Patient's question:
There are 3 days and 23 hours left until the issue ends.Help me check the 4D results for 25 weeks 2. I'm very anxious. Intrauterine pregnancy, cephalic LOA position, fetal head biparietal diameter 61mm, head circumference 226mm, humerus length 41mm, fetal abdomen circumference 198mm, fetal bone length 45mm. Fetal face: intact cranial, central brain midline, bilateral posterior horn of ventricles wide at 9mm and 5mm respectively, no obvious abnormalities in cerebellar morphology, visible cerebellar structures. Eyes, nose, and facial upper lip skin show no obvious interruption. Fetal spine: cervical, thoracic, lumbar, and sacral segments of the spine are neatly aligned. Fetal limbs: both upper and lower limbs (humerus, ulna, radius, femur, tibia, fibula) are visible. Fetal chest: lungs are visible. The four-chamber view shows a "cross" structure, with left-right atrioventricular ratio almost symmetrical, left ventricular outflow tract visible, normal heart-to-chest ratio, fetal heart rate 154 beats per minute, regular rhythm. Fetal abdomen: intact abdominal wall, liver, gastrointestinal tract, both kidneys, and bladder are visible. Umbilical cord: two umbilical vessels. Placenta: placenta attached to the posterior wall of the uterus, placental maturity Grade O, thickness 25mm. Amniotic fluid: maximum depth of amniotic fluid 43mm. Color Doppler: umbilical cord blood flow encircles the neck, umbilical artery PI 1.17, RI 0.72, S/D 3.53, within normal range. Unripe cervical canal length 31mm. Ultrasound findings: intrauterine pregnancy, corresponding to 24-25 weeks, single viable fetus, umbilical cord blood flow encircles the neck, please combine clinical data and pay attention to umbilical cord, please combine clinical data and recommend follow-up.
The above are the 4D results. Because I didn’t understand, I only focused on looking at the baby’s photos when I got the results. Later, the doctor explained to me that my baby was too thin and needed to eat more. Then she said my cervical canal was too short and I needed to rest, and if it was below 30mm, I would need to be hospitalized due to the risk of premature birth. Additionally, she reminded me to pay attention to fetal movements and the risk of umbilical cord. She only mentioned the bilateral ventricle width at the very end, saying it was close to the critical line and I should be cautious about further brain accumulation. She asked if I was taking DHA, and I said yes, she said it would be helpful. She asked me to come back for a follow-up ultrasound in a month. She said this at the very end in a non-serious manner. I didn’t fully grasp the severity of the brain accumulation, and I was only focused on whether I should take leave and focus on nutrition. I didn’t pay much attention. Later, when I heard people talking about it at home, I realized that brain accumulation is very serious, and I immediately became extremely anxious and cried.
These past few days, I’ve been searching online for information about it, and some people say it can be absorbed, while others say it has worsened. I’m so scared, how will I get through this month? I love my baby so much, and I’m always very nervous before each check-up. What should I do?
Doctor's answer:
Fetal weight (kilograms) = Biparietal diameter (centimeters) x 0.9 - 5.2. Please calculate it yourself. During pregnancy, it's important not to have a restricted diet; try to eat a wide variety of foods. Eat more high-quality protein foods and plenty of fruits and vegetables. Avoid alcohol and coffee, quit smoking, and stay away from toxic substances and radiation sources. Generally, doctors recommend that women with risk signs during prenatal check-ups pay attention to keeping warm and avoid coldness. Additionally, patients should also ensure a comfortable environment, which is beneficial for rest. Wishing the patient a healthy delivery.