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Re: No Ultrasound

From: kayley (anonymous@obgyn.net)
Mon, 30 Jun 2003 21:14:18 -0500 (CDT)


At Mon, 30 Jun 2003, Katya wrote: >
>Dear Kate,
>
>I just wanted to let you know that a routine ultrasound at 41 weeks
>revealed a problem that necessitated emergency induction of labor, and
>may have resulted in serious complications if not fetal death without
>intervention.
>
>Ultrasound can be used to pinpoint some birth defects at about 18 weeks,
>including Down syndrome and spina bifida. This is something you may or
>may not want to know because there is nothing doctors can do to help
>except suggest termination.
>
>However, as you get closer to your delivery date, an ultrasound can be
>used to ascertain the condition of your placenta, the level of amniotic
>fluid in the uterus, and other parameters including the estimate of
>fetal weight to make sure that the baby is doing well in utero. I wish
>I had an ultrasound at 38 or 39 weeks because I think the problem would
>have been evident by then. I was perfectly healthy, gained a healhty
>amount of weight, never smoked in my life, and was feeling great, so
>there was no way to diagnose that I was losing fluid (aka
>oligohydramnios) other than ultrasound.
>
>Best wishes to you,
>
>--
>Katya (not a doctor, just a biochemist)
>

i agree with katya on all she said about checking placenta, ect. sometimes a u/s can find conditions that warrant extra care such as a low lying placenta ect, that you would want to know about to possibly restrict certain activity. also, i can't imagine a dr. not doing an anatomical scan to make sure everything is there and accounted for. there are deformities that you NEED to know about prior to delivery so the baby will be able to be treated as quick as possible, like a diaphragmatic hernia. these things are rare, but the success of treatment depends on getting the baby stabilized right away and they only way to do that is to know in advance. my dr is pretty conservative with u/s and didn't do one until 20 wks and then again at about 36 wks. i think you should at least discuss an anatomy scan with her. it's at least nice to know your baby is happy and healthy. good luck!






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