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Suggest Treatment For Low Blood Circulation In A Pregnant Lady

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Posted on Wed, 22 Oct 2014
Question: Hi,
I am 24 week pregnency. I had doppler scan and found that blood circulation is low. They said its high resistance flow and having notch. I had two doppler scan (aug and sep). Same results came out.
Am taking below tablets after first scan in aug. But same results in september scan as well.
They prescribed below supplements.
1. Genew
2.Tidilan 10mg
3.Ecosprin 75mg
4. LRZin Sachets (2 times)
As of now baby growth is 598/-38 gms
Am taking this supplements from last month, they called for the scan next month to check baby growth.
My questions is:
I had first doppler scan was on August then they prescribed above supplements. When i undergone for second doppler scan in september, same result came out (high resistance flow). However baby growth is fine as of now. Is above supplements increase blood flow?
I called next month for same scan.. is there any chance to improve by next month by taking above supplements?
Please help me understanding as am worried on baby growth.
Thanks
XXXX

doctor
Answered by Dr. Madhuri N Bagde (13 minutes later)
Brief Answer:
this is not of much significance.

Detailed Answer:
Hello and welcome,

I completely understand the issue.
An abnormal doppler is not an uncommon finding in early pregnancy and does not carry have a high significance.
An abnormal doppler has more meaning beyond 28-32 weeks.

As of now, there is only notching in the report which is again not a very signiifcant finding. By this I mean that most women with notching have a good pregnancy outcome. If there is a decreased flow then it is significant. Abnormal doppler findings mean that the blood flow to the baby is falling. However a notch does not mean low blood flow. It means that the artery carrying the blood is having less flow during certain part of the heart cycle and the flow is normal during the rest of the part. So it is enough to provide nutrients to the baby.

About the supplements. They are routinely prescribed to boost baby growth. They are beneficial in helping the baby to grow but they do not change the doppler findings nor do they stop or prevent the doppler from getting worse. So the supplements are only meant to help the babies growth and do not cause a change in the doppler at all. If the baby is growing fine then there is no reason to worry at all. Most likely the doppler may remain the same and there will be no further issues. This has already happened in the previous scans so no issues now.

As of now, drink plenty of water 3-4 litres a day, eat 2-3 fruits a day and take the supplements as well as a proper diet. Rest for 2 hours in the noon and take a proper sleep at night. Continue follow up with doppler and if the result is same there is no need to worry.

Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist     
[You may also ask me direct questions at the following link. http://doctor.healthcaremagic.com/doctors/dr-madhuri-n-bagde/66844 Thanks!!]

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Madhuri N Bagde (24 minutes later)
Hi,

Thank you for your reply.

As of now the doppler scan impression is positive. If positive result came twice, is there any chance to get into abnormal stage post 28 weeks (or decreased flow).

Am working as of now. If i take 2 weeks if rest, is there any chance to improve in blood flow.

In august scan below is the findings.

Rt Ut (DN+)
Lft Ut(DN+)

In September scan:
Rt ut(High resistance flow)
Lft ut(DN+)

Is there any improvements in september scan?

Please let me know what precautions i should take other than u suggested.

Am travelling to out of station for my sister wedding by train. Is it safe to travel at this stage with above condition?

Once again thanks for your valuable inputs.

Thanks,
XXXX

doctor
Answered by Dr. Madhuri N Bagde (21 minutes later)
Brief Answer:
if possible avoid travel.

Detailed Answer:
Hello and welcome,

The doppler now is not showing a significant abnormality. It is impossible to predict the future at this stage as we do not know how it will behave further.

The september scan shows a high resistance flow which is a finding that is again non specific. It may or may not cause growth restriction in the baby. So as of now, just do not worry as stress is extremely harmful for the baby. The doppler is steady and we just need to wait and watch. Take the drugs, rest and eat well. Read good literature, take relaxing walks and do meditation to help calm the mind. These all will help. Even if there is a worsening in the doppler still it does not mean that the doctors will stop helping you. We do give fluids and drugs to help further growth of baby and then plan accordingly. So many pregnancies have abnormal dopplers and have good babies while as of now, you do not even have a significant abnormality.

So rela.....................x.

Travel is not advocated much during pregnancy. Travel by train is safer from 16-26 weeks the earlier the better as it increases the chances of preterm labor pains. So if it is possible, travel as early as possible. Also ensure that you do not exert yourself in the wedding and take adequate rest. It is better to see your obstetrician before travel as she knows your case and has examined you and can guide you better for this.

Do not worry.
Let me know if there are any further issues and I will be glad to help.

Take care and wish you a safe pregnancy.

Dr Madhuri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Madhuri N Bagde

OBGYN

Practicing since :2001

Answered : 1390 Questions

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Suggest Treatment For Low Blood Circulation In A Pregnant Lady

Brief Answer: this is not of much significance. Detailed Answer: Hello and welcome, I completely understand the issue. An abnormal doppler is not an uncommon finding in early pregnancy and does not carry have a high significance. An abnormal doppler has more meaning beyond 28-32 weeks. As of now, there is only notching in the report which is again not a very signiifcant finding. By this I mean that most women with notching have a good pregnancy outcome. If there is a decreased flow then it is significant. Abnormal doppler findings mean that the blood flow to the baby is falling. However a notch does not mean low blood flow. It means that the artery carrying the blood is having less flow during certain part of the heart cycle and the flow is normal during the rest of the part. So it is enough to provide nutrients to the baby. About the supplements. They are routinely prescribed to boost baby growth. They are beneficial in helping the baby to grow but they do not change the doppler findings nor do they stop or prevent the doppler from getting worse. So the supplements are only meant to help the babies growth and do not cause a change in the doppler at all. If the baby is growing fine then there is no reason to worry at all. Most likely the doppler may remain the same and there will be no further issues. This has already happened in the previous scans so no issues now. As of now, drink plenty of water 3-4 litres a day, eat 2-3 fruits a day and take the supplements as well as a proper diet. Rest for 2 hours in the noon and take a proper sleep at night. Continue follow up with doppler and if the result is same there is no need to worry. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist [You may also ask me direct questions at the following link. http://doctor.healthcaremagic.com/doctors/dr-madhuri-n-bagde/66844 Thanks!!]