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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Ultrasound Report During Pregnancy Indicate?

Hi! I am 36 weeks preganant. Yesterday was my ultrasound to check duplex doppler and color doppler. Everything is normal except my placenta which is fundo anterior grade 3. I am a little worried after reading a bit online about grade 3 placenta. My doctor said nothing to worry but grade 3 placenta need to be monitored and asked to comeback after 15 days for ultrasound. Do I need to worry? My sugar level is normal (127), no BP, adequate AFI, EFW is 2571gm. please help.
Tue, 29 Sep 2015
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
Grannum et al in 1979 classified placental maturity into four grades 0 - III, based on the ultrasound appearances placenta.
Grading is based on the changes occurring in three zones of placenta: chorionic plate, placental substance and basal layer, as the pregnancy advances.
Grade - 3 is the late phase represents the mature placenta. Since you are nearing term, it can be interpreted as normal. Hence you need not worry.
Your sugar level of 127mg% is also normal, Amniotic fluid index is adequate and fetal weight is also good at about 2.5 kgs.
Kindly get another scan after 2 weeks as advised to monitor the progress.
Hope the information provided is clear.
All the best.
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What Does This Ultrasound Report During Pregnancy Indicate?

Hi, Thanks for posting in HCM. Grannum et al in 1979 classified placental maturity into four grades 0 - III, based on the ultrasound appearances placenta. Grading is based on the changes occurring in three zones of placenta: chorionic plate, placental substance and basal layer, as the pregnancy advances. Grade - 3 is the late phase represents the mature placenta. Since you are nearing term, it can be interpreted as normal. Hence you need not worry. Your sugar level of 127mg% is also normal, Amniotic fluid index is adequate and fetal weight is also good at about 2.5 kgs. Kindly get another scan after 2 weeks as advised to monitor the progress. Hope the information provided is clear. All the best.