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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, Tests Showed Bin-ovular Membrane, Fundal Posterior Placenta, Abnormal Umbilical Artery Flow. Is Everything Fine?

Hi doctor, I am 29 year old lady. My weight is 60.5 kg. My height is 5.2 feet . I am pregnant with twins. there is binovular membrane seen. Placenta are fundal posterior gr2, showing no separation. Chorion is not separated. Lia amni is adequate 17 cm. Foetal movements are seen Good. Umbilical artery flow showing Abnormal flow with high R. I & P I & S/D ratio. I am due on 21 Jan 2013. Please tell whether everything is alright or are there any complications ? Thank you Seema (India)
Mon, 8 Oct 2012
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OBGYN,  's  Response
Hi,
Thanks for the query.
According to your description it is biamniotic monochorionic twin pregnancy.
Usually with progression of the gestation diastolic flow will decrease due to the dilatation of blood vessels and decreased vascular resistance.
But as S/D ratio, resistance index etc are abnormal, it is indicating the possibility of increased vascular resistance which is usually seen in cases of hypertension etc.
So you better get evaluated regarding this and take necessary treatment to prevent complications.


Take care.
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Pregnant, Tests Showed Bin-ovular Membrane, Fundal Posterior Placenta, Abnormal Umbilical Artery Flow. Is Everything Fine?

Hi, Thanks for the query. According to your description it is biamniotic monochorionic twin pregnancy. Usually with progression of the gestation diastolic flow will decrease due to the dilatation of blood vessels and decreased vascular resistance. But as S/D ratio, resistance index etc are abnormal, it is indicating the possibility of increased vascular resistance which is usually seen in cases of hypertension etc. So you better get evaluated regarding this and take necessary treatment to prevent complications. Take care.