Fetal Ultrasound Normal Vs Down Syndrome | Soft Markers In Fetus For Trisomy 21 | Aneuploidies USG

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  • เผยแพร่เมื่อ 15 ส.ค. 2024
  • Fetal Ultrasound Normal Vs Down Syndrome | Soft Markers In Fetus For Trisomy 21 | Aneuploidies USG
    **Cases:
    Intro - 0:00
    Nuchal thickness - 0:10
    Absent Nasal bone - 1:06
    Echogenic Intracardiac Focus - 1:32
    Ventriculomegaly - 2:11
    Nuchal Thickness (2nd Trimester) - 2:45
    Echogenic bowel - 3:18
    Short Femur - 4:00
    Short Humerus - 4:22
    Dilated Renal pelvis -
    Ductus Venosus A Wave Reversal - 4:39
    Ventricular septal defect (VSD) - 6:23
    Esophageal Atresia - 6:41
    Duodenal Atresia - 7:20

ความคิดเห็น • 208

  • @daisysummer514
    @daisysummer514 7 หลายเดือนก่อน +16

    I love my child with Down syndrome; she is my biggest and best blessing of my whole life ❤️❤️ please don’t be scared, families. X

  • @DoingStuffWithDiana
    @DoingStuffWithDiana 7 หลายเดือนก่อน +3

    My doctor saw sandal foot and I’ve been freaking out since; this helped calmed me down a bit while I wait for my blood results. Thank you.

  • @dr.shankarjaykisanpatel5725
    @dr.shankarjaykisanpatel5725 ปีที่แล้ว +5

    excellent presentation Dr. Sam

  • @SutanBinoy24
    @SutanBinoy24 ปีที่แล้ว +4

    Thank You very much dr.Sam for the Video 👍 very helpful in learning USG

  • @VIVEKYADAV-nq3ic
    @VIVEKYADAV-nq3ic 7 หลายเดือนก่อน +2

    Most Important very very helpfull video. Ham Lerner logo ke liye

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  7 หลายเดือนก่อน

      Thanks for watching! Glad to hear that!

    • @liezlrodriguezyummyrecipes1667
      @liezlrodriguezyummyrecipes1667 19 ชั่วโมงที่ผ่านมา

      @@DrSamsImagingLibrarydoc, is it possible the lenght of femur and humerus can increase in next scan?
      My anomaly scan done when i'm 27 weeks and tommorrow i have schedule to repeat a scan.

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  17 ชั่วโมงที่ผ่านมา

      @@liezlrodriguezyummyrecipes1667 Hello@ Yes, they can improve over time. The baby's growth rate can change and some short values can also improve

    • @liezlrodriguezyummyrecipes1667
      @liezlrodriguezyummyrecipes1667 16 ชั่วโมงที่ผ่านมา

      @@DrSamsImagingLibrary thank you doc.

    • @liezlrodriguezyummyrecipes1667
      @liezlrodriguezyummyrecipes1667 2 ชั่วโมงที่ผ่านมา

      @@DrSamsImagingLibrary doc. Is there any food or vitamins to take, to increase the femur and humerus lenght?

  • @kaushikraju5690
    @kaushikraju5690 ปีที่แล้ว +2

    Excellent video your are doing a great job it’s helping a lot

  • @vincentmutugi4597
    @vincentmutugi4597 ปีที่แล้ว +2

    wonderful and so helpful

  • @ambedkarSeema
    @ambedkarSeema 17 วันที่ผ่านมา

    Saar mere Baby ka sar me 11 much pani h doctor boli h kya Ye dik yoga

  • @jagatthapa9679
    @jagatthapa9679 ปีที่แล้ว +1

    Awesome vedio. Thank you so much, sir, for sharing with us ❤

  • @hungluu4070
    @hungluu4070 11 หลายเดือนก่อน +1

    Thanks a lot, it is helpful. I am hoping u can make a lot this video!

  • @srinivasaraosirasapalli5104
    @srinivasaraosirasapalli5104 7 หลายเดือนก่อน +1

    Excellent sir

  • @rochelhalpert758
    @rochelhalpert758 7 หลายเดือนก่อน +1

    great channel helpful for boards!

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  7 หลายเดือนก่อน

      Thanks for watching! Glad you found it helpful!

  • @ashokkumargupta8084
    @ashokkumargupta8084 ปีที่แล้ว +1

    Thanks sir for all your efforts

  • @hemlatapal8019
    @hemlatapal8019 ปีที่แล้ว +1

    Nice one

  • @vlogsmk3767
    @vlogsmk3767 9 หลายเดือนก่อน +1

    Great method ❤

  • @abcd-yb3xc
    @abcd-yb3xc ปีที่แล้ว +1

    Thanks sir ..very informative

  • @user-kw7qy9el2x
    @user-kw7qy9el2x 6 หลายเดือนก่อน +1

    Excellent presentation, dr Sam

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  6 หลายเดือนก่อน

      Thank you very much for watching!

    • @liezlrodriguezyummyrecipes1667
      @liezlrodriguezyummyrecipes1667 19 ชั่วโมงที่ผ่านมา

      @@DrSamsImagingLibrary hi doc. nose/nasal bone measuring 0.9cm at anomaly scan at 27 weeks is this normal?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  17 ชั่วโมงที่ผ่านมา

      @@liezlrodriguezyummyrecipes1667 Yes, it is normal

    • @liezlrodriguezyummyrecipes1667
      @liezlrodriguezyummyrecipes1667 17 ชั่วโมงที่ผ่านมา

      @@DrSamsImagingLibrary thank you.

  • @jasminebari9961
    @jasminebari9961 ปีที่แล้ว +1

    Thanks for sharing

  • @sabakhanam5998
    @sabakhanam5998 ปีที่แล้ว +1

    Very nice 👌🏻👍

  • @quyenhothanh9709
    @quyenhothanh9709 8 หลายเดือนก่อน +1

    Hi Dr. Sam, my wife just did the screening (ultrasound + blood test beta-hCG/PAPP-A) at her 12 weeks 5 days pregnancy. The report said NT=1.3mm, Nasal bone present, other structures appear normal (Cranium, Face, Neck, Heart, Abdominal wall, Stomach, Bladder, Arms, Legs), adjusted risk of Trisomy 21 is "1 in 360" (my wife is 33 yo), which put her under intermediate risk and it suggests a NIPT follow up test. However, our gynecologist reviewed the report and confirmed everything was fine, no need NIPT test. I'd like to have your second opinion? Thanks

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  8 หลายเดือนก่อน +1

      Hello! The screening results are mostly reassuring, especially with the normal NT measurement and the presence of the nasal bone. Your gynecologist's view that everything is fine and that no further testing (NIPT) is needed is likely based on their assessment of the overall risk and the normal findings in the ultrasound. Based on the findings, there is no need of NIPT test. Best Wishes!

    • @quyenhothanh9709
      @quyenhothanh9709 8 หลายเดือนก่อน +1

      @@DrSamsImagingLibrary thanks so much

    • @user-iv5ij2jb6m
      @user-iv5ij2jb6m หลายเดือนก่อน

      @@DrSamsImagingLibrary Did your wife give birth to a healthy baby? I have the same measurements. I had a blood test and am waiting for the results

  • @DrAdi-vn3tz
    @DrAdi-vn3tz ปีที่แล้ว +1

    dr sam thx for this

  • @iacun
    @iacun ปีที่แล้ว +1

    Excelent🎉🎉🎉

  • @yasmeenrashid7654
    @yasmeenrashid7654 ปีที่แล้ว +1

    thanks. Such avery knolagable ur vedios
    I am not very confident to see kidneys. When I am doing anomaly scan
    Need ur help
    Tips to easy found clear both kidneys

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      Thanks for watching! To scan the fetal kidneys, first determine the fetal presentation (whether it is cephalic, breech, etc.). Next, locate the fetal spine in transverse plane, then adjust the gain and depth settings accordingly. Sweep the probe until you find two symmetric, bean-shaped structures on either side of the fetal spine.

  • @toobamalik880
    @toobamalik880 ปีที่แล้ว +1

    Sir plz make a video what does it mean or how to move probe laterraly inferiorly etc

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      Here is the playlist for probe position: th-cam.com/play/PL4cRFWfjMmf_vYnNGABoV3U1KFmJmCHEv.html

  • @meghanamegha8859
    @meghanamegha8859 9 หลายเดือนก่อน +1

    Hi in my 5th month anamoly scan there are 2 soft marker that is echogenic intracardiac focus in left ventrical and mild renal pelvic dilatation in left kidney measured 4mm and my doctor suggest me for NIPT Blood test and result showed as low risk. can u please explain the possibility of down syndrome.

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  9 หลายเดือนก่อน

      If your NIPT results came back as low risk, it means that the likelihood of your baby having a common chromosomal abnormality is low. The presence of soft markers, in combination with a low-risk NIPT result, typically suggests that the risk of Down syndrome is not elevated.

    • @aswathisnair4442
      @aswathisnair4442 5 หลายเดือนก่อน

      Hello.. I am going through same situation.. Had 2 soft markers and gave for nipt test yesterdy... If you dont mind can you share how was your results?

  • @zozik84
    @zozik84 ปีที่แล้ว +1

    Thanks dr .🙏

  • @LaS88709
    @LaS88709 8 หลายเดือนก่อน +1

    What if there is one soft marker (absent nasal bone) at 23 weeks all blood work came back great and low risk for DS in two testing. Baby looks healthy ( body and brain) only thing that is missing is nasal bone. Dr noted I do not have a prominent nasal bone like herself and my husband. my husband and I are both west African and she stated that it is common that sometimes the nasal bone can be absent or delayed. My question is should I consider the amniocentesis testing or wait it out? is this a huge indication of possible down syndrome?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  8 หลายเดือนก่อน +1

      Hello! Based on ethnicity, the nasal bone may be small and hence may not have been visualized on ultrasound. If the blood tests indicated a low risk for Down syndrome and other chromosomal abnormalities, this is reassuring. Amniocentesis is the definitive test for diagnosing chromosomal abnormalities, including Down syndrome. It involves taking a sample of amniotic fluid and has a very high accuracy rate. However, it is an invasive procedure and carries a small risk of complications, such as miscarriage. Based on the results of the tests, there is no need to go for Amniocentesis but it important to discuss this with your doctor since you are under their care. Best Wishes!

    • @LaS88709
      @LaS88709 8 หลายเดือนก่อน +1

      @@DrSamsImagingLibrary Thank you so much! These are the most reassuring and comforting comments I have heard. I also decided to go for a 3D/4D ultrasound and the baby looked normal. Even though that does not mean much from a diagnostic point of view. It was very reassuring to see the baby's face- more so the nose looked normal. I will consult with my doctor further and keep you updated. Thank you!

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  7 หลายเดือนก่อน +1

      Most Welcome and best wishes!

    • @aswathisnair4442
      @aswathisnair4442 5 หลายเดือนก่อน +1

      Hello i would like to know avout your results if you are okay with it.. Iam going through the same situation.. But mine and husbands nose is almost prominent only.

    • @LaS88709
      @LaS88709 5 หลายเดือนก่อน

      @@aswathisnair4442 Hello! Hope all is well. Of course, I can share. I am a woman first and if I can help another I absolutely will.
      So far my results are the same. No DS and genetic testing showed no abnormalities. Currently, the baby is not here yet. I continue to see my anatomy doctor due to the fact of this one factor. The Dr. can monitor the baby’s growth. Everything looks great. There’s nothing else wrong with the baby.
      My OB did question why I was still seeing her since there is nothing else. But honestly, I like the anatomy Dr, and her machines are a lot more advanced compared to my OBs.
      I did speak to a lot of other moms on other platforms ( baby apps- Wemoms, Baby Center) they have such wonderful communities of women who have also had similar experiences and showed pictures of their ultrasound, their baby pictures as a newborn, and a few months after. That gave me hope because I could see a visual perspective.
      I’m just waiting for the delivery because at the end of the day, an ultrasound is just an ultrasound and as much as technology and science have advanced it doesn’t equate to physical truth when the babies are actually here for further testing.
      As mentioned before, I did testing for Down syndrome and was low risk, so I am praying for a healthy baby. As mentioned previously, my nose is not as prominent I have more cute little nose that is not wide and does not take over my central face. In other words, if you were to look at my profile, you would be able to pretty much be able to see parts of my other eyes or across my face. It’s pretty flat in the center of my face I don’t really have that bridge versus my husband who does. I can only see one eye on his profile.
      The doctor on this platform, my doctor, and other moms who were of non-Caucasian ethnicities stated that is very common for African descent, Asian, and other ethnic groups to have an absent/ short nasal bone. If it were uncommon then I would be more uneasy.
      If I were you, I would pay attention to what your doctor saying, and ask for other soft/ hard markers for abnormalities. If your doctor is saying things that my doctor is saying, like the baby's brain, kidney, lungs, liver, back of neck, hands, feet, face, and heart is well, then just continue to pray and wait for delivery. That’s the only other option outside of the non-invasive testing.
      Please keep me posted. How far along are you in your pregnancy and what exactly did your doctor say?
      Praying for you and your baby! 🙏🏾

  • @satish9187
    @satish9187 6 หลายเดือนก่อน +1

    Hi sir, Recently second Trimester anomaly scan we did in that Congential deodenal obstruction observed doctor suggested to do CMA test can you suggest what are the probably cause of such observation in our Baby???? In NT scan T13 risk is observed Low still how its hppen deodenal obstruction kindly guide 😢

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  6 หลายเดือนก่อน

      Hello. I'm sorry to hear about that. Congenital duodenal obstruction can occur due to reasons not directly related to T13 or other common chromosomal abnormalities. It might be associated with other genetic conditions or isolated anomalies.

    • @satish9187
      @satish9187 6 หลายเดือนก่อน

      @@DrSamsImagingLibrary Thanks for response. If CMA test comes negative shall we continue pregnancy and dr suggest your baby need pediatric surgery but my question is baby having ability to withstand such procedure kindly guide... it's our first pregnancy n after 4 Years we got good news.. My wife is constantly crying kindly reply. In imagine of our baby shows only single bubble while imaging sometime it shows n sometimes it appear normal is it good sign??

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  6 หลายเดือนก่อน

      @@satish9187 A negative Chromosomal Microarray (CMA) test means that the test did not detect any chromosomal abnormalities in the baby. The decision to continue the pregnancy after a negative CMA result, especially when there are other concerns such as the need for pediatric surgery, should be made after a thorough discussion with your doctors. They will consider the overall health of the baby, the specific condition requiring surgery, and the potential outcomes of that surgery. Regarding the imaging findings you mentioned (seeing a "single bubble" sometimes and other times appearing normal), it's challenging to provide specific guidance without more context.

    • @satish9187
      @satish9187 5 หลายเดือนก่อน

      @@DrSamsImagingLibrary Thank you 🙏 !! Doctor told it's partial block not complete block if two big bubbles are visible that means completely block .so i ask her what's the reason, she told sometimes fibres may get stuck into it n blocks the passage partially

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  5 หลายเดือนก่อน +1

      @@satish9187 Most Welcome! And I hope everything goes well! Best Wishes!

  • @lobo-92
    @lobo-92 9 หลายเดือนก่อน

    Dr out of all the indicators explained in the video, what is the possibility of the baby to have DS if there 2 indicators present during the 8th month scan?
    1. Single spot calcium deposit present in the heart.
    2. Renal dilation is around 16mm in both kidneys.
    Kindly provide your opinion doctor🙏

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  9 หลายเดือนก่อน

      Hello, the 2 indicators stated above can increase the risk of having Down Syndrome in a fetus, but they do not directly mean the baby has Down Syndrome and do not provide a definitive diagnosis. Other factors such as maternal age, family history of DS, and results from tests such as Non-invasive Prenatal Testing, or second trimester serum screening can provide more context about the risk. Please consult with your doctor regarding this. Best Wishes!

  • @maswathi9835
    @maswathi9835 5 หลายเดือนก่อน

    My NT scan report was normal and the anomaly scan shows the presence of two soft markers.
    1.Two intracardiac echogenic foci measuring 1.9 mm and 1.8 mm noted in left ventricle.
    2.Renal pelvis appear prominent measuring 4.2 mm on left and 4.8 mm on right. No calcyce al/ureteric dilatation.
    Does this indicate DS? I have given blood for NIPT test.

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  5 หลายเดือนก่อน

      A normal NT scan is a good sign. The other 2 findings you mentioned do not directly mean the baby has Down Syndrome, they are soft markers which mean there may be an increased risk for Down Syndrome. The NIPT test results will provide more details regarding Down Syndrome. Best Wishes!

    • @maswathi9835
      @maswathi9835 5 หลายเดือนก่อน

      @DrSamsImagingLibrary Thank You Dr ! I didn't get the results if it's negative then should I have to worry?

  • @GooseGoesse
    @GooseGoesse 5 หลายเดือนก่อน

    I just had an ultrasound performed. My baby boy popped up with a possible AV Canal Defect or one hole in the heart and a possible Distal Duodenal Atresia defect. My baby's femur is in the 2.5 percentile and the humerus is in the less than 5 percentile. Everything else appears normal/healthy. I'm waiting on the results of genetic testing. What are the odds of my baby having Down's Syndrome??

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  5 หลายเดือนก่อน

      The conditions you've described, such as an atrioventricular (AV) canal defect, distal duodenal atresia, and smaller measurements for the femur and humerus, can be associated with Down syndrome. The combination of these findings does increase the likelihood of Down syndrome, but it's important to remember that ultrasound findings are only part of the picture. The definitive diagnosis of Down syndrome or any chromosomal abnormality is through genetic testing, such as karyotyping or non-invasive prenatal testing (NIPT), which can provide a more conclusive answer.

  • @nasrinkhan219
    @nasrinkhan219 10 หลายเดือนก่อน

    Hi Sam,s ! Could I please know your full name so that I can include your lectures in my quality Assurannce portfolio

  • @syaidatulzahariahnordin6776
    @syaidatulzahariahnordin6776 ปีที่แล้ว

    Hi Dr Sam, these all soft maker are only for 1 foetus of SD or for more than 1 foetuses of SD?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      Hello! These images are of different foetuses. The presence of soft markers varies. Some may have all soft markers present, some may have few of them.

  • @aswathisnair4442
    @aswathisnair4442 5 หลายเดือนก่อน

    Doctor.. Did my anomaly scan yesterdy found 2 soft markers-hypoplastic nasal bone and mild dilatation of renal pelvis.. Nuchal thickness is 3mm which the doctor told is normal.. (It was 1.5 in nt scan)
    Gave for nipt test yesterday.. Nt scan was completely normal.. Double marker test was also normal.. Is there anything to worry?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  5 หลายเดือนก่อน

      The normal NT scan and Double Marker test results are positive signs that reduce the likelihood of chromosomal abnormalities. The NIPT (Non-Invasive Prenatal Testing) you've undergone is a highly sensitive screening test that looks for genetic conditions like Down syndrome, Edwards syndrome, and Patau syndrome. It's very accurate in detecting these conditions and can provide you with more information about the risk level of the pregnancy. The nuchal thickness measurement of 3mm is considered to be within the normal range, especially if it was 1.5mm at the NT (Nuchal Translucency) scan, which is reassuring. Hypoplastic Nasal Bone and Mild Dilatation of the Renal Pelvis are soft markers for chromosomal abnormalities and are not definitive diagnoses. Many babies with these findings on ultrasound are born healthy and without genetic conditions.

  • @dilmiachinthika9891
    @dilmiachinthika9891 8 หลายเดือนก่อน

    Dear sir mc=NF Same mesurment in the pregnency

  • @lufunomakhavhu9873
    @lufunomakhavhu9873 หลายเดือนก่อน

    Hi Sir..resuls of high risk of DS..does it necessarily mean the child will be born qith DS?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  หลายเดือนก่อน

      Hello! Are these the results of NIPT or ultrasound?

  • @barnalichakraborty3436
    @barnalichakraborty3436 11 หลายเดือนก่อน

    I have an hyperechoic focus 2.9*4.4mm near the junction of ivc and right atrium,i do my nipt and fetel echo which is normal, should I worry for the echogenic focus

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  11 หลายเดือนก่อน

      If no other other abnormality is seen and the NIPT is normal, it is usually a normal variant and does not cause any issue.

  • @Ashlei211990
    @Ashlei211990 ปีที่แล้ว +1

    Hi, I'm 11 weeks pregnant and I just had my Nuchat Translucency scan done and it came back abnormal. I'm also a type 1 diabetic. I did ask my doctor if she thought my diabetes had anything to do with the abnormalities and she said it's a possibility. She wants me to get a CVS test, but my husband and I have our reservations about it. I had an appointment with a genetic counselor yesterday. I did an NIPT test and other genetic testing. I'm extremely scared and nervous so any advice/ comments would help. NT scan is measuring at 6.5mm. Thank you.

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      I'm very sorry to hear about the concerns you are facing. It's absolutely normal to feel scared and nervous in this situation, and I commend you for seeking out professional opinions and support. An NT measurement of 6.5mm is indeed higher than the typical range, and it can be an indication to investigate further. It does not, however, confirm any specific diagnosis. While uncontrolled diabetes can have effects on pregnancy, it's not directly linked to the NT measurement. CVS is a diagnostic test that can provide more information about chromosomal conditions. It carries some risks, but they are generally low. If you have reservations about the CVS test, it is completely valid and essential to discuss them with your healthcare providers. They can explain the pros and cons specific to your situation and address your concerns. Best Wishes!

    • @Ashlei211990
      @Ashlei211990 ปีที่แล้ว

      @@DrSamsImagingLibrary thank you for responding!! My husband and I are going to wait for the call from the genetic counselor and proceed from there. My MFM doctor wasn't concerned with DS because of presences of a nasal bone. She was thinking more so heart conditions. I'm not sure if you have an opinion on that

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      @@Ashlei211990 Most Welcome! The heart will be evaluated on further scans to check for any cardiac conditions. DS is diagnosed after a combination of imaging tests, genetic tests and tests like CVS are performed. Your genetic counselor will advise you further. Hope everything is OK! Best Wishes!

    • @aswathisnair4442
      @aswathisnair4442 5 หลายเดือนก่อน

      @@Ashlei211990 hello... I would like to know what were your resulta if you are okay with it.. Iam almost goung through this situation now

    • @Ashlei211990
      @Ashlei211990 5 หลายเดือนก่อน

      @@aswathisnair4442 the baby turned out fine!!

  • @raghuvendraprataptripathi1006
    @raghuvendraprataptripathi1006 7 หลายเดือนก่อน

    Hello Dr. Sam, my wife is 15w2d pregnant had a normal scan with nuchal fold 1.5 mm, nasal bone 3.1 mm, FL 17 mm, AC 90 mm, HC 111 mm, BPD 31 mm, her trisomy 21 risk have came 1:342 is this a cause of worry, please suggest your view.

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  7 หลายเดือนก่อน

      Hello, the values are normal and the risk for Trisomy 21 is low. Best Wishes!

    • @raghuvendraprataptripathi1006
      @raghuvendraprataptripathi1006 7 หลายเดือนก่อน

      @@DrSamsImagingLibrary Thanks for your time and valuable opinion.

  • @skitnado25
    @skitnado25 8 หลายเดือนก่อน

    Well my wife and just got our first NT in her first trimester. NT was 2.78mm and the doctor was indicating it was too high and suggesting amniocentesis but did not suggest cvs. We currently waiting for NIPT results. The following results were normal: nasal bone present, neck, thorax, cardiac situs, cardiac axis, abdominal wall, stomach, arms and legs. We don’t think such invasive test as suggested by this doctor is necessary but will wait for out NIPT results. Should there be any reason for concern or is this doctor trying to get to do a test that would harm our baby? Thanks

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  8 หลายเดือนก่อน

      An increased NT measurement can be associated with chromosomal abnormalities like Down syndrome, as well as other genetic disorders and some heart defects. However, an increased NT measurement does not necessarily mean there is a problem. Many babies with increased NT measurements are born healthy. It's reassuring that other ultrasound findings (nasal bone, neck, thorax, etc.) are normal. Waiting for the NIPT results is a reasonable step before deciding on more invasive procedures like amniocentesis. Amniocentesis is more definitive than screening tests like NT or NIPT, but it carries a small risk of complications, including miscarriage. Once you get the results of NIPT, you can have a detailed discussion with your doctor regarding further management based on the results. Best Wishes!

    • @skitnado25
      @skitnado25 8 หลายเดือนก่อน

      @@DrSamsImagingLibrary thank you so much.

  • @mounirhashad8310
    @mounirhashad8310 2 หลายเดือนก่อน

    Hello is isolated mild renal pelvis dilation in one kidney while every thing else is normal a worrying sight

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  2 หลายเดือนก่อน

      Hello! No, it is normal if everything else is fine. Best Wishes!

    • @mounirhashad8310
      @mounirhashad8310 2 หลายเดือนก่อน

      @@DrSamsImagingLibrary yes every thing in the 4d scan is fine and baby is moving and there are no any abnormalities detected

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  2 หลายเดือนก่อน

      That is a good sign. Nothing to worry about. Best Wishes!

  • @maxnikhan409
    @maxnikhan409 8 หลายเดือนก่อน

    Is it possible your NT measurement was normal at 12 weeks and the anatomy scan found increased?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  8 หลายเดือนก่อน +1

      Hello. Yes it is possible for the NT thickness to increase later on

  • @saikrishna-xu2mc
    @saikrishna-xu2mc 6 หลายเดือนก่อน

    Hi sam, NT thicknes 5mm for 12 week baby is it normal or abnormal and please suggest further 🙏🙏

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  6 หลายเดือนก่อน

      Hello! NT thickness is abnormal and can increase risk for abnormalities. However, it does not directly mean there is an abnormality. Further ultrasound scans are required for monitoring. Your doctor may advise tests such as NIPT. Please consult with your doctor. Best Wishes!

  • @arnelganub5379
    @arnelganub5379 ปีที่แล้ว

    Hello i am 20 wks pregnant and the fetal heartbet of baby is 109 bmp ...is there possibility that the heartbet become normal?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      Fetal heart rate is low. This indicates fetal bradycardia. Has this heart rate always been low? Your doctor will closely monitor the heart rate on further scans. Please consult with your doctor regarding this

  • @sivaram5186
    @sivaram5186 ปีที่แล้ว

    Hi Sir,
    In analomy scan observed 2 soft markers. One left choroid plexuses cyst measuring 5.3*3.4mm & echogenic small bowel grade 1. These 2 soft markers are dangerous sir ?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      These soft markers can increase the chance of having Down Syndrome, but they are also found in normal pregnancies. The baby's growth and well being will be monitored on follow up ultrasounds. Down Syndrome is diagnosed with a combination of ultrasound and blood tests as well as tests like Amniocentesis and Chorionic Villus Sampling. Best Wishes!

    • @sivaram5186
      @sivaram5186 ปีที่แล้ว

      @@DrSamsImagingLibrary Hi Sir,
      Thank you for quick update. We went for amniocintes test last week and first report received today for QPCR. All the results are good in that. So for KT also we will get good results right ?

  • @aronlelenora9572
    @aronlelenora9572 ปีที่แล้ว +2

    ❤❤❤❤

  • @Chloe-xm1lx
    @Chloe-xm1lx 4 หลายเดือนก่อน

    Hi just came across your video. I am currently 28 weeks and 3 days. Combined test came back high for Edwards or patau syndrome However had NIPT test done that was low risk result so no further testing recommended. 20 week scan showed all measuring fine. However had a growth scan today and was told baby's femur is measuring small and head is also measuring small but abdomin is normal and heart and kidneys appear fine too. I now have an appointment next week with fetal medicine doctor and another scan booked and possibly being offered amniocentesis. Could this be baby is just measuring on the smaller side or possibly suggestive of a condition? What condition would cause just the head and femur to be measuring smaller.? Blood flow and placenta is appearing all fine too and i am taking aspirin due to developing pre eclampsia and HELLP syndrome in a previous pregnancy. However no signs of preeclampsia so far in this pregnancy and blood pressure has been fine. I am feeling so stressed and worried and it's a week of waiting and not knowing much right now. Could the 20 week scan have been wrong or missed something i dont know how just the head and femur could be measuring small now.?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  4 หลายเดือนก่อน +1

      Hello! In your case, the small measurements of the baby’s head (microcephaly) and femurs can be seen in various conditions, but most commonly are associated with certain genetic syndromes. Edwards and Patau syndromes, which you mentioned were initially indicated as high risk from your combined test but later downgraded by your NIPT test results, do often involve such findings. However, the NIPT provides a strong indication that these may not be a concern, especially when paired with the low-risk results and normal findings from the 20-week scan. The discordance between the growth scan and earlier scans might simply be due to natural variations in growth, or it could be an indicator of a specific condition that affects growth, such as skeletal dysplasias or other less common genetic syndromes. It's also possible, though less likely, that there could have been measurement inaccuracies in any of the scans. The planned appointment with the fetal medicine specialist can offer more detailed scans and possibly an amniocentesis, which can provide more definitive genetic information. Amniocentesis will be particularly useful to rule out or confirm any chromosomal abnormalities that the non-invasive tests might miss. Best Wishes!

    • @Chloe-xm1lx
      @Chloe-xm1lx 4 หลายเดือนก่อน +1

      @@DrSamsImagingLibrary Thank you for your time and replying, I appreciate it very much and thank you for explaining things more to me. I was unsure how tests so far and scans could be showing fine so far but now not. I will see what the consultant says at the next scan this week hopefully will have a clearer picture of what it all means at least. Thank you for your time. Best wishes and God Bless you. 🙏🏼

  • @bellagameela
    @bellagameela 11 หลายเดือนก่อน +1

    Greetings doctor. I'm 36 weeks 5 days pregnant, and my baby's FL is 67 mm. NT scan was done at week 13th and the result was normal (0.15 mm). Is there still a risk of my baby having DS because of this FL finding? Thanks for your opinion doctor 🙏

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  11 หลายเดือนก่อน

      Greetings! The FL value is within normal range. These findings do not suggest Down Syndrome. If you have any concerns, please consult with your doctor. Best Wishes!

    • @bellagameela
      @bellagameela 11 หลายเดือนก่อน

      @@DrSamsImagingLibrary Thank you for you reply doctor. My obstetrician recently said that my baby's FL is 2 weeks behind my gestational age and there's a possibility of DS. Your opinion ease me & my husband's mind. Thank you so much 🙏

  • @Hugogutierrezful
    @Hugogutierrezful 11 หลายเดือนก่อน

    Hello, I am 21 weeks preganant and I had my ultrasound today. Before leaving they informed me everything looked fine. But then when I went to my regular doctor visit they had informed him of the following:
    A normal nasal bone was not seen. This is a marker for aneuploidy, most
    commonly trisomy 21, with a 35% PPV for Down syndrome. No other obvious markers for aneuploidy were seen. .This study was read remotely so not discussed with the patient
    We are still not sure of this. Baby was moving a lot so I couldnt myself see their face. We are hoping this is not correct. I had a blood test done and we are waiting for those results now.
    Can you give your opinion on this? Thank you!

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  11 หลายเดือนก่อน

      Hi! An absent nasal bone can be a marker for Down Syndrome. The baby will be monitored on further scans and DS can detected by blood tests (if advised by your doctor). Since you stated the baby was moving a lot, it may be that the nasal bone wasn't seen due to the position of the baby.

    • @Hugogutierrezful
      @Hugogutierrezful 11 หลายเดือนก่อน

      @@DrSamsImagingLibrary thank you so much for responding. We are hoping for the best and that it was just that they could not get a good image. Also hoping those test results come out good as well.

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  11 หลายเดือนก่อน +1

      Best Wishes! Hope everything goes well. Keep in touch with your doctors.

    • @user-jt9fl2qd2w
      @user-jt9fl2qd2w 8 หลายเดือนก่อน +1

      @@Hugogutierrezful what was the result get after that

    • @Hugogutierrezful
      @Hugogutierrezful 8 หลายเดือนก่อน

      @@user-jt9fl2qd2w so after the blood work everything came back 99.9% negative thankfully. I also did a 3D ultrasound about 3 weeks ago and she looked fine, however that doctor did mention to me that we cannot go based on nasal bone all the time and cannot trust an ultrasound on that. Before 12 weeks ultrasound they look at more the head shape there and other problems with their organs. Thats more when they can determine in an ultrasound that baby could have downsyndrome. If you are going through something similar stay positive I know its hard as mothers to always think the worse.

  • @maxnikhan409
    @maxnikhan409 8 หลายเดือนก่อน

    In my 22-week anomaly scan observed 3 soft marks 1 pathogenic intracardiac focus as bright as bone within the left cardiac ventricle increased nuchal fold of 6.4mm and septated gallbladder. I'm so worried could you please tell me about this?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  8 หลายเดือนก่อน +1

      I'm very sorry to hear about this. It can be worrying. The presence of 3 soft markers does increase the risk of having Down Syndrome but it is still not a definitive diagnosis. It requires further investigation which will be advised by your doctor.

    • @maxnikhan409
      @maxnikhan409 8 หลายเดือนก่อน +1

      @@DrSamsImagingLibrary thank you for your reply

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  8 หลายเดือนก่อน +1

      Most Welcome! Yes it can happen. A 12 week scan can be normal. Some abnormalities occur later on in pregnancy. Best Wishes and hope everything goes well!

    • @maxnikhan409
      @maxnikhan409 8 หลายเดือนก่อน

      Dr. Sams today I did an ultrasound again and they found a duplicate gallbladder and an increase of Nt 6.1 My doctor booked my appointment related to an ultrasound summary with a genetics specialist could you please tell me what a possible result will be according to your knowledge if someone has an increase Nt and duplicate gallbladder in her ultrasound. is duplicate gallbladder also associated with a syndrome?
      Thank you

  • @mohdkareem4406
    @mohdkareem4406 6 หลายเดือนก่อน

    If Nt value is 1.9 is it normal plz plz reply

  • @iamsuperyann
    @iamsuperyann 8 หลายเดือนก่อน

    Hello. I am 22wks2days today. Nuchal thickness is at 0.7cm but all other scans are normal. Nasal bone is 0.7cm. What does this indicate about my baby?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  8 หลายเดือนก่อน

      If your overall report is normal then it should not be of concern. Best Wishes!

    • @iamsuperyann
      @iamsuperyann 8 หลายเดือนก่อน

      @@DrSamsImagingLibrary thank you dr sam! Is there any risk with having a nuchal fold of 0.7cm?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  8 หลายเดือนก่อน

      @@iamsuperyannIt slightly increases the risk of having Down Syndrome but it is not a definitive diagnosis. Best Wishes!

  • @dikshan2409
    @dikshan2409 10 หลายเดือนก่อน

    Hello sir mera nt 2.1 h 9week pe kya ye normal h ya abnormal h sir please reply

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  10 หลายเดือนก่อน

      Hello. A nuchal transluceny thickness of 2.1mm is considered normal

  • @amazingsatisfyingvideos2189
    @amazingsatisfyingvideos2189 ปีที่แล้ว +1

    Hi 5month scan report placenta position Anterior wall upper segment grade 1maturity, fhr 154, plz baby gender

  • @ismayatisutawi3706
    @ismayatisutawi3706 ปีที่แล้ว

    How to solve down syndrome 19 weeks pregnancy, please 🙏 your answers is very helpful

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว +1

      Are you asking about treatment of Down Syndrome?

    • @ismayatisutawi3706
      @ismayatisutawi3706 ปีที่แล้ว

      Yes

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      @@ismayatisutawi3706 I'm sorry to say but Down Syndrome cannot be cured. However, various therapies and interventions are available which can help the child lead a healthy and fulfilling life. Best Wishes!

  • @sathyanatraj27
    @sathyanatraj27 5 หลายเดือนก่อน

    Hi dr, i did my 5th month scan,in that report right intracardiac echogenic focus is noted and all previous report are normal.this only said now,is it serious issue dr

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  5 หลายเดือนก่อน

      Hello. This finding does not directly indicate a chromosomal abnormality, especially if previous scans were normal. It can also be seen in normal cases. Further monitoring on ultrasound is required. If you have any concerns, please consult with your doctor. Best Wishes!

    • @sathyanatraj27
      @sathyanatraj27 5 หลายเดือนก่อน

      Dr said to take fetal echo scan after 3 weeks

    • @sathyanatraj27
      @sathyanatraj27 5 หลายเดือนก่อน

      Thanks for your reply dr

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  5 หลายเดือนก่อน

      Okay. Most Welcome!

  • @NiranjanKumarsps
    @NiranjanKumarsps 8 หลายเดือนก่อน

    How many chances of down syndrome.in case of nuchal fold slide thicker in 18 to 22 week .

  • @pepengmbul
    @pepengmbul ปีที่แล้ว

    How if the condition only Absent Nasal bone the other normal, is it possible to DS?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      At how many weeks is an absent nasal bone noted? An absent nasal bone can be a marker for DS

    • @pepengmbul
      @pepengmbul ปีที่แล้ว

      @@DrSamsImagingLibrary 11 week +1, many thks for your feedback dr. Sam

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      @@pepengmbul If other parameters and serum biochemistry are normal, a follow up is required for further evaluation and monitoring.

    • @pepengmbul
      @pepengmbul ปีที่แล้ว +1

      @@DrSamsImagingLibrary we're waiting for the result of NIPT hopping it's negative and all is good. thks dr. Sam God bless you

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      @@pepengmbul Most Welcome! Wish you all the Best!

  • @NiranjanKumarsps
    @NiranjanKumarsps 8 หลายเดือนก่อน

    My nuchal fold thickness is 6mm in 24 week pregnancy. It is normal. Please reply me 🙏

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  8 หลายเดือนก่อน

      Hello. Nuchal fold thickness of 6mm is considered normal for 24 weeks.

    • @NiranjanKumarsps
      @NiranjanKumarsps 8 หลายเดือนก่อน

      Dr. suggest nipt test. For down syndrome.

    • @NiranjanKumarsps
      @NiranjanKumarsps 8 หลายเดือนก่อน

      Nipt report low risk

  • @JessicaAndrade-fy5ei
    @JessicaAndrade-fy5ei ปีที่แล้ว

    My NT test is normal in first tri , my Anatomy Scan is also normal , but they found my baby has mild dialation of fetal renal pelvis, is this normal ? Could this mean DS alone ? dr says they are not worried as its very mild and at the cutoff

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว +1

      Hello! An isolated mild dilatation of fetal renal pelvis does not indicate DS. It is a normal finding.

    • @JessicaAndrade-fy5ei
      @JessicaAndrade-fy5ei ปีที่แล้ว +1

      @@DrSamsImagingLibrary thank you so much ! You put my mind at ease , 🙏🏼🥺

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  ปีที่แล้ว

      @@JessicaAndrade-fy5eiMost Welcome!

    • @Jisuzi_
      @Jisuzi_ 11 หลายเดือนก่อน

      1:4400 low probability of having a fetus with down syndrome aya hai kya karu me

    • @JessicaAndrade-fy5ei
      @JessicaAndrade-fy5ei 11 หลายเดือนก่อน

      @@Jisuzi_ i was told that it resolved on its own 🙏🏼

  • @tamannaakther4340
    @tamannaakther4340 9 หลายเดือนก่อน

    My nt is 2.7 12 weeks scan ...is It ok ?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  9 หลายเดือนก่อน

      It is slightly above normal and may increase the risk of Down Syndrome, but it is not a definitive diagnosis. Best Wishes!

  • @SalimAnsari-tr8pq
    @SalimAnsari-tr8pq 4 หลายเดือนก่อน

    Hii sir..my nuchal fold thickness is 6.8mm in 17 weeks pregnancy. It is normal. Please reply me 🙏

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  4 หลายเดือนก่อน +1

      Hello. It is enlarged, are there any other abnormalities seen in your report?

    • @SalimAnsari-tr8pq
      @SalimAnsari-tr8pq 4 หลายเดือนก่อน +1

      Thanks for ur guidance sir.
      Quadrupole marker test mei sare parameters 'screening negative' aaya hai ye kitna accurate hota hai..?
      🙏

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  4 หลายเดือนก่อน +1

      @@SalimAnsari-tr8pq It is a very accurate test. Screening negative means there is very low chance of having chromosomal abnormalities. It is a good sign. Most Welcome!

    • @SalimAnsari-tr8pq
      @SalimAnsari-tr8pq 4 หลายเดือนก่อน

      Thank you so much for your kind information 🙏

  • @aiswaryakunnath1881
    @aiswaryakunnath1881 7 หลายเดือนก่อน

    My age 28, NT= 2.9
    N.B = 1.4, Tricuspid Valve regurgitation
    Is this normal ? Gave sample for NIPT

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  7 หลายเดือนก่อน

      Hello. NT is slightly higher. The nasal bone (N.B) measurement is normal. Mild tricuspid valve regurgitation can be seen in normal pregnancies, but it may also be associated with an increased risk of chromosomal abnormalities and heart defects, especially when combined with other markers like increased NT. The NIPT results will provide more details. Further assessment is required. Best Wishes!

  • @natashanurmumu1502
    @natashanurmumu1502 7 หลายเดือนก่อน

    Hello.. my nt scan report was totally normal but at my 20 weeks scan my baby had- Echogenic intracardiac focus in fetus
    And mild fluid on kidney
    But all other structures are totally fine is it indicate ds? 😢

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  7 หลายเดือนก่อน +1

      Hello! These features increase the risk of Down Syndrome, but they do not directly indicate that the baby will have Down Syndrome. That is why they are called soft markers. A normal NT is reassuring and a good sign. Your doctor may advise you some tests to evaluate Down Syndrome. Best Wishes!

    • @natashanurmumu1502
      @natashanurmumu1502 7 หลายเดือนก่อน

      @@DrSamsImagingLibrary dr told me to do nipt test .. waiting for the results hope everything will be good 😓

    • @natashanurmumu1502
      @natashanurmumu1502 7 หลายเดือนก่อน +1

      @@DrSamsImagingLibrary dr told me to do nipt test .. waiting for the results hope everything will be good 😓

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  7 หลายเดือนก่อน +1

      Best Wishes!

    • @natashanurmumu1502
      @natashanurmumu1502 7 หลายเดือนก่อน

      My report came alhamdulliah its came out negative.. thanks for ur support..

  • @ayyotube5224
    @ayyotube5224 6 หลายเดือนก่อน

    On my ultrasound both at 12 weeks and 20 weeks normal, but blood test abnormal for Trisomy 21...😢😢😢

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  6 หลายเดือนก่อน

      I'm sorry to hear about that. Please keep in touch with your doctors for further monitoring and evaluation.

    • @ayyotube5224
      @ayyotube5224 6 หลายเดือนก่อน

      @DrSamsImagingLibrary they said they have to do more testing. I am not interested. I am just going to wait until I give birth. I don't accept what they said as truth. Not my blood they tested I will give birth to healthy baby.

    • @ayyotube5224
      @ayyotube5224 6 หลายเดือนก่อน +1

      @@DrSamsImagingLibrary thank you for replying 🙏

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  6 หลายเดือนก่อน

      Most Welcome and Best Wishes!

  • @manjulamanju7806
    @manjulamanju7806 ปีที่แล้ว

    No nuchal thickening seen meaning plss

  • @talithaisabellemelgar3432
    @talithaisabellemelgar3432 11 หลายเดือนก่อน

    Hi what does 6.8mm thick nuchal fold? Does it mean DS?

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  11 หลายเดือนก่อน

      A nuchal fold thickness of 6.8mm may indicate an increased risk of having Down Syndrome, but it does not mean that the baby has Down Syndrome. An abnormally thick nuchal fold alone cannot diagnose a Down Syndrome. Further evaluation is needed. Best Wishes!

  • @artisharma5257
    @artisharma5257 3 หลายเดือนก่อน

    Hloo Dr.

  • @elisaneves5392
    @elisaneves5392 6 หลายเดือนก่อน

    Elisa

  • @chaarnado6648
    @chaarnado6648 11 หลายเดือนก่อน

    Hi. In my 25 weeks ultrasound I just found out that 0.66cm and isolated increased nuchal fold in my unborn baby but the sonologist didn’t told me about it that my baby will be having a 3.2% fo have a down syndrome. I am very loss and cried everyday cause I don’t know if it is really accurate cause the result said it has 75% accuracy rate to have DS and my obgyn told me yesterday that nothing to worry much cause when the baby comes out they will observe it and in my 28 weeks now I am so worried cause they do nothing like to get me a another test for a down syndrome. Is there anything I can be worry for when its 3.2% to have a baby with ds? Please notice me Sir cause I am very lost as of the moment. 😭

    • @DrSamsImagingLibrary
      @DrSamsImagingLibrary  11 หลายเดือนก่อน

      Hi! I'm very sorry to hear what you are going through. Was the nuchal translucency increased during 11-13 weeks scan? Or is it the first time the nuchal thickness has come out increased?

    • @aswathisnair4442
      @aswathisnair4442 5 หลายเดือนก่อน

      Hello.. How are you and bab now?

  • @DrSamsImagingLibrary
    @DrSamsImagingLibrary  ปีที่แล้ว +2

    Obstetric Ultrasound Normal Vs Abnormal Images | Fetal, Placenta, Umbilical Cord Pathologies USG: th-cam.com/video/mJ1qLENEmCU/w-d-xo.html

  • @pattontheapplegamer5437
    @pattontheapplegamer5437 6 หลายเดือนก่อน

    Please change the title and remove "normal" it's very offensive.