What should I do if there is a problem with the umbilical artery blood flow during a pregnant woman's color Doppler ultrasound examination?

Patient's question:

My friend, who is about 5 months pregnant, had a color Doppler ultrasound examination. The doctor said there was an increase in blood flow in the umbilical artery, which is not good for the fetus, but didn't specify how it was bad. He advised her to come back in a few days for a follow-up color Doppler ultrasound. She is a bit worried:
1. What exactly is the impact on the fetus? Is it significant?
2. A single color Doppler ultrasound costs 130 yuan. Is it really necessary to have a follow-up?
Please help me. Thank you!

Doctor's answer:

Hello, based on your description, your SD value is high, and it is generally considered good to keep it at 3.0.
Medical Advice: The umbilical artery blood flow SD value reflects the resistance of umbilical blood flow. The higher the SD value, the greater the blood flow resistance. Although the SD value is a clinical indicator for monitoring fetal hypoxia, it is not very accurate. The main indicators should be ultrasound detection of amniotic fluid and fetal heart rate monitoring. Since your fetal monitoring and fetal movement are normal, there should be no major issues. You can continue to be monitored and undergo further examinations. If necessary, hospitalization may be required for monitoring, and oxygen therapy may be needed if necessary.

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