lateral position to increase blood flow to the baby.
It is better to have home blood pressure measurement also to pick up the earliest signs of severe disease.
All the best for the pregnancy.