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Re: Fetal Measurements - Chromosomal Abnormalities?

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 25 Oct 2001 20:04:21 -0500 (CDT)


At Thu, 25 Oct 2001, chris wrote: >
>I had an u/s done yesterday and the following are the fetal
>measurements:
>
>BPD 3.96 cm = 18.1 menstrual weeks
>HC 14.31 cm = 17.6 mw
>AC 11.51 cm = 17.3 mw
>FL 2.23 cm = 16.7 mw
>HL 2.22 cm = 16.9 mw
>
>My last menstrual period was 6/27/02.
>
>The found a choroid plexus cyst. Cerebran ventricles and posterior
>fossa normal in size. The fetal cranium, spine and abdominal wall
>intact.
>
>Four cardiac chambers, three cord vessels and normal cord insertion were
>seen. No abnormalities were seen at the renal level. The fetal stomach
>and urinary bladder were normal in size and position. Amount of
>amniotic fluid normal. Placental location is posterior. Cervical
>length normal. No myomas or adnexal mass seen. Normal fetal movements
>and cardiac activity noted on real time examination.
>
>I'm wondering whether the measurements are abnormal. Are the FL and HL
>too small? My husband is Japanese and they do have shortish legs.
>
>I'm worried about chromosomal abnormalities. I'm 37 years old. Any
>advice would be greatly appreciated.
>
>Thanks Chris : )
>
>--
>Chris
>

See a Maternal Fetal Medicine Doctor and get these results and your risks explained to you. I can't tell from this if the FL and HL are short enough to increase the risk of Down's to 5% or not Usually one sees this reported as the FL/AC ratio or the FL/HC ratio and then a normal range is given for that. If it is out of the normal range then the risk of DOwn's is 5% So this needs to be interpreted and all the options explained ot you and it is best if all this is done before 20 weeks.

--
R.Daniel Braun, MD  FACOG   FOG
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