June 2017 Moms

Anatomy Scans Thread

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Re: Anatomy Scans Thread

  • @krex BPD is the head size (side to side).
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  • krex said:
    So, need some help here.  I got the paperwork from the agency for baby Kaitlyn's scan.  the BPD (I guess that's overall size?) is 29%, but the head circumference is 7%?  The summary said "fetal growth is appropriate" but 7% seems small (compared to the rest of the percentages, which are in the 20s and 30s). 

    Also, the 4 chamber view of the heart was sub-optimal...does that just mean they couldn't see everything due to baby's position?!
    In my experience, DD2 had IUGR, failure to grow, etc. All of her measurements were consistently less than 10%, that included her femur, stomach, and head. Had just one of those been less than 10% then it wasn't as great a cause of concern as when they're all less than 10%. It became an even greater cause when her percentages decreased as the pregnancy progressed. 

    Now also keep in mind that these measurements contain a level of human error, even a mm difference in measurement can result in the % being drastically different. 

    I honestly wouldn't be too concerned yet. 

    I would assume the sub-optimal term meant the pictures they were able to get of the heart were less than clear, which is my experience this pregnancy and I will be rescanned in a couple weeks. This is usually due to the position of the baby and their ability to view all chambers.
  • krex said:
    So, need some help here.  I got the paperwork from the agency for baby Kaitlyn's scan.  the BPD (I guess that's overall size?) is 29%, but the head circumference is 7%?  The summary said "fetal growth is appropriate" but 7% seems small (compared to the rest of the percentages, which are in the 20s and 30s). 

    Also, the 4 chamber view of the heart was sub-optimal...does that just mean they couldn't see everything due to baby's position?!
    In my experience, DD2 had IUGR, failure to grow, etc. All of her measurements were consistently less than 10%, that included her femur, stomach, and head. Had just one of those been less than 10% then it wasn't as great a cause of concern as when they're all less than 10%. It became an even greater cause when her percentages decreased as the pregnancy progressed. 

    Now also keep in mind that these measurements contain a level of human error, even a mm difference in measurement can result in the % being drastically different. 

    I honestly wouldn't be too concerned yet. 

    I would assume the sub-optimal term meant the pictures they were able to get of the heart were less than clear, which is my experience this pregnancy and I will be rescanned in a couple weeks. This is usually due to the position of the baby and their ability to view all chambers.
    Ok.  thanks for that!  She has another appointment on the 17th, so we'll see.  I've also made an appointment with a local OBGYN to go over the report, so hopefully that will help as well.  

    @mirdamae03, is it normal to see such a large difference between BPD and HC?

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  • Is your doctor actually there when you get an ultrasound in the USA? I had my AS yesterday but the technician isn't allowed to tell us anything, it all gets sent to our midwife who then goes over the results with us at our appointment next week. 
  • gracerieszgraceriesz member
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    edited February 9
    @CapricaAndrea my doctor never is. I am in the same situation you are, results get reviewed and discussed at our next appointment (also next week).

    ETA: I'm in the USA
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  • @CapricaAndrea my normal OB for some reason likes to send her patients to the high risk docs for ultrasounds. So we have a tech do the ultrasound then a high risk doc comes in and explains everything. Then we go see the normal OB and she explains it again. It's nice to have two doctors looking at it but I think its probably very unnecessary and I'm really just paying extra since I'm not high risk.
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  • danijo said:
    @CapricaAndrea my normal OB for some reason likes to send her patients to the high risk docs for ultrasounds. So we have a tech do the ultrasound then a high risk doc comes in and explains everything. Then we go see the normal OB and she explains it again. It's nice to have two doctors looking at it but I think its probably very unnecessary and I'm really just paying extra since I'm not high risk.
    This is what they did with my dd too. This time I'll have an us appt, and then as soon as that's done I walk next door to the ob and she will go over it with us and have our check up. 
    With dd the tech didn't tell us anything, and then the high risk dr would come in after with the bad news. This time we have had no bad news, but as our tech does the scan she is telling us that everything is perfect. Also in the us. 
  • Ah ok, that makes more sense. Funny enough my midwife called me just a few minutes ago to say everything they could see looked normal (but literally just that, no size percentiles or anything like that) except the technician couldn't get a clear view of the right side of the heart so I have to go back to get a better view. 
  • Had my anatomy scan at MFM. Definitely a boy and I go back in 4 weeks for another check on his heart and at 32 weeks to see his kidneys better. They were slightly off in measurement, but the doctor said it was probably nothing to worry about and baby boy looked great :smiley:

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  • My doc wasn't in the room during the U/S but she went over the results with me once they got me back in a regular exam room. 
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  • A tech does my ultrasounds, but then I have an appointment with my OB immediately afterward to go over it. I'm amazed that some of you ladies have to wait days or a week before talking to your OB after the A/S! 
  • A tech does my ultrasounds, but then I have an appointment with my OB immediately afterward to go over it. I'm amazed that some of you ladies have to wait days or a week before talking to your OB after the A/S! 
    My office does the same thing, tech then doctor immediately after. I couldn't imagine waiting a week for results. It would stress me out.

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  • @Elyse1384 glad to hear things are moving in the right direction!! 
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  • @Elyse1384 Awesome news!!!
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  • I had my u/s with a tech at the hospital and then a perinatologist (?) came in and said everything looked good and took another look. Well, then told us her stomach was a little large so we have to go back. Then at my OB appt the following day she just confirmed everything except the stomach was fine. 

    @Elyse1384 hooray on the good news!
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  • gracerieszgraceriesz member
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    edited February 15
    Even more jealous of those of you that have the doctors read the ultrasounds right after the scan. Had my anatomy scan a week ago, had my OB appointment today, they were running behind so the ultrasound tech came and grabbed me while I was waiting to get the last few shots they couldn't get last week. Little lady is now breech. I finally got put in a room a full hour after my scheduled appointment. The doctor went over a bunch of the other stuff I have going on and when he finally got to the ultrasounds he old me that he hadn't had a chance to look at them (any of them) yet, but that this is what the US tech's reports are saying. 1. That the baby has 1 soft marker on her heart, he said 1 marker by itself is not of a concern. Especially since my NIPT results came back low-risk 2. That my placenta has lakes (I think this is what he called them) and then once he looks at them himself he may be referring me to a high-risk doctor. He said that placenta lakes could effect the growth of the baby. He left it that he will do his best to review the ultrasounds within 24 hours and will call me letting me know whats going on.

    So after all that (and being there for another 2 hours), I still don't know for sure whats going on or if the baby is measuring on track.

    Note: This is not my primary OB, my primary had a baby a month ago and is on maternity leave, I miss her. Because of this apparently the other doctors are swamped, hence the long wait time and not having read my ultrasounds yet.

    edit: extra words
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  • @graceriesz I'm sorry to hear that. Please keep us updated when you hear back. That would be very frustrating! Hoping that you hear back soon with good results. Don't be afraid to ask questions when he calls if he doesn't provide specifics. I found some A/S questions online to ask.  
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  • Sending good thoughts your way @graceriesz !!!!
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  • @graceriesz sorry the fill in OB wasn't very informative! Hopefully you get good news after he gets the chance to review everything! 
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  • @graceriesz so sorry you aren't getting answers timely!  FX everything is fine and if not, they get you referred quickly so you and LO have the best care.

    Also, random... the founding OB at my practice does all anatomy scans himself so he talked us through the whole thing... what he was looking for, what he wanted to see, and what he saw.  So it was quicker than average as he didn't have to get a bajillion images like a tech does for a doctor to review later and he could scan around until he was comfortable he saw what he wanted to see... took maybe 40 - 45 minutes?  

    This was also my experience with my MFM that did all my scans for my twins.  Sometimes there was a tech assisting but the perinatologist was always there.

    I feel spoiled now!
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  • Sorry you're in limbo @graceriesz, especially with everything else you have going on. Hugs! 
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  • So happy to hear the great news @Elyse1384!

    And sorry you're in limbo @graceriesz. Hopefully they get back to you ASAP!
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  • @graceriesz, glad you got your appointment and will have some clarity soon. Your doctor's office sounds so frustrating! 
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  • gracerieszgraceriesz member
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    edited February 16
    @mamaelle27 I haven't had any issues with this doctor's office until this. I seriously think it's because I am not dealing with my primary OB while she is on maternity leave. She's back at the end of March, so not to much longer.

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  • Sigh, our expecting mom rescheduled her appointment that she was supposed to have today.  No reason given, but it's now next Wednesday.

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  • @Elyse1384 glad you had good news! It's Niven you've had great ultrasound techs! 

    @graceriesz I'm sorry you've been in limbo, but happy to hear you will be in with the perinatologist soon. I love my perinatologist and feel like I always get better, clearer answers from her. Will be thinking of you! 
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  • @krex gah! I feel like you're always getting pushed back a week or so. Creepy internet hugs, sending you loads of patience and peace! 
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  • devow27 said:
    @krex gah! I feel like you're always getting pushed back a week or so. Creepy internet hugs, sending you loads of patience and peace! 
    Aw, thanks!  I'm sure it's fine, I just hope she's doing ok.  

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  • @graceriesz wonderful news!! Yay!


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