Hello doctor, My first baby died after delivery due to CHD. Now my wife is in 37 weeks of pregnancy. Recently we have done one scan of our baby and the survey of the fetus are as given. Presentation- Cephalic, placenta- Left lateral wall and anterior. Liquor- normal, amniotic fluid index- 13.7. Umbilical cord- Two arteries and one vein. Fetal heart rate- 147 bpm, middle cerebral artery PSV:57.70 PI:2.17, umbilical artery PI:0.93, arteries PSV (cms./Sec) EDV (cms./Sec) RI PI middle cerebral artery 57.7 7.9 0.88 2.17, umbilical artery 48.4 20.2 0.59 0.93. Please advice me whether I have to do any kind of special arrangement with regard to my baby's delivery and how is my baby's condition.
Hi. I have read through your query in detail. Please find my observations below. The baby's head position is downwards and favorable for vaginal delivery (attachment removed to protect patient identity). The placenta position is along left lateral wall and acceptable. The amount of amniotic fluid is within normal limits. The umbilical cord is normal with three vessels one vein and two arteries. Heart rate is 147 beats per minute and is normal. Peak systolic velocity at 37 weeks showing 57.70 cm/sec is normal. Umbilical artery PI of 0.93 is also normal. In conclusion, your baby is developing normally and no special precautions are required for delivery.