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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Did Ultra Sonography. Says Placenta Placed Posterior. Amniotic Fluid Lower Margin. Foetal Heart Rate. Suggestions?

i have done ultra sonography for my pregancy and report say- placenta is grade ii placed posterirly at upper segment of uterus well off internal os which is closed and free .placenta thikness 40mm.cervix measures 43mm.amniotic fluid is in lower margin afl=8cm . gestation : poa 26wks 0 days , lmp-17/2/13, feotal biometry=27wks 4 days - b.p.d =71mm-28wks 5days, , h.c=258mm-28wks 0 days , a.c=224mm-26wks6days , f.l=49mm-26wks 5days , foetal heart rate 140 b/m , weight could be around 1016gm please suggest is every thing is normal ????
posted on Mon, 26 Aug 2013
Twitter Mon, 26 Aug 2013 Answered on
Twitter Tue, 27 Aug 2013 Last reviewed on
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OBGYN,  's  Response
Thanks for posting your query.

From the information you have provided,

Your placenta is in the normal position, your cervix is also normal.

The amniotic fluid ( around the baby) is less .
Normally its 10-15. 8 is slightly lower.

This can be due to less fluid produced or loss of fluid.

We need to check whether you are losing fluid from the vagina.
The other reason could be growth problem in the baby .

From the values you have provided ,its difficult to comment on the growth.
We have to plot the values on a growth chart and repeat another scan in 2 weeks to see the interval growth.

Also we need to monitor your blood pressure as high blood pressure can cause this problem.

All the best, Hope I have cleared your doubts!
Please, do not hesitate to contact me for further queries.
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General & Family Physician,  Dr. Nsah Bernard's  Response
Hello,

Thanks for posting,

Everything seems to be quite normal as all of the measured parameters are seem to be normal and correspond to fetal age. The fetus' heart rate is within normal range (i.e no signs of fetal distress). The placenta is inserted in the right position and no signs of abruption or previa. Amniotic fluid is also border line and you will need to increase your fluid intake in order to prevent olihydramniosis.
Conclusively, I feel your baby is doing quite well.

Hope this helps
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Did Ultra Sonography. Says Placenta Placed Posterior. Amniotic Fluid Lower Margin. Foetal Heart Rate. Suggestions?

Thanks for posting your query. From the information you have provided, Your placenta is in the normal position, your cervix is also normal. The amniotic fluid ( around the baby) is less . Normally its 10-15. 8 is slightly lower. This can be due to less fluid produced or loss of fluid. We need to check whether you are losing fluid from the vagina. The other reason could be growth problem in the baby . From the values you have provided ,its difficult to comment on the growth. We have to plot the values on a growth chart and repeat another scan in 2 weeks to see the interval growth. Also we need to monitor your blood pressure as high blood pressure can cause this problem. All the best, Hope I have cleared your doubts! Please, do not hesitate to contact me for further queries.