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What Is The Best Mode Of Delivery Of The Baby?
i have a patient, primigravida, at 37 weeks of gestation with placental calcification grade 3 and intra uterine growth retardation showing bpd of 8.8 and parameters of 35 weeks growth. what would be the best mode of delivery of baby, induction or ceasarian section?
Mon, 29 Dec 2014
Hi doctor
Ultrasound Biometry of 35 weeks is okay for 37 weeks gestational age fetus unless in serial ultrasounds the fetus has shown stunted growth/no growth.
Dont worry about placental calcification.
Is the liquor normal? What about the umbilical artery Doppler study?
Aim for vaginal delivery if the baby"s presentation is cephalic. If Iugr is confirmed induce labour. Remember continuous fetal monitoring is necessary during labour.
I hope I have answered to your satisfaction.
If you have any further concerns do write to me.
Ultrasound Biometry of 35 weeks is okay for 37 weeks gestational age fetus unless in serial ultrasounds the fetus has shown stunted growth/no growth.
Dont worry about placental calcification.
Is the liquor normal? What about the umbilical artery Doppler study?
Aim for vaginal delivery if the baby"s presentation is cephalic. If Iugr is confirmed induce labour. Remember continuous fetal monitoring is necessary during labour.
I hope I have answered to your satisfaction.
If you have any further concerns do write to me.
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