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What Do These Anomaly Scan And Quadruple Blood Test Reports Indicate?

Posted on Wed, 19 Aug 2015

Question: Hello Doctor,

This query is in regard of my wife, Deepmala.

We are expecting our second bay which is due in November 2nd week 2015. The history is as follows
- Our first baby was born on 14/02/09 (Female child, through C-Section)
- We conceived again in April 2014 but she had a miscarriage within 6 weeks
- We again conceived in October 2014 but again she had a miscarriage due to XXXXXXX syndrome (see attached report from Metropolis) by 11 weeks
- We conceived again and we are expecting our second baby in November

We conducted couple of tests to check if there are any Genetic issues are there or not in the current pregnancy.
1) Anomaly Scan
2) Quadruple Blood test

I am attaching the report for your reference. Please let me know if I need to do any further scan or tests in this regard. The doctor has suggested to have a repeat anomaly scan though everything appears to be fine.

Regards

XXXXX

Answered by Dr. Richa Agarwal (5 minutes later)

Brief Answer:
Please upload the reports.

Detailed Answer:
Hello XXXXXXX
Thanks for trusting hcm about your wife health care.
Congratulations on her pregnancy and sorry for the past losses.
Sorry for the inconvenience but I am unable to see your attached reports, kindly attached it again.
Hope to hear from you soon.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Richa Agarwal (4 hours later)

hello doctor,is there a email id where i can send this. there is no atyach and upload thing for reports on the website.
plz help.

Answered by Dr. Richa Agarwal (3 hours later)

Brief Answer:
Healthcaremagic.com.

Detailed Answer:
Hello,
Please click right side on button on your desktop, option come attached report, you can attach there.
Or you can directly send it to me( address me) YYYY@YYYY .
Hope to hear from you soon.
Good luck.
Richa

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Richa Agarwal (2 hours later)

Hello doctor

Have sent you the reports through attachments as you said.

Also sending you an email about that.

Regards

XXXXX

Answered by Dr. Richa Agarwal (3 hours later)

Brief Answer:
Repeat anomaly scan as adviced.

Detailed Answer:
Hello XXXXXXX
I have gone through your wife reports and there is no such significant abnormalities are seen but as a bad obstretic history and one single echogenic cardiac foci seen in baby report( sometimes indicator of down syndrome) I would suggest you to go for repeat anomaly scan ( second level ultrasound scan) to rule out any congenital abnormalities ( though in recent reports everything is fine).
I would not suggest amniocentasis in your case as your rest of the report for foetal anomaly is normal.
Hope it is of some use, please feel free to ask further questions.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Richa Agarwal (5 days later)

Hello Dr XXXXXXX

In continuation of our previous discussion, I am attaching the latest sonography scan report for your perusal. Please can you suggest if we still need to do another anomaly scan at XXXXXXX fetal medicine center. The report is attached by the name of New Doc 24 under the attachments.

Also we would like to get your views on the following medication which my wife is taking currently (she is six months pregnant)

- Folivel LM (Morning)

- Vgain (Morning)

- Calony (Morning & Evening)

- Lymocap gold (Afternoon)

- Soft HB evening

Please let me know your views.

Thanks

XXXX

Answered by Dr. Richa Agarwal (4 hours later)

Brief Answer:
No need of repeat scan.

Detailed Answer:
Hello dear,
Thanks for trusting me again of her health care.
Sorry for the delay in my response.
I have gone through her recent report and it is not showing any congenital abnormalities and cardiac echo is also disappear.
So there is no need of repeat scan for congenital abnormalities.
Usually at 6 months pregnancy we prescribed iron,calcium and protein supplement.
Hopefully the above mentioned drugs also contains iron,calcium and multivitamin.
These are the brand name please send me content of these drugs for better opinion ( sorry for the inconvenience) .
Hope to hear from you soon.
Good luck.
Regards

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

Follow up: Dr. Richa Agarwal (19 hours later)

Hello Doctor,

In line with what you had asked, following is the composition of the medicine
Vgain - Antioxidants multivitamin and multi mineral capsules
Calony - Calcium Nitrate, Magnesium, Sinc and Vitamin D3
Soft Hb - Ferrous Ascorbate, folic acid and Zinc
Lymocap gold - Multi vitamin and multi mineral with Biotin
Folivel Im - Methyl Folate tablets
Gluta red - L glutamine group

Please let me know your views on this.

regards

XXXX

Answered by Dr. Richa Agarwal (1 hour later)

Brief Answer:
She is on good treatment.

Detailed Answer:
Hello Dear,
Thanks for giving me details about the drugs.
Everything is fine except one tablet Vgain and lymocap.
Both contains multivitamin and multimineral,so she can take one of them.
In my opinion lymocap is better.
Along with these medicines she should take healthy and nutritious diet,take appropriate rest,some yoga and meditation and relaxation.
Hope found useful.
Good luck.
Regards

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