NIHF and hypotrophy

From: Joanna Dangel (dangel@dan.neostrada.pl)
Sun Oct 13 11:46:22 2002


Hypotetical case: 32 weeks of pregnancy (by LMP), 24-25 by biometry, until 24 weeks normal fetal growth and normal antomy by USG. Oligohydramnios (AFI 4)NIHF: ascites, subcutaneous edema, pericardial effusion. Enlarged heart (Ha/Ca ratio 0,66), normal anatomy, normal arterial velocity. EFW 800 g. Reverse flow in ductus venosus, severe TR, abnormal flow in IVC, pulsations in UV, reverse flow in UA, low RI in MCA. Fetal bradycardia 100 bpm. "Silent" CTG. What would be your plan? Thank You

--
Joanna Dangel, MD



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