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What Does "increased Resistance In Both Uterine Arteries" Mean?

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Posted on Fri, 11 Jul 2014
Question: Hi ...i am 19 weeks pregnant. Today i had my Anomaly scan and Uterine Doppler scan
Anomaly scan was normal with the baby measuring 15.4 cms and 330 grams, but the uterine doppler scan showed increased resistance in both uterine arteries average PI was 2.6
i have been asked to redo the Doppler Scan after 3 weeks again

This is my first pregnancy. My report says screened positive for preeclampsia. i dont have any other adverse or alarming symptoms. Blood pressure is also normal 110/70

i have my gyno appointment tomorrow but i am really worried about what this means?

is it something to worry about or will resolve with medication. There is no history of preeclampsia in my family

doctor
Answered by Dr. Manisha Jain (21 minutes later)
Brief Answer:
risk factor and not disease

Detailed Answer:
Hello mam, thanks for trusting health care magic.
Your report is in a risk zone.
The problems are-
- weight is on lower side as at this gestation it should be between 400-500 grams.
- the deranged uterine artery Doppler at this gestation is suggestive of risk of pre-eclamsia and low birth weight baby in advanced pregnancy.

All these problems are only probable and are just predicted and not conclusive of anything as of now.
It can progress or at times come down to normal.
So as of now there is not much to worry and follow certain instructions like -
- rest in left lateral position.
- take calcium in prescribed doses daily
- regular blood pressure check up
- adequate rest of 8 hours at night and 2 hours in day.
- regular antenatal visit to your doctor.
Take care. In case you have other questions you can contact me directly on http://bit.ly/drmanishajain
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (9 minutes later)
Will any medication given by doctor help to normalise it?
What could be the reason for this? Is it safe for me to do domestic travel by flight?
i am really worried and hence wish to know if i can do anything extra to take care about it. How high is the risk?
doctor
Answered by Dr. Manisha Jain (2 hours later)
Brief Answer:
MEDICINES ADVISED.

Detailed Answer:
Hello mam, yes your gynecologist will most probably prescribe you aspirin and amino acid supplements but after proper examination.
Cause of this is largely unknown specially in patients with normal development of fetal parts.
Air travel is the safest mode of transport in pregnancy if travel is unavoidable.
follow the instructions in our previous discussion and take medicines prescribed to you at desired intervals.
Risk in this case is around 15-30% if no corrective measures are taken.
wish you the best of health. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (22 hours later)
Hello Dr XXXXXXX

My Gyno gave me Ecosprin 75 today for 6 weeks and has asked to repeat the scan at 26 weeks (6 weeks later)

What she was also surprised at was the fact that my PI in the 12 weeks scan was 1.3 and usually this gets detected in the 12 week scan.

She has said to get my BP monitored every week and that they will monitor me closely for the next 6-8 weeks.

Today my BP was 130/80.

Please let me know if this BP is a concern. My Gyno said there is nothing to worry about, it shouldnt go to 140

thanks, XXXXXXX

doctor
Answered by Dr. Manisha Jain (1 hour later)
Brief Answer:
BP should be less than 140/90

Detailed Answer:
Hi XXXXXXX after listening to your gynecologist's prescription I must say that you are in safe hands.
This is the right treatment and monitoring protocol.
Your blood pressure is well within normal range and should stay below 140/90 at all times.
Visit your doctor regularly as called and hope for the best.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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What Does "increased Resistance In Both Uterine Arteries" Mean?

Brief Answer: risk factor and not disease Detailed Answer: Hello mam, thanks for trusting health care magic. Your report is in a risk zone. The problems are- - weight is on lower side as at this gestation it should be between 400-500 grams. - the deranged uterine artery Doppler at this gestation is suggestive of risk of pre-eclamsia and low birth weight baby in advanced pregnancy. All these problems are only probable and are just predicted and not conclusive of anything as of now. It can progress or at times come down to normal. So as of now there is not much to worry and follow certain instructions like - - rest in left lateral position. - take calcium in prescribed doses daily - regular blood pressure check up - adequate rest of 8 hours at night and 2 hours in day. - regular antenatal visit to your doctor. Take care. In case you have other questions you can contact me directly on http://bit.ly/drmanishajain