Jessica is a 31yo, G4 P0120, who was seen for a follow-up ultrasound and consultation due to her prior obstetrical history. Her 1st pregnancy in 2014 was an early first trimester spontaneous pregnancy loss which was then followed by a 30 week IUFD in 2015 that will be discussed further below. Her last pregnancy in 2016 was complicated by a partial mole by her report. She did undergo noninvasive prenatal testing (NIPT) in this pregnancy that returned low-risk male and she otherwise denies any major-medical disorders. Based on her height and weight at the start of the pregnancy, her BMI was 33.
By dates, she is 19 1/7 weeks and the measurements are concordant. The amniotic fluid volume is normal, and the cervix is long and closed with no evidence of membrane …show more content…
A complete fetal anatomical survey was performed and no major malformations were noted at this time within the resolution of the ultrasound equipment other than complete views of the heart were not possible due to fetal position and this could not be remedied by manipulation.
Regarding the IUFD, she reportedly underwent thrombophilia work-up and to her knowledge this was negative, though I do not have those records to review. She also reported that the loss identified a segment of the umbilical cord was very thin and thrombosed as if it was missing some Wharton’s jelly. Again, I do not have a copy of the delivery record to verify this but it sounds as if may have been a cord accident related to cord anomaly. She was told that there are numerous causes for IUFD. If this were a cord accident due to an anomaly of the cord the risk of recurrence for this is
By dates, she is 19 1/7 weeks and the measurements are concordant. The amniotic fluid volume is normal, and the cervix is long and closed with no evidence of membrane …show more content…
A complete fetal anatomical survey was performed and no major malformations were noted at this time within the resolution of the ultrasound equipment other than complete views of the heart were not possible due to fetal position and this could not be remedied by manipulation.
Regarding the IUFD, she reportedly underwent thrombophilia work-up and to her knowledge this was negative, though I do not have those records to review. She also reported that the loss identified a segment of the umbilical cord was very thin and thrombosed as if it was missing some Wharton’s jelly. Again, I do not have a copy of the delivery record to verify this but it sounds as if may have been a cord accident related to cord anomaly. She was told that there are numerous causes for IUFD. If this were a cord accident due to an anomaly of the cord the risk of recurrence for this is