Planning a Baby  Discussion Forum

Archie,

Here is my ultrasound report for Targeted Imaging for fetal anomalies (tiffa)

Foetal heart rate is 140bps.
The placenta is located anterior, 3.1 cms away from the os and grade 0 mature. Placental cord insertion is central. The placental echotexture is homogenous. Three-vessel cord is seen.
Liquor amini is adequate for gestational age.
Length of cervical canal is 2.9cms. Internal os is closed
Gestational age is 19weeks 1day +/- 1 week. Foetal weight is 290+/- 42 gms.

Nuchal fold thickness 3.9mm
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Bipartitely diameter 43.0mm
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Femur length 30.0mm
Head circumference 155mm
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Abdominal circumference 145mm
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Occipital-frontal diameter 54.0mm
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Transcerbellar diameter 19.9mm
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Atria of the lateral ventricle 6.4mm
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Depth of cistrena magna 3.3mm

Archie please give me your opinion on my ultrasound report.
I have gone for Neural Tube Defect and Down Syndrome test on 19th week of pregnancy and it came negative.
My BP usually has reading 130/90. On first trimester I was taking amdepin and now am Methyldopa thrice a day for BP. Today my BP reading was 123/87. Does high BP will affect baby growth?
For the last 3 days having swelling on feet, hands and little on my face. Is there anything I can do to avoid swelling? Can I go for walk or should take bed rest?

For the last 3 days am feeling baby movement (less) just once in a day and one day I didn’t feel any baby movement. Does it look normal or should I feel baby movement every day? I am 24th weeks 2days pregnant.

Sorry for going so long. Waiting for u r reply.

Anupama archie replied. Two points that I missed out,
hypertension treatment will help subside BP and keep things in right perspective. It is not likely to affect fetus development. But keep bp in limit by relaxing yourself otherwise you may be asked to deliver baby ahead of time. The best thing is to be good with medicine and forget any concern linked and not linked with pregnancy.

If you felt first movement 2 weeks ago then you may expect to feel each day but if you started to feel in last 3 days then it's ok not to feel them on regular pattern.

take care
Archie archie replied. Anupama,
I was perfectly fine until the last line of your message.
The anamoly scan report estimated gestationof 19 weeks 1 day with +/-1 week but you say the gestation today is 24 weeks 2 days. This automatically raised concern when was the scan done WAS it done one month before.
If not then ther eis big descrapancy in estimated gestation by ultrasound and your method. I would be worried about that.

The placenta is anterior and sometime this directs patient toward C-section but not mandatory. It's moved partly upward so you may not expect to get in to previa problem.

Baby is of normal size with all the measurements fitting to 20 weeks gestation.

The cervix is not incredibly long but not short either. You may not want to do heavy duty work, do not lift things and try to take good amount of rest whenever possible, drink lots of water.

Archie