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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Can't Placental Lakes Be Seen In The Ultrasound Or Cardiotocography?

My sister had recently gave birth to a SGA baby (on her 36w) her placenta was really small ( size of a male adult hand ) , her doc insisted to take the baby earlier with a c-section and told her husband that it was better he took the baby when he did cause she had black spots( lakes?) on her placenta and that was not able to see through u/s or cardiotocograph and the baby wouldn't have more than 24h in utero ...it would have been a stillborn birth well I'm a med student , i passed my OB-Gyn classes ...and something like this sounds kindda weird to me ...how can someone not see that there are placental lakes?? or it wasn't lakes ???
Tue, 5 Aug 2014
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Radiologist 's  Response
Placental lakes can be seen on ultrasound and are not associated with any adverse pregnancy outcome.

Probably the doctor was referring to placental infarcts which are also dark on ultrasound and are difficult to identify on ultrasound at times. Placental infarcts are associated with placental insufficiency which inturn can affect the baby.

I hope that clears your query. Thank you.
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Why Can't Placental Lakes Be Seen In The Ultrasound Or Cardiotocography?

Placental lakes can be seen on ultrasound and are not associated with any adverse pregnancy outcome. Probably the doctor was referring to placental infarcts which are also dark on ultrasound and are difficult to identify on ultrasound at times. Placental infarcts are associated with placental insufficiency which inturn can affect the baby. I hope that clears your query. Thank you.