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Suggest Treatment For Lag Of Fetal Growth By 2 Weeks In A Growth Scan

Posted on Tue, 14 Jul 2015

Question: Hi ,
I am 25 week pregnant. My ultrasound report says growth scan for 23 week which is 2 week behind
I consulted the consultant.She told that this is serious and the baby may have
defects in vision and hearing.
I want to understand if this is really tru or possible.Plz help .

BPD: 57 mm corressponding to 23w 4d
HC: 201 mm corressponding to 22w 3d (12 days behind)
AC: 158 mm corressponding to 21w 0d (20 days behind)
FL: 39 mm corressponding to 22w 6d (8 days behind)

EFW : 461- 520 gm

Average GA by ultrasound: 22w 4d

Please respond if any one have any similar issues.

Answered by Dr. Manisha Jain (36 minutes later)

Brief Answer:
3D ultrasound advised

Detailed Answer:
Hello dear, thanks for trusting health care magic.
This is not serious as it is common to have a lag of 10-14 days in second trimester scan.
I would like to see your previous ultrasound report in case you have one and also your previous menstrual cycle length and regularity before getting pregnant.
But irrespective of that there is nothing much to worry and in case double reassurance is needed better go for a 3D ultrasound which will give you full detailed information of abnormalities if at all present.
Waiting for your response
Regards
Dr Manisha

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (3 days later)

Hi Doctor,

Thanks for your answer and this truly provided relief as this is our first baby and issues and talks like this are making us very sad and tensed.

The issue we are facing is slower increase in weight of mother and child.

I am uploading all the Ultra Sound Reports with dates and the Torch Report.
Please review and thanks again for your help and precious advice.

Answered by Dr. Manisha Jain (11 minutes later)

Brief Answer:
All reports are synchronised

Detailed Answer:
I have seen the attached reports and it is evident that there has always been a difference of only 7-10 days between LMP and ultrasound so that is alright and common because of delayed ovulation.
So all in all juat relax and get a 3D ultrasound for being double sure.
All the best.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Manisha Jain (1 hour later)

Thanks Doctor....
Last thing I would be eager to hear from you is ...When I was pregnant my weight was approx. 60 Kg and it is now 6 month and the weight has increased in last month only by 4 Kg and the weight growth seems irregular.

Also the baby weight as of now in 461 gm in 6th month.
Please advise of any fooding or lifestyle changes I need to do.

Again thanks for helping me in such a critical time...I will remember you ever.

Answered by Dr. Manisha Jain (23 minutes later)

Brief Answer:
Simple precautions advised

Detailed Answer:
No dear there is no problem most likely and you are just anxious.
Take a note of the following points -
- have a good rest with no exertion at all
- avoid intercourse
- take ample amount of water
- take good amount of milk and green leafy vegetables
- almonds and walnuts are very good and should be taken on daily basis
- avoid any kind of stress
- keep taking all the medicines as prescribed daily without a miss.
Also I would like to know about the medicines she is taking right now so that I can advise you an addition in case needed.
Also in case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar