Well Miss Caroline wasn't have any part of having her photo taken when we went for the ultrasound. We didn't event get a glimpse of her face. She had her face barred in the placenta the whole time. We did find that she is a healthy little girl, and that she is roughly in the 37th percentile and at 35.5 weeks she weighs 5 lbs 9 ozs. Also found out that what I've been feeling for the past few weeks was for sure HICCUPS!
I also had an appointment following the ultrasound with Dr. Villers. Nick was at this appointment, so we talked a little about the birth and that we are on track to do the VBAC. I was also tested for Strep-B, and that came back negative. She also checked my cervix (not fun). At that point, I was completely effaced and not dilated. This was good news as we had our upcoming beach trip the next weekend.
Below is the data from the Ultrasound and
my comment in italics.
Dating:
Stated EDC: EDC: 08/28/2012
GA by stated EDC: 35w2d
Current
Scan on: 07/26/2012 EDC: 09/02/2012
(I guess she is a little behind her due date)GA by current scan: 34w4d
Best Overall
Assessment: 07/26/2012 EDC: 08/28/2012 Assessed GA: 35w2d
The calculation of
the gestational age by current scan was based on BPD, HC, AC
and FL.
The
Best Overall Assessment is based on the stated
EDC.
______________________________
General
Evaluation:
Fetal heart activity: Present. Fetal heart rate: 174
bpm.(
the physician thought this was high, so when she re-scanned it was down to the 140's)Presentation: Cephalic.
Fetal movement: visible.
Amniotic Fluid:
Normal with AFI. AFI 11.7 cm. Maximal vertical pocket 4.8 cm. #
Placenta:
Anterior. Placenta Grade: Grade
1.
(placenta in front-can't feel as much movement as most mom's.)________________________________
Anatomy
Scan:
Singleton gestation.
Biometry:
BPD 83.0 mm 9th% 33w3d (32w2d to
34w3d) (Hadlock)
(This is the measurement of a line drawn from ear to ear, through the brain.)
HC 317.7 mm 27th% 35w5d (32w5d to 38w5d) (Hadlock)
AC
317.3 mm 66th% 35w5d (34w5d to 36w5d) (Hadlock)
(abdominal circumference. This is the measurement where the ring went around the
fetal belly, like where a belt would go)FL 64.8 mm 7th% 33w3d (30w3d
to 36w3d) (Hadlock)
(This is the length of the thigh bone from the knee joint to the hip joint-7th percentile-going to have short legs!)
OFD 113.0 mm 50th% 35w2d (Nicolaides)
TCD 47.4 mm
>95th% (Nicolaides)
(a test that measures the velocity of blood flow through the brain's blood vessels)EFW (lbs/oz) 5 lbs 9 ozs (Hadlock
(BPD-HC-AC-FL))
EFW (g) 2528 g 37th% (
estimated fetal weight)
Fetal Anatomy:
Head: Normal
cranium.
Brain: Normal lateral ventricles and choroid plexus. Cerebellum
suboptimal.
Heart: 4 chamber view normal.
Gastrointestinal Tract: Stomach
visible.
Bladder: Visible.
Genitalia: Normal
Female.
__________________________________
Fetal
Wellbeing Assessment:
Amniotic fluid: Normal with AFI. AFI: 11.7 cm. MVP: 4.8
cm. Q1: 4.8 cm. Q2: 1.2
cm. Q3: 1.6 cm. Q4: 4.1 cm.
Biophysical Profile:
Fetal body movements: normal (2), Fetal tone: normal (2),
Fetal breathing
movements: normal (2), Amniotic fluid volume: normal (2). Score 8
/
8.
___________________________________
Comments:
A
repeat ultrasound of this single intrauterine pregnancy was performed
secondary
to S>D. The anatomic survey was abbreviated today but reported
as normal on
previous exam. The amniotic fluid volume was normal. Appropriate
interval
growth was noted. The EFW was 5lbs 9ozs, placing the fetus at the
37th
percentile.
Incidential BPP is 8/8.
Sincerely,
Christopher Robinson, MD,
MSCR
Maternal Fetal Medicine.