What Does This Ultrasound Report Indicate?

Posted on Mon, 23 Jan 2017

Question: Hi,
plz check the latest doppler USG report of my wife and share comments.

Answered by Dr. Sameer Kumar (35 minutes later)

Brief Answer:
please attach the report

Detailed Answer:
HELLO,
Thanks for the query to HCM,
Please attach the ultrasound report for purview in the follow up. I don't see it attached.
Regards

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

Follow up: Dr. Sameer Kumar (14 minutes later)

Hi
plz find attached, good to see that the call has been forwarded to you aslast usg was also seen by you in which AC lag was reflected by doc, to remind you more i am from kashmir was also seeking advise on any specialized hospital in XXXXXXX ..

Answered by Dr. Sameer Kumar (12 hours later)

Brief Answer:
answered

Detailed Answer:
Hello,
I have gone through the report. There is a definite increase in resistance in umbilical artery resistance considering S/D ration is 2.9 which should be less than 2.5. At 25 weeks now , this definitely calls for regular 3 weekly doppler study follow up. As interval growth is fine since previous scan and AFI is adequate , present report from growth parameters is fine but resistance in umbilical artery can become a cause of premature termination by third trimester if this persists or increases. I hope she is already on ecosprin and low molecular weight heparin.
Regards

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

Follow up: Dr. Sameer Kumar (33 minutes later)

Hi
Yes she is taking Delispirin 75 (BT), Gravadol 100 (BD), and Optithik 75 (BT Locally) .
What is the way to get rid of this problem...Is this possible that it may go or get corrected so that we dont have to go for preterm as was done last time due to which baby expired after 3 days on ventilator.

Answered by Dr. Sameer Kumar (44 minutes later)

Brief Answer:
answered

Detailed Answer:
HELLO,
iF SHE IS IN LABETALOL( GRAVIDOL), THEN SHE IS HYPERTENSIVE as well and in that case IUGR is common and uteroplacental insufficiency can set in early if BP remains uncontrolled. She can just be followed up with doppler studies and medications needs to be continued. No other intervention can be planned this early. pRETERM delivery may have to be taken again if parameters derange and there is reversal of flow in umbilical artery. She remains a high risk pregnancy.
This can be controlled but not reversed once set in. The aim would be to keep the BP under check and prevent pre-eclampsia and regular follow ups. sHE SHOULD BE GIVEN A PROPHYLACTIC DOSE of antenatal corticosteroids by 32 weeks to allow lung maturation which shall help child to breathe better if there arises a need to deliver early to save the child.
Regards

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

Follow up: Dr. Sameer Kumar (10 hours later)

Hello
Do we need to take any other medication apart from the ones she is taking, i want to mention she has been given Maintain 100 tabs (BT) today bu her consultant, Also let me know till what time of pregnancy air travel advisable as i might plan sometime ahead.

Answered by Dr. Sameer Kumar (13 hours later)

Brief Answer:
answered

Detailed Answer:
Hello,
Maintain 100mg HAS BEEN STARTED TO AVOID ANY CHANCES OF PRETERM LABOUR, THOUGH IT IS NOT INDICATED but can be continued. However , considering her being a high risk pregnancy , travelling is not advisable, as she needs to be on regular obstetrician follow up to ascertain her and her foetus's condition. Though it is safe to travel after 14th week till 32nd week in normal pregnancy. I would not advocate travelling in her case.
regards

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