New referral / Follow-up review
Maternal age:
Parity:
BMI:
Medical history:
Medications:
Previous SGA/FGR:
Smoking:
Diabetes:
Hypertension:
CST:
PAPP-A:
PET risk:
GDM risk:
VTE risk:
Hb:
Combined uterine artery PI at anomaly scan:
AC centile at anomaly scan:
EFW centile at anomaly scan:
Today:
Blood pressure:
Urinalysis:
EFW (centile):
AC (centile):
AC velocity (centile change since anomaly scan):
Umbilical artery PI:
CPR:
DV a-wave:
Combined uterine artery PI:
Impression:
We have discussed that most women with raised uterine artery Dopplers have an uncomplicated pregnancy. However, with this degree of elevation, there is an increased likelihood of hypertensive disorders (gestational hypertension and pre-eclampsia), placental insufficiency, intrauterine growth restriction, and the need for early birth. The risk of at least one of these is around 1 in 4. The risk of stillbirth is slightly higher than average, which is the reason for additional surveillance and potentially intervention, but the overall likelihood remains low. We would recommend serial growth scans and regular blood pressure checks throughout pregnancy, and birth no later than the 39th week.
Plan:
Useful notes (O&G, MFM) 