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Pregnancy Complications (VSD, SUA)
"Ashirus" usenet-replyATashirusnwNO_SPAM.freeserve.co.ukDeleteFollo wrote in message ...
Hi. My wife is pregnant with her first child. I'm 22, she's 20, she's now in her 30th week and the 21st wk ultrasound found that she has a single umbilical artery (SUA) and so we were told to get a foetal echocardiography. This was performed yesterday and the foetus was discovered to have 2 to 3 Ventricular Septal Defects (VSD) of "small-to-moderate" size: to quote the relevant bit of his report: "Normal right and left ventricular size and function, 2-3 muscular VSDs - A 3mm apical, 2mm mid-muscular and possibly another 1mm mid-high muscular VSD. 6MMHG shunt is seen (no PS)." the rest of his report reports everything's fine. The doctor said that this may be a sign of one of the "syndromes". The 21st week ultrasound revealed no other defects or deformities, so we want to know what the chances of the child being born being with a syndrome is, given these factors? Is the doctor right? Should we worry? Does anyone know the chances of this number (2-3) of defects of these sizes at this "age" closing spontaneously either before or after birth? (We won't do an "amniocentesis" because of the small chance of miscarriage and because we wouldn't consider an abortion whatever the circumstances.) thanks, Ash. Like many of the other posters, I really wish I could give you some information. I'd press the doctors for better explanations and prognosis, and ask them where you can find more informtion (books, articles). I know that the terminology is unlike any other, and depending on the exact heart problem, the internet doesn't seem to have alot of informtion that is *easily* readable. For what it's worth, I can understand some of what you are feeling. Last Friday (28 weeks), at what was supposed to be a quick checkup (I was primarily at my doc's for my glucose test), my doctor detected an irregular heartbeat. About an hour later, I was at a perinatologist's office having an ultrasound/foetal echocardiography. My results are at the other spectrum. There are no structural defects, and everything else looks normal, but the baby's heartbeat is irregular. I'm scheduled for another foetal echocardiography on the 18th for comparison. The doctor seemed very hopeful, but could really only say that we'd have to wait and see what the results will be then. It could get better(go away), stay the same, or get worse. Prognosis, if it doesn't get worse, is for a normal delivery (apparently they can map the heartbeat for comparison during labor), and for the baby to be checked out after delivery, and depending on what happens then, continued checkups(options for correction are more involved than I'll go into here, since they don't involve what you are going through). All I can really do until then is stay aware of the baby's movements/activity and call if I notice a marked decrease/cessation. This is my second child, so I have some frame of reference for movement/activity. I'm sure after the next appointment I'll get more answers, or know better what questions to ask. Maybe even get a second opinion. Not knowing what is going on and what the possible options are is nerve wracking, I know. You have the opportunity to know more than I do at the moment...press those doctors for more information. Get a second opinion if you aren't comfortable with the doctors you are seeing or they are unable to communicate with you. You are your child's advocate. I wish you all the best. Let us know what the outcome is. aml |
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