What Does The Following Ultrasound Report Indicate?

Posted on Wed, 26 Aug 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 26 Aug 2015 Answered on

Tue, 15 Sep 2015 Last reviewed on

Question : Hi I am 31 week 5 days pregnant as per LMP and my latest ultrasound readings are BPD 78.8 mm correspondence 31w4d . HC =286.1mm correspondence 31w3d. FL=64.1mm correspondence 33w1d. AC=267.9 mm correspondence 30w6d. FL/AC RATIO=23.92. EF BW = 1817g+/-272.60 gm.AFI=8.69 cm and cervical length =3.90 and Internal OS CLOSED and estimated date by USG 31W4D. IS my report ok ? I am really worried about AFI LEVELS

Answered by Dr. Deepti Verma (18 minutes later)

Brief Answer:
AFI is on lower side

Detailed Answer:
Hi dear, I have gone through your question and understand your concerns. Your ultrasound report is normal, except AFI on the lower range.
However, AFI is not abnormal ( low AFI is less than5).
I suggest you to have adequate rest, have plenty of fluids ( at least3-4 litres a day) and take high protein diet. These measures will increase the fluid around the fetus and will increase AFI.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (2 hours later)

My doctor has suggested me Aminofit ,ARG 9 Sachets, Optithik medicine, proficient 5000 injection for low AFI levels. Out of which I am already taking Aminofit and ARG 9 Sachets, and I use to take alivher tablets. Do I need to take this injection ?? And should I start alivher tablets again

Answered by Dr. Deepti Verma (2 hours later)

Brief Answer:
These medicines are not recommended in decreased AFI

Detailed Answer:
Hi dear, thanks for responding. Low AFI levels are due to decreased fluid intake by mother, decreased blood supply to fetus, some kidney anomaly in the fetus or maternal diseases like hypertension or renal disease.If your blood pressure is normal and you have no renal disease, fetus has no renal anomalies (which might have been ruled out in second trimester ultrasound), then the cause is either decreased fluid intake or decreased blood supply to fetus.
You can get a doppler ultrasound to assess the fetal blood supply, which will most probably be normal as the fetal growth parameters are normal.
The most probable cause in you case is decreased fluid intake, which can be covered up by taking more oral fluids. Taking more fluids, adequate rest and high protein diet is shown to increase AFI in one week.
ARG 9 contains arginine which is not scientifically proven to increase the AFI, though given experimentally, Proficient 5000 is hCG injection which has ABSOLUTELY NO ROLE in increasing AFI. In my opinion, these drugs XXXXXXX not required.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (1 hour later)

Thanks doctor .Actually I suffered from diarrhea three four days back. And doctor prescribed me antibiotic zenflox and Pantocar.Does having these antibiotic pose any risk of decreasing AFI

Answered by Dr. Deepti Verma (2 hours later)

Brief Answer:
Antibiotics do not decrease AFI

Detailed Answer:
Hi dear, diarrhoea can lead to decreased AFI due to loss of fluid from the body. Antibiotics prescribed to you do not cause decrease in AFI.
Hope you found the answer helpful.
You can get back to me for further queries by asking a direct question to me on the health care magic portal.
Wishing you good health.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar