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What Does My Ultrasound Scan Test Report Indicate?
Question: Hello doctor,
This is XXXX from Vellore. I would like to ask you regarding my wife's pregnancy. This is our second baby and she is now 33 weeks and everything was normal until the recent scan which showed the following,
1. Long bones are short by 3-4 weeks. Femur,Humerus,Fibula,Tibia,Radial,Ulna.
2. Left Femur is bent.
HC, BPD, AC all are normal. Femur to Foot length ratio is 0.77
TC/AC ratio normal. Late onset Skeletal Dysplasia with no signs of lethality.
Planned for normal vaginal delivery.
They have ruled out Down's but we are afraid of the physical appearance of the baby. And moreover we do not have a family history of any genetic malformations. I am 5'9 and my wife is 5'4. Our first child is a girl baby and is one and a half year old healthy child but she too was an IUGR baby with birth weight of 2.24 kg.
I have attached the scan reports along with this.
We would like to know if the baby will be normal physically and what can be done about the femur bent? How to increase bone growth and fetal weight since there is some more time left for the delivery.?
Hello Doctor,
Thank you for your reply. I would like to ask you 2 things:
1. What is a Level II scan and can it be taken now at 33+ weeks?
2. Tomorrow is my sppointment with the genetic specialist. What all shoud i discuss with him?
regards.
This is XXXX from Vellore. I would like to ask you regarding my wife's pregnancy. This is our second baby and she is now 33 weeks and everything was normal until the recent scan which showed the following,
1. Long bones are short by 3-4 weeks. Femur,Humerus,Fibula,Tibia,Radial,Ulna.
2. Left Femur is bent.
HC, BPD, AC all are normal. Femur to Foot length ratio is 0.77
TC/AC ratio normal. Late onset Skeletal Dysplasia with no signs of lethality.
Planned for normal vaginal delivery.
They have ruled out Down's but we are afraid of the physical appearance of the baby. And moreover we do not have a family history of any genetic malformations. I am 5'9 and my wife is 5'4. Our first child is a girl baby and is one and a half year old healthy child but she too was an IUGR baby with birth weight of 2.24 kg.
I have attached the scan reports along with this.
We would like to know if the baby will be normal physically and what can be done about the femur bent? How to increase bone growth and fetal weight since there is some more time left for the delivery.?
Hello Doctor,
Thank you for your reply. I would like to ask you 2 things:
1. What is a Level II scan and can it be taken now at 33+ weeks?
2. Tomorrow is my sppointment with the genetic specialist. What all shoud i discuss with him?
regards.
Brief Answer:
Serious issue
Detailed Answer:
Hello sir, thanks for trusting health care magic.
It us indeed a serious situation and cannot be managed by diet or medicine.
I would like you to discuss the issue with a genetic specialist and get a level 2 scan from a fetal radiologist.
Must take it seriously and at the earliest and opt for normal delivery as much as possible.
All the best.
Regards
Dr Manisha
Brief Answer:
Get a level 2 scan
Detailed Answer:
Level 2 scan is done at 16-18 weeks usually as it is to see gross problems in formation of various organs in the baby.
Another level 2 scan is indicated at 32-34 weeks which is done only in high risk cases with history or examination is suggesting some serious issue with the growth and development of the baby.
Get it done and then we can discuss the matter.
Genetic counselling is very important in your case so as to see if anything in both of you is present which has led to such findings in the baby.
Also ask him precautions in future and if anything is needed prior to planning next pregnancy and any blood tests needed to see the extent and cause of problems.
Best answer will be given by fetal karyotyping most likely but he will be the best guide to management now.
All the best dear.
Serious issue
Detailed Answer:
Hello sir, thanks for trusting health care magic.
It us indeed a serious situation and cannot be managed by diet or medicine.
I would like you to discuss the issue with a genetic specialist and get a level 2 scan from a fetal radiologist.
Must take it seriously and at the earliest and opt for normal delivery as much as possible.
All the best.
Regards
Dr Manisha
Brief Answer:
Get a level 2 scan
Detailed Answer:
Level 2 scan is done at 16-18 weeks usually as it is to see gross problems in formation of various organs in the baby.
Another level 2 scan is indicated at 32-34 weeks which is done only in high risk cases with history or examination is suggesting some serious issue with the growth and development of the baby.
Get it done and then we can discuss the matter.
Genetic counselling is very important in your case so as to see if anything in both of you is present which has led to such findings in the baby.
Also ask him precautions in future and if anything is needed prior to planning next pregnancy and any blood tests needed to see the extent and cause of problems.
Best answer will be given by fetal karyotyping most likely but he will be the best guide to management now.
All the best dear.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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