Hello dr sam's, Sir i really love your videos and the specialy the way of teaching is superb. Sir i want your opinion in this particular topic. Actually in my area there is ultrasound centre but recently Dr. did a big mistake from their end. The mistake is that:- The pt reported for fetal well being 2 times from their centre, the first one 4 months gestational age and 2nd one at the time of exact one day before of the delivery( 10 months gestation period). and acc. to the report baby is fine, when the baby girl born , baby had ruminant part of both limbs. After that incident the dr said, pt did not go for anomally scan due to which we did not get the full scan, because acc. to Dr. fetal well being reporting parameters we have just to calculate only 4 things of the body structure: FL, BPD, AC, HL . Respected Dr Sam, here I wanted to get the answer from your side. Is that type of excuses dr made were apporpriated? As we all know in normal pregnancy scan a fully developed fetus can be diagnosed with the high end ultrasound machine that they actually have(voluson E 6).
I'm truly sorry to hear about this situation. The birth of a child with unexpected congenital anomalies can be deeply distressing for parents. Anomaly Scan is typically done between 18-22 weeks of gestation and is the most comprehensive ultrasound during pregnancy. It's designed to evaluate the baby's anatomy in detail and identify potential congenital anomalies. If parents do not have this scan or it is not performed adequately, significant structural anomalies can be missed. Fetal Well-being scans are usually done later in pregnancy and are primarily intended to assess the health and well-being of the fetus, rather than structural details. The measurements you mentioned (FL - Femur Length, BPD - Biparietal Diameter, AC - Abdominal Circumference, Head Circumference) are used to assess fetal size and growth. These measurements alone would not be expected to detect limb anomalies. The Voluson E6 is a high-end ultrasound machine that is capable of providing detailed images. However, the quality of the scan depends not only on the equipment but also on the skill and experience of the sonographer and the interpreting physician. Even with advanced equipment, if the scan is not performed with the specific intention to look for anomalies, some might be missed. The doctor's response seems to indicate that they were assessing fetal growth and well-being rather than conducting a detailed anatomical assessment. If the anomaly scan (typically around 20 weeks) was not performed, it's indeed possible to miss structural abnormalities. While the doctor's explanation about the purpose of the well-being scans is technically correct, the more significant issue might be whether the patient was appropriately counseled and offered a detailed anatomical or anomaly scan around 20 weeks. This scan is a critical component of prenatal care, and parents should be fully informed about its importance.
The specialist's report says that everything is fine except for the delayed growth of the femur. Is this normal or dwarfism? Please reply, doctor. EIW: 2211 q GA(L MP): BPD 85.5 mmn GA 34w3d HC 316.1 mm GA 35w4d AC 298.5 mm GA 33wid FL 61.5 mm GA 31w6d
Hello. An isolated short femur can be a normal variation in some babies if there is no other abnormality present. In your case, this could indicate a normal variation, mild growth restriction, or even familial short stature rather than dwarfism. Further monitoring is required. Best Wishes!
How To Measure Femur Length On Ultrasound | FL Measurement Technique | Fetal Biometric Parameter USG: ruclips.net/video/fMd6VjtRpBc/видео.html
Presentation is very well 👍
Thank you very much!
Very educative. Thanks Sir
Most Welcome!
Hello dr sam's,
Sir i really love your videos and the specialy the way of teaching is superb. Sir i want your opinion in this particular topic.
Actually in my area there is ultrasound centre but recently Dr. did a big mistake from their end.
The mistake is that:-
The pt reported for fetal well being 2 times from their centre, the first one 4 months gestational age and 2nd one at the time of exact one day before of the delivery( 10 months gestation period). and acc. to the report baby is fine, when the baby girl born , baby had ruminant part of both limbs.
After that incident the dr said, pt did not go for anomally scan due to which we did not get the full scan, because acc. to Dr. fetal well being reporting parameters we have just to calculate only 4 things of the body structure: FL, BPD, AC, HL .
Respected Dr Sam, here I wanted to get the answer from your side.
Is that type of excuses dr made were apporpriated?
As we all know in normal pregnancy scan a fully developed fetus can be diagnosed with the high end ultrasound machine that they actually have(voluson E 6).
I'm truly sorry to hear about this situation. The birth of a child with unexpected congenital anomalies can be deeply distressing for parents. Anomaly Scan is typically done between 18-22 weeks of gestation and is the most comprehensive ultrasound during pregnancy. It's designed to evaluate the baby's anatomy in detail and identify potential congenital anomalies. If parents do not have this scan or it is not performed adequately, significant structural anomalies can be missed. Fetal Well-being scans are usually done later in pregnancy and are primarily intended to assess the health and well-being of the fetus, rather than structural details. The measurements you mentioned (FL - Femur Length, BPD - Biparietal Diameter, AC - Abdominal Circumference, Head Circumference) are used to assess fetal size and growth. These measurements alone would not be expected to detect limb anomalies. The Voluson E6 is a high-end ultrasound machine that is capable of providing detailed images. However, the quality of the scan depends not only on the equipment but also on the skill and experience of the sonographer and the interpreting physician. Even with advanced equipment, if the scan is not performed with the specific intention to look for anomalies, some might be missed. The doctor's response seems to indicate that they were assessing fetal growth and well-being rather than conducting a detailed anatomical assessment. If the anomaly scan (typically around 20 weeks) was not performed, it's indeed possible to miss structural abnormalities. While the doctor's explanation about the purpose of the well-being scans is technically correct, the more significant issue might be whether the patient was appropriately counseled and offered a detailed anatomical or anomaly scan around 20 weeks. This scan is a critical component of prenatal care, and parents should be fully informed about its importance.
Thank you sir ❤️
Most Welcome!
Mashaa Allah.. Great Sir.. keep it up
The specialist's report says that everything is fine except for the delayed growth of the femur. Is this normal or dwarfism? Please reply, doctor.
EIW: 2211 q
GA(L MP):
BPD 85.5 mmn
GA 34w3d
HC 316.1 mm
GA 35w4d
AC 298.5 mm
GA 33wid
FL 61.5 mm
GA 31w6d
Hello. An isolated short femur can be a normal variation in some babies if there is no other abnormality present. In your case, this could indicate a normal variation, mild growth restriction, or even familial short stature rather than dwarfism. Further monitoring is required. Best Wishes!
@@DrSamsImagingLibrary Thank you doctor for your response... I wish you continued health and success.👋
@@DrSamsImagingLibrarysir...in growth scan baby short femur & humerus length by 5 weeks, can it be achieved the growth??pls reply sir
Thank you
Most Welcome!
Thank u
Most Welcome!
❤❤❤❤
great
Thank you for watching!
thank you
❤❤❤❤❤