Patient's question:
23-week prenatal ultrasound results:Biparietal diameter (BPD): 53.7 mm
Cranial circumference (CC): 216.5 mm
Cerebellar transverse diameter: 26.0 mm
Posterior fossa cisterna: 6.1 mm
Lateral ventricular diameter: 5.1 mm
Abdominal circumference (AC): 186.0 mm
Femur length: 42.6 mm
Humerus length: 40.6 mm
NF: 9.9 mm
NB: 5.9 mm
Maximum amniotic fluid pocket: 46.0 mm
Fetal heart rate: 143 beats per minute, regular rhythm
Umbilical artery:
Maximum velocity: 45.6 cm/s
Resistance index (RI): 0.71
S/D ratio: 3.45
Ultrasound structural description:
Head:
Fetal facial structure: The skull appears as a complete circular halo, with the midline of the brain centered; bilateral ventricles are symmetrical, showing no dilation; both thalami are visible; the cerebellar hemispheres show no obvious abnormalities; the vermis of the cerebellum is visible; the posterior fossa cisterna shows no significant enlargement; no cysts are observed in the bilateral choroid plexuses. The Willis circle is clearly displayed. The skin continuity of the fetal upper lip shows no obvious interruption; the fetal eyes are visible.
Fetal spine:
The spinal double bands are parallel and neatly continuous.
Fetal heart:
The four-chamber view is clear; the left and right atria and ventricles are almost symmetrical; the central cross structure of the heart is present; the left and right ventricular outflow tracts are clearly visible.
Fetal limbs:
Both upper arms and the humeri within are visible; both forearms and the ulna and radius within are visible; both hands are in a fist-like position. Both thighs and the femurs within are visible; both lower legs and the tibia and fibula within are visible; both feet are visible.
Fetal abdominal organs:
Liver, stomach, both kidneys, and bladder are visible; no significant separation of the renal pelvises is observed.
Fetal umbilical cord:
Two umbilical arteries are present; no umbilical blood flow is observed surrounding the neck.
Placenta:
Attached to the posterior wall of the uterus, thickness: 22.5 mm, placental maturity: 0.
Ultrasound findings:
Intrauterine, single viable fetus, second trimester; fetal size is equivalent to 23+4 weeks; NF thickening is noted. It is recommended to visit the prenatal consultation clinic; no other obvious structural abnormalities are observed in the fetus.
Please provide your opinion from the doctor? Is it severe? How significant is the impact on the fetus?
Doctor's answer:
According to your description, it is generally not expected to affect the development of the fetus. Regular medical check-ups at the hospital should suffice. It is recommended that you rest well, ensure adequate sleep, maintain a balanced diet, and eat more fish, vegetables, and fruits. Pay attention to personal hygiene, and if possible, regularly monitor the development of the fetus.