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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is There Any Test Through Which I Can Know About My Baby's Health Condition?

Hello Doctor,

I am 26 yr old and i am 14wk pregnant this is my 2nd pregnancy , ultrasound report says "placenta posterior grade 0. lower edge reaches upto internal 0s" .i m worried whether it will harm my baby,as i have 1.6yr old baby boy who has cerebral palsy(ack of oxygen at birth time), i want to know whether fetus is developing healthy or not , is there any test through which i came to know about my baby whether he is develpoing healthy or not.
Mon, 1 Sep 2014
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General & Family Physician 's  Response
Thanks for using healthcaremagic.I understand your concern.
Brief answer: Posterior low lying placenta usually won't cause harm to a growing fetus.But this condition needs to be carefully monitored by an obstetrician.
Detailed answer:
During early pregnancy(up to 20 weeks)--Anomaly ultrasound scan,serum marker assay(Triple or quadruple marker test),amniocentesis---helps only to detect certain genetic abnormalities like Down syndrome etc

During later pregnancy(After 26 weeks)--Non-stress test and contraction stress test using cardiotocography,Lecithin/Sphingomyelin ratio to assess fetal lung maturity,amniotic fluid index(AFI),biophysical profile test(BPP),Doppler velocimetry---can be used to monitor the fetal well being.
For high risk pregnancies,growth ultrasound every month can be used particularly where growth restriction is suspected.

Also you need not be worried regarding the ultrasound at present,as the posteriorly lying placenta may not be seen near the internal os in future ultrasound scan when uterus tends to grow further.I would advise you to follow up with your obstetrician,who is expertise in monitoring and taking care of your unborn with the necessary tests from the above mentioned.Hope this information helps you.If any other questions,happy to answer you.Take care.
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Is There Any Test Through Which I Can Know About My Baby's Health Condition?

Thanks for using healthcaremagic.I understand your concern. Brief answer: Posterior low lying placenta usually won t cause harm to a growing fetus.But this condition needs to be carefully monitored by an obstetrician. Detailed answer: During early pregnancy(up to 20 weeks)--Anomaly ultrasound scan,serum marker assay(Triple or quadruple marker test),amniocentesis---helps only to detect certain genetic abnormalities like Down syndrome etc During later pregnancy(After 26 weeks)--Non-stress test and contraction stress test using cardiotocography,Lecithin/Sphingomyelin ratio to assess fetal lung maturity,amniotic fluid index(AFI),biophysical profile test(BPP),Doppler velocimetry---can be used to monitor the fetal well being. For high risk pregnancies,growth ultrasound every month can be used particularly where growth restriction is suspected. Also you need not be worried regarding the ultrasound at present,as the posteriorly lying placenta may not be seen near the internal os in future ultrasound scan when uterus tends to grow further.I would advise you to follow up with your obstetrician,who is expertise in monitoring and taking care of your unborn with the necessary tests from the above mentioned.Hope this information helps you.If any other questions,happy to answer you.Take care.