Patient's question:
Clinical Description: Pregnant woman, 30 years old, with no other medical history. BPD: 86mm, estimated gestational age 34 weeks 5 days, HC: 302mm. Estimated gestational age 33 weeks 4 days, AC: 311mm. Estimated gestational age 35 weeks, FL: 50mm. Estimated gestational age 31 weeks 2 days, HL: 53mm. Estimated gestational age 31 weeks. Ultrasound estimated fetal weight: 2277g, 332g. Ultrasound estimated gestational age 33 weeks 5 days. Lateral ventricle triangle diameter: 5mm, transparent septum: 8mm, cerebellar transverse diameter: 43mm, posterior fossa cistern: 10mm. Placenta located on the posterior wall of the non-pregnant uterus, lower edge of the placenta >70mm from the internal cervical os, thickness: 34mm, 0-grade umbilical flow: s/d=2.2, RI=0.55, PI=0.77. Fetal biophysical score: 8. Ultrasound description of fetal head and face: Skull appears as an elliptical halo, midline of the brain is central, lateral ventricles are visible, cerebellum shows no obvious abnormalities, both vermis and cerebellar hemispheres are visible, posterior fossa cistern shows no significant enlargement, fetal eyes and nose are visible, upper lip is continuous. Fetal spine: appears as parallel double bands, fetal chest: 57mm25mm815mm liquid is seen in the right pleural cavity, right lung: 45mm22mm, 56mm20mm35mm liquid is seen in the left pleural cavity, left lung is compressed by half, right lung is compressed by half. Fetal heart: four-chamber heart is visible, left and right atria are almost symmetrical, central cross is visible, left and right ventricular outflow tracts are normal. Fetal abdomen: no obvious wall defect is seen, liver, stomach, both kidneys, and bladder are visible, bilateral renal pelvis shows no significant dilation. Fetal limbs: upper and lower limbs are visible, two umbilical arteries are seen, blood flow signal is seen in the neck of the fetus.Ultrasound findings:
1. Single viable fetus, cephalic presentation, ultrasound gestational age equivalent to 33 weeks 5 days.
2. Normal umbilical artery blood flow, umbilical cord.
3. Excess amniotic fluid.
4. Bilateral pleural effusion.
History of treatment and effectiveness: No treatment.
Doctor's answer:
Hello, the most common causes of fetal ascites are fetal anemia and developmental malformations. It is recommended that you undergo prenatal diagnosis as soon as possible. If necessary, amniocentesis or cord blood puncture should be performed for chromosome testing to rule out fetal developmental malformations caused by genetic diseases. Generally, doctors will advise patients with risk signs of prenatal examination to rest in bed and avoid sexual activity. Additionally, patients should also pay attention to a comfortable environment, which is beneficial for rest. Wishing the patient a healthy delivery.