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What Does Dichrotic Notch In Uterine Artery With Increased S/d Ration Indicate ?
hi doctor did dopler scan on 4/01/2014.In that scan they gave impression as follows impression : single live intrauterine gestation of 28 weeks 6 days doppler indices shows dichrotic notch in uterine artery with increased s/d ratio and abnormal spectral waveform with normal indices in umbical artery. doppler study: s\d p\i RI mca 3.6 1.3 0.71 umbilical artery 3.6 1.56 0.72 right uterine artery 4.2 2.4 0.77 left uterine artery 4.1 1.7 0.75 i like to know the position of my baby actually according to my LMP (22-05-2013) EGA of fetus is 32 weeks 3 days but according to scan USG is 28 weeks 6 days. please advice me how to over come this
Mon, 20 Jan 2014
Diastolic notch in uterine artery with increased s/d ratio indicates low tissue perfusion means there are more chances of intrauterine growth retardation & pre-eclampsia ( high BP ). Your baby is lagging in growth by 3wks according to scan. You consult your obstetrician. They will start you on some tablets (antioxidants,aspirin) for fetal growth & to reduce the chance of preeclamsia. Frequent fetal surveillance is needed.
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