Thursday, May 13, 2010

10 week ultrasound




4/16/10 Babies are doing great! I'm doing ok, major fatigue and some light nausea but other than that can't complain. Here are the results:

LMP: 02/02/2010 GA Select: 10.4 weeks (LMP)
GA by LMP: 10.4 weeks EDD: 11/09/2010 (LMP)
GA by US: 10.7 weeks
Pregnancies: Gravida 2, Para 0010
Hist/Ind: Triplets
----------------------------FETUS A----------------------------
MEASUREMENTS & FETAL AGE FETAL GROWTH EVALUATION

Measurement GA Range Source %for GA Ratios
---------- ---- ----------- ------- --- -------------------------
CRL 3.8 cm 10.7 (09.9-11.6) Hadlock CRL 67%

GA for sonogram 10.7 wk (09.9-11.6)
based on (CRL) Avg

-----------------------------------------------------------------
CLINICAL SUMMARY

Type of Gestation: Triplet Monochorionic/Triamniotic Pregnancy.
A thick membrane was seen separating baby A, baby B, and baby C.

Baby A is located in the lower, midline part of the uterus.
Baby A's size is appropriate for gestational age
Baby A's placental location: Anterior.

Baby B is located in the right, superior part of the uterus.
Baby B's size is appropriate for gestational age
Baby B's placental location: Anterior

Baby C is located in the left, superior part of the uterus.
Baby C's size is appropriate for gestational age
Baby C's placental location: Posterior

Uterus and adnexae: No abnormalities seen.
There is fetal heart motion for each fetus.
Ultrasound cannot detect all fetal/preganancy abnormalities.

Impression: 28 year old G2P0010 at 10 3/7 weeks with
monochorionic-triamniotic triplet gestation who presents for growth
ultrasound.

1. Baby A with a CRL of 3.8 cm consistent with 10 5/7 weeks
gestation. Baby B with a CRL of 3.8 cm consistent with 10 5/7 weeks
gestation. Baby C with a CRL of 3.8 cm consistent with 10 5/7 weeks
gestation.

2. Monochorionic triplet gestation

Recommendations:

1. Nuchal translucency measurements at 11-13 weeks.

2. Growth and cervical length ultrasound at 16 weeks gestation.

3. Fetal anatomic survey at 20 weeks gestation.

She has an appointment with Dr. Clock in clinic today.

Thank you very much for allowing us to help care for your patient.

----------------------------FETUS B----------------------------
MEASUREMENTS & FETAL AGE FETAL GROWTH EVALUATION

Measurement GA Range Source %for GA Ratios
---------- ---- ----------- ------- --- -------------------------
CRL 3.8 cm 10.7 (09.8-11.6) Hadlock CRL 66%

GA for sonogram 10.7 wk (09.8-11.6)
based on (CRL) Avg
-----------------------------------------------------------------
CLINICAL SUMMARY
----------------------------FETUS C----------------------------
MEASUREMENTS & FETAL AGE FETAL GROWTH EVALUATION

Measurement GA Range Source %for GA Ratios
---------- ---- ----------- ------- --- -------------------------
CRL 3.8 cm 10.7 (09.8-11.6) Hadlock CRL 66%

GA for sonogram 10.7 wk (09.8-11.6)
based on (CRL) Avg

JP

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