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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fetus Scan Done. What Are The Findings And Suggestions?

Single live fetus is seen unstable lie and Breech position. The Placenta is anterior and in lower uterine segment 1 cm away from OS. It shows grade O Maturity Normal for POG.

Liquor Omni is less for POG with AF 1 = 7 cm      
CNS fatal skull shall shape midline thalami Both Lateral ventricles and both Choroid plexus appear normal posterior Forsa. Structures appear normal spine is seen in parasagitial and Transverse views and Appear normal the overlying skin is intact.
CUS Four chamber view of heart appears normal with normal out flaw tract
GUT Fatal kidneys are normal is size shape and position Urinary Bladder appears normal.
GIT Fatal Stomach bubble is seen in its normal location Bowel echoes appear acrogenic.
Face Orbit nose and mouth are seen & normal.
All Twelve long bones feet and hands are seen well and appear normal.
Umbilical cord shows 2 vessels Only i.e there appears to be single umbilical artery.
Fatal Biometry
BPD = 29.5 mm cephalic index ===69.0%
HC == 114.4mm HC/AC == 1.14%
AC – 100.4mm FLIAC = 19.0%
FL -- 19.2,, FHR 98-128pm irregular Showing Spell of bradycardia.
HL == 19.8 mm EFBW == 137gm
AGA= 15 wks 6 d menstrual age 17 wks 6 d mistaken daces.
Single live foetus of is wks 6 d gestation with single umbilical artery with feral bradycardia with acrogenic bowel with aligoamniase.
All Congenital Anomalies could not be pick-up on Ultrasound.
Note the incidence of shingle umbilical artery is 1% and 10-20% of thars carry are associated with other animalise including transom 18.20 omphalocele cardiac so follow up scanning with fatal echo triple Marker and karyotyping is advisable.
Fri, 7 Jun 2013
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Radiologist 's  Response
Excluding few language and typographical errors, it is understood that there are some points which need to be further investigated.
1. Single umbilical artery: It occurs in 1% of pregnancies. In 75% of those cases, the baby is entirely normal and healthy. In the rest 25% of babies a careful monitoring is required.
2.Fetal bradycardia: this is the decrease fetal heart rate and needs further evaluation.
3.Less liquor (water in which the fetus bathes) is also another important factor which needs serial monitoring.
4.Difference in dates (15Week 6 days and 17 weeks 6 days) has been mentioned as mistaken dates. Upto 8 weeks discordance in dates is allowed and according to what you have mentioned, the difference is 8 weeks.

I suggest you consult a speciality fetal medicine department in a tertiary care centre and get further evaluation done. Please remember, this is the correct time for curther consultation keeping in mind the baby and mother.
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Fetus Scan Done. What Are The Findings And Suggestions?

Excluding few language and typographical errors, it is understood that there are some points which need to be further investigated. 1. Single umbilical artery: It occurs in 1% of pregnancies. In 75% of those cases, the baby is entirely normal and healthy. In the rest 25% of babies a careful monitoring is required. 2.Fetal bradycardia: this is the decrease fetal heart rate and needs further evaluation. 3.Less liquor (water in which the fetus bathes) is also another important factor which needs serial monitoring. 4.Difference in dates (15Week 6 days and 17 weeks 6 days) has been mentioned as mistaken dates. Upto 8 weeks discordance in dates is allowed and according to what you have mentioned, the difference is 8 weeks. I suggest you consult a speciality fetal medicine department in a tertiary care centre and get further evaluation done. Please remember, this is the correct time for curther consultation keeping in mind the baby and mother.