Hello.
Thanks for writing to DoctorSpring.com with your health concern.
I understand your concern very well.
Before offering a definitive opinion, I would like to request for a few more details.
1. Is this your first pregnancy?
2. Any past history or family history of abnormal babies ?
3. Any diabetes ?
4. Please upload the latest scans and earlier ones too, not the images, that would be cumbersome, but the reports at least. That is easier for me to go through than reading the typewritten findings.
Looking forward to hearing from you.
Take care.
Patient replied :
To answer your questions: yes first pregnancy. No family history of abnormal babies on both sides, but I do have a cousin with autism. I tested for gestational diabetes and passed the test, don't have diabetes. i uploaded the scans from my 33 weeks and 37 weeks ultrasound reports for you to see.
THESE REPORTS ARE THE ONLY PAGES I WAS PROVIDED. I was not given any other "comments/conclusion" page.
From these numbers, please provide your diagnosis based on these reports, and what I described previously. Thanks for your feedback.
Hello,
Basically the CI is higher than average.
FL is less than gestational age.
What matters more is the CGA - composite gestational age, as the parameters might be slightly high or low compared to the normal, but the cumulative gestational age should approach the menstrual age.
In your case, I do not think there is any significant risk of Downs syndrome or other anomalies.
THe prenatal non invasive blood test is quite reliable.
Plus, the soft marker ( high CI with short femur ) is not very reliable and is of significance only in concert with other soft or specific markers, none of which are present in your case.
High CI just means a variant of the shape of the head, which is broader than longer.
It does not mean a difficult vaginal delivery even, as vaginal birth is decided by the size and shape of your pelvis too.
I would ask you to relax.
The FL is just 2 weeks behind, which is acceptable.
And I would not worry about the CI as long as the baby is essentially normal.
There is significant inter observer variation, and all earlier scans have been fine, so dont worry.
In my opinion, the risk of any anomaly is very remote.
Take care.
Patient replied :
Hello,
Basically the CI is higher than average.
FL is less than gestational age.
What matters more is the CGA - composite gestational age, as the parameters might be slightly high or low compared to the normal, but the cumulative gestational age should approach the menstrual age.
In your case, I do not think there is any significant risk of Downs syndrome or other anomalies.
THe prenatal non invasive blood test is quite reliable.
Plus, the soft marker ( high CI with short femur ) is not very reliable and is of significance only in concert with other soft or specific markers, none of which are present in your case.
High CI just means a variant of the shape of the head, which is broader than longer.
It does not mean a difficult vaginal delivery even, as vaginal birth is decided by the size and shape of your pelvis too.
I would ask you to relax.
The FL is just 2 weeks behind, which is acceptable.
And I would not worry about the CI as long as the baby is essentially normal.
There is significant inter observer variation, and all earlier scans have been fine, so dont worry.
In my opinion, the risk of any anomaly is very remote.
Take care.