G2p1a0 pt reporting for the 1stAnc visit in private. Found to have 20 days difference between BPD and other parameters, no hydrocephalus Seems to have one foetal kidney polycystic Liq adequate, placenta ant & fundal grade 2 First child totally normal,no h/o DM or thyroid or anything in the pt. please opine.
G2 P1 /unbooked case . this is her 1st scan. it may be a IUGR baby where brain is spared and your BPD is normal and AC is reduced. continue the pregnancy. deliver at term. do a scan of the baby after delivery. take urologist opinion.
mam I think the pregnancy should be continued and monthly scans to check for kidney size and monitoring of other foetal parameters to be done till term...case to be discussed with a paediatric surgeon ahead so that if intervention is needed its availability is assured... I think its a case of congenital polycystic kidneys ...the baby has to be investigated after birth for kidney disorders and other genetic disorders like congenital polycystic kidney disease...
just treat like simple pregnency there is always severe oligo. with polycystic kidney 5 cases i have seen as in your usg liq. is adequate nothing to do mam pregnency is abt.34 wks with normal liq. means there is no or min. risk to baby the h.c. is same as other parameter nothing to worry
Advised planned LSCS, God is great, an human requires one, God is kind enough, has given two.
Madam.it may be macrocephaly. with multi dysplastic kidney. macrocephaly not an indication for abortion. But for multi dysplastic kidney u should take an opinion form urologist
Mam I think we can continue the pregnancy keeping a watch on kidney size and then work up postnatally as there are no other congenital malformations.
Thanks a lot drs all of y who have taken pains to opine.
continue pregnancy.serial growth scans should be done.how many wks is she acc to her LMP. we can make out the growth pattern in serial scans.single kidney effected,if Dopplers are normal , continue pregnancy.any family history of polycystic kidneys.send for genetic and paediatric nephrologist counselling.
Madam , if no other abnormalities detected ( Like bowing , Absent bladder ) Suggest her to repeat scan after 4-6 wks for interval growth , Lateral ventricle & liquor
liq is adequate so the kineys are functioning adequately. continue as u do in normal pregnancy.
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