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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fetal Anomaly Detected On An Ultrasound During Pregnancy

my wife is 18 + 5 week pregnancy and today she went through anomaly scan and doctor told that the ultrasound shows baby is having inferior cerebellar vermis,no other abnormalities found. 9 months back she faced the same problem and doctor suggested for TOP and went for termination at 20th week.Again same problem now...and doctor suggested for MRI and same process. we had an appointment for MRI on Monday.so can any one suggest me what to do and what not to do. waiting for your valuable suggestions...
Tue, 12 Jul 2016
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OBGYN,  's  Response
Hi
Dr. Purushottam welcomes you to HCM virtual clinic.
I have gone through your query.
I think I have understood your concern, I will try to suggest you the best possible treatment options.

1) First of all do not panic.

2) In my opinion, it must be hypoplasia of inferior cerebellar vermis.
This is a peculiar anomaly of small brain( cerebellum).
If it is so, she needs to terminate the pregnancy.

3) Please follow the rules of the land related to medical abortion. Please get the pregnancy termination done.

4) I will suggest to get chromosomal analysis of the baby and both of you .
Let's get counselled from a genetic scientist about these reports.

5)I will sincerely suggest you that do not go ahead for next pregnancy unless all causes are ruled out. This will help to get down the stress on both of you that arises out of baby's anomalies.

I hope my answer helps you.
Thanks.
Wish you good health.
With regards
Dr Purushottam Neurgaonkar
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Suggest Treatment For Fetal Anomaly Detected On An Ultrasound During Pregnancy

Hi Dr. Purushottam welcomes you to HCM virtual clinic. I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options. 1) First of all do not panic. 2) In my opinion, it must be hypoplasia of inferior cerebellar vermis. This is a peculiar anomaly of small brain( cerebellum). If it is so, she needs to terminate the pregnancy. 3) Please follow the rules of the land related to medical abortion. Please get the pregnancy termination done. 4) I will suggest to get chromosomal analysis of the baby and both of you . Let s get counselled from a genetic scientist about these reports. 5)I will sincerely suggest you that do not go ahead for next pregnancy unless all causes are ruled out. This will help to get down the stress on both of you that arises out of baby s anomalies. I hope my answer helps you. Thanks. Wish you good health. With regards Dr Purushottam Neurgaonkar