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Discrepancy seen in gestational age

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Below is report of my doppler scan, can any one pl suggest an action plan to overcome this problem. (i have been already prescribed Folic Acid, IRON Supplement and Multi-vitamins along with Ascard 75mg once daily)

Any other suggestions ?


Single Alive Fetus seen corresponding to 25 weeks overall of gestation,By EDD it should be 27 Weeks, Discrepancy seen in gestational age between different parameters.

Amniotic Fluid is increased in amount of AFI is 19 cms. Doppler study of umblical artery showed significantly reduced distolic flow PI & RI of umblical artery is 0.8 & 1.9 at & above 95th Centile suggestive of placental insufficiency (Intrauterine Growth Retardation), MCA RI is also closer to 5th Centile.


Thanks to All


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replied May 16th, 2012
Vaginal and Uterus Health Answer A34980
Hi,
Welcome to ehealthforum,
The scan report as described by you suggests that there is less blood flow to your baby, and as a result, there is growth retardation or IUGR. Placental insufficiency can be caused due to maternal diabetes, high blood pressure, medical conditions that increase chances of clotting, smoking, medication use, abnormal shape of placenta, retroplacental clots/bleed etc. IUGR or intra uterine growth retardation could be due to high altitudes, multiple pregnancy, placenta problems, pre-eclampsia or eclampsia, alcohol abuse, clotting disorders, drug addiction, high blood pressure, heart disease, kidney disease, poor nutrition, smoking, maternal infections, congenital or chromosomal problems, etc. Correction of these will help to control or prevent progression of IUGR. It should be controlled else it can lead to fetal death before birth. Tests like Non-stress test and monitoring are needed to check the progression or control of IUGR. Visit your doctor/gynecologist to discuss the scan report and further management options. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Take adequate rest. Drink plenty of water. Maintain healthy diet and lifestyle.
Take care.


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