Normal 28 week gestation ultrasound in the context of blunt trauma

Case contributed by RMH Core Conditions

Presentation

MVA 28 wks pregnant <60km/hr. ?Placental abruption.

Patient Data

Gender: Female

US Fetus

Modality: Ultrasound

Single live intrauterine pregnancy, 28 weeks + 2 days based on previous US + LMP. The fetus is cephalic in presentation with the spine to the maternal right. The cervix measures 5.5 cm on transabdominal measurement. The placenta is anterior and fundal with the lower margin well clear of the internal os. There is no US evidence of placental abruption or retroplacental haemorrhage. The fetus is symmetrical in growth with a normal AFI (18.0cm) and normal S/D ratio (3); the EFW is 1436 grams. The fetal heart rate is 139 bmp. The fetus is biophysically well and breathing and normal movement is seen during the scan. Limited anatomical review was normal

Conclusion: Normal US with no US evidence of placental abruption.

Case Discussion

Normal US of 28 week fetus with no US evidence of placental abruption.  However, it should be noted that small abruptions may not be seen on US. Advice to treating clinician is for review as clinically indicated. 

The pregnancy proceded to a normal term delivery.

Acknowledgement: Dr Ne Siang Chew

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Case Information

rID: 26231
Case created: 8th Dec 2013
Last edited: 6th Mar 2016
Systems: Obstetrics, Trauma
Inclusion in quiz mode: Excluded

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