Aimee is a 27yo, G1 P0, who was seen for a follow-up ultrasound. She has been followed for calcifications seen in the fetal abdomen. The patient does have chronic HTN and is on labetalol 200 mg b.i.d. Her BP today is normal at 117/77. She is also hypothyroid and on replacement therapy. Based on her height and weight at the start of the pregnancy, her BMI was 36.
She did have some intense testing for the presence of these calcifications. They are not seen anywhere else and have not been seen in the brain. She had an amniocentesis that returned with a normal 46,XY karyotype. In addition the amniotic fluid PCR was negative for CMV, toxo, parvovirus, and HSV. Her cystic fibrosis (CF) screening was also negative.
On today’s assessment she overall has no complaints and has positive fetal movement.
Currently she is 27 ½ weeks and the fetal size is one week larger with an EFW at the 80%ile. The amniotic fluid…show more content… She did have a couple episodes of bleeding early on in the pregnancy and it is possible that this involves some type of solidification of swallowed blood, though usually this resolves as the pregnancy progresses. It is also possible that a meconium type peritonitis issue is present but again there is no evidence of hydrops and her CF screen is negative. Furthermore, the fetal size is one week larger than dates and most aneuploidy would result in IUGR. Overall the patient was reassured by all of the negative findings and at this point in time we would recommend that you continue to follow her with routine PNC. If follow-up ultrasound evaluations in your office show a change, please feel free to reschedule her with us. In addition, assessment of the abdomen can be performed on the newborn after delivery for further evaluation. We did tell the patient that if she had any further questions or concerns that she could contact us at
