Brief Answer:
Aspirin is beneficial in this condition.

Detailed Answer:
Hello,

Thanks for trusting us with your health concern.

I have gone through the attached report. In this scenario, the possible conditions that may arise later are- preeclampsia, small for gestational age baby, some associated anomalies etc.

The use of low dose aspirin is beneficial in this condition as the blood supply is improved. Thus the possible complications can be averted in the majority. Follow up sonograms are essential along with clinical correlation and cardiotocograms as and when needed.

The PI value is definitely higher than the maximum value of around 1.7 that is observed at this period of gestation.

Please take adequate rest, preferably in the left lateral position. Avoid excess salt in the diet, prefer low sodium salt intake and include plenty of fresh fruits and vegetables in the diet. Monitor blood pressure regularly and also urine output. Take adequate liquids.

There is no need to worry as you are being monitored well. Just follow your doctor's instructions and get regular follow up.

Hope I have answered your query. Please feel free to contact if you need further clarifications. I will be happy to help.

regards,
Shanti.V.

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Brief Answer:
Scans should be performed every three weeks.

Detailed Answer:
Hello,

Thanks for writing back.

With proper management, the situation of preeclampsia can be mostly averted while with fetal malformations, it is unpredictable. The sonograms should be repeated every three weeks along with umbilical doppler studies. Since the PI has been decreasing, it is a good sign. The probability of things going wrong cannot be predicted now, without knowing the exact reason for the abnormal PI. If the reason is simple like a loop of umbilical cord around the neck, it is easily managed. The same cannot be true with some other reason like a fetal anomaly. I do not say that this happens to every case; most often the results are good.

Hope this helps.

regards,
Shanti.V.

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