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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will I Have A Normal Delivery Despite Placenta Positioning?

Last Jan17, 2014 the result of my BPS says:

I. Fetal Survey
Presentation: Cephalic Fetal Sex: Female
No. of Fetus: Single Fetal Heart Beat 151bpm
Placenta: Right Anterolateral Amniotic Fluid 12.3cm
Grade: 3

II. Biometry
BPD: 8.48cm= 33 weeks 2days Ave. Sonar Age: 35 6/7weeks
HC : 31.91cm= 36weeks EDC: (LMP) Feb. 04, 2014
FL: 6.86cm= 38weeks 3days (Ultrasound) Feb. 15, 2014
AC: 31.49cm= 35weeks 3days Estimated Fetal Wt: 2457-2800gms
(2640gms.+/- 396.09grms.; 5lbs 13oz)
III. Biophysical Profile
Fetal Breathing: 2 Fetal Tone: 2 Total: 8/8
Fetal Movement: 2 AFI 2

IV. Other Findings:
Fetal head is still floating. Facial profile is normal.
There is a loose nuchal cord coil.
Placenta right anterolateral, grade 3 w/ minimal basal and septal calcifications

IMPRESSION:
Single Live Intrauterine pregnancy, cephalic presentation
38 3/7 weeks by FL; 35 6/7 weeks average sonic age;
w/good somatic and cardiac motion
placenta right anterolateral, grade 3
BPS -8/8; adequate amniotic fluid
sonographic estimate of fetal weight is appropriate for 33-41 weeks


Doc is want if the nochal cord can affect my delivery. I am normal with my previous delivery?
Is the placenta positioning is normal? Is my baby okay?




Tue, 28 Jan 2014
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General & Family Physician,  's  Response
Hi and thank you so much for this query.

I am so sorry to hear about these findings and all the inconveniences it has caused you. There is nothing as of now which suggest tat vaginal delivery would be difficult. If prior to delivery the cord around the neck is still in place, then vaginal delivery would be difficult. This is because the cord and strangle the child and would prevent the child from descending down into the vaginal for delivery during labor. For now, we simply need to monitor because it can still change. If it gets confirmed in future ultrasounds, then I will suggest you strongly consider a cesarean section.

I hope this addresses your query fully. Thank you so much for using our services and do feel free to ask for more clarification or information if need be. I wish you well.
Dr. Ditah, MD.
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Will I Have A Normal Delivery Despite Placenta Positioning?

Hi and thank you so much for this query. I am so sorry to hear about these findings and all the inconveniences it has caused you. There is nothing as of now which suggest tat vaginal delivery would be difficult. If prior to delivery the cord around the neck is still in place, then vaginal delivery would be difficult. This is because the cord and strangle the child and would prevent the child from descending down into the vaginal for delivery during labor. For now, we simply need to monitor because it can still change. If it gets confirmed in future ultrasounds, then I will suggest you strongly consider a cesarean section. I hope this addresses your query fully. Thank you so much for using our services and do feel free to ask for more clarification or information if need be. I wish you well. Dr. Ditah, MD.