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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. Ultrasound Showed Prediastolic Notch In Left Uterine Artery And Low Resistance In Arteries. Serious?

in my 34th week of pregnancy, in color doppler ultra sound , prediastolic notch in left uterine artery and umbical arties showed low resistance flow with good diastolic flow. then my doctor gave agrine sachet to drink in water. In 36th week color doppler ultra sound, there was left uterine artery shoing high resistance flow with early diastolic notching. Umbilical arteries showing high resistance flow with decreased diastolic flow,cerebroplacental ratio 1. My doctor suggested to take rest and again go for doppler after 10 days of the previous. She said it might b that i hve to go for C-section . My BP is 128/88 and i have gained 8kgs of weight. Cant i have normal delivery?
posted on Sun, 3 Mar 2013
Twitter Wed, 6 Mar 2013 Answered on
Twitter Thu, 7 Mar 2013 Last reviewed on
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OBGYN,  's  Response
Hello
thank you for your query.
In the 34th week, your doppler was reasonably okay, but the 36th week Doppler indicates that blood supply to the baby is getting compromised.
Reasons for this are many including maternal hypertension, diabetes, and placental factors also that hamper blood flow to the baby.
If your Doppler further gets compromised, nobody would put you at risk of a normal delivery, because the baby's heartbeat might get affected during normal labour.
If the Doppler findings do not improve, you would mostly be advised an Elective C section, which is best.
Rest in left lateral position, keep strict vigilance on fetal movements and drink plenty of fluids
take care.
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General & Family Physician,  Dr. Das Arindam's  Response
Hello, Welcome to HCM, I am Dr. Das

Look, your report indicates possibility of intra-uterine growth retardation.

It is alarming, you need to be cautious. You have to do the followings

1. take bed rest.
2. you have to take 300 extra calorie.
3. an aspirin group of drug should be taken regularly.
4. Do ultrasound scan every 4 days. Any reverse flow should be noted. In that case, consult with your treating doctor immediately.

So, keep following up with your treating doctor regularly.

Regards.
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Pregnant. Ultrasound Showed Prediastolic Notch In Left Uterine Artery And Low Resistance In Arteries. Serious?

Hello thank you for your query. In the 34th week, your doppler was reasonably okay, but the 36th week Doppler indicates that blood supply to the baby is getting compromised. Reasons for this are many including maternal hypertension, diabetes, and placental factors also that hamper blood flow to the baby. If your Doppler further gets compromised, nobody would put you at risk of a normal delivery, because the baby s heartbeat might get affected during normal labour. If the Doppler findings do not improve, you would mostly be advised an Elective C section, which is best. Rest in left lateral position, keep strict vigilance on fetal movements and drink plenty of fluids take care.