How to deal with bilateral ventricular enlargement

Patient's question:

Female, 33 years old, Gestational age 37w0D
Name Measured Value (cm) Name Calculated Value Name Measured Value
Biparietal diameter (BPD) 8.5 FL/BPD 0.81 Umbilical artery S/D 2.25
Circumference of head (hc) 31.1 HC/AC 1.01 Pulsatility index (PI) 0.77
Abdominal circumference (ac) 30.8 FL/AC 0.22 Resistance index (RI) 0.55
Femur length 6.9 Humerus length (HL) 6.0 Amniotic fluid index 10
Ultrasound Findings
Fetal position: Vertex
Placenta: Located on the right anterior wall. Grade I+
Fetal heart rate and fetal movement are visible
Bilateral lateral ventricles are widened, with poor internal acoustic transmission.
Left lateral ventricle: Posterior angle width approximately 1.0 cm, anterior angle width approximately 1.3 cm.
Right lateral ventricle: Posterior angle width approximately 1.1 cm, anterior angle width approximately 1.1 cm.
Middle cerebral artery blood flow S/D: 8.05, PI: 2.05, RI: 0.88
Score: Breathing: 1 point, Fetal movement: 2 points, Muscle tone: 1 point, Amniotic fluid: 2 points
Estimated fetal weight (EFW): 2562 g
Ultrasound Impression: Late pregnancy, single viable fetus, head circumference
Bilateral lateral ventricles widened (bleeding to be ruled out)
Umbilical cord (one loop around the neck)

Doctor's answer:

Hello, generally, in the late stage of pregnancy, ventricle enlargement of the lateral ventricle should not exceed 12MM, which is considered normal. The current condition can be monitored first, and it is within the normal range. If it exceeds 16MM, it indicates hydrocephalus, which can affect the intellectual development of the fetus. If necessary, induction of labor can be considered.
Generally, doctors recommend that patients with signs of gestational diabetes risk maintain personal hygiene and avoid sexual activity. Additionally, patients should also pay attention to maintaining a comfortable environment, which is beneficial for rest. Wishing the patient a healthy delivery.

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