Even if (1) biometry is within normal range and (2) growth velocity is normal (i.e no dropping of centiles), Doppler can still be abnormal (MCA, umb Artery, CPR and uterine artery). And this can be labelled as FGR. Therefore, Doppler MUST be an integral part of every growth scan.
Not true. The article first talks about SGA Vs FGR. And the doppler criteria are applicable to such fetuses. Deranged doppler in a normal sized fetus will either predispose it to FUTURE growth retardation or will lead to fetal mortality but wont allow fetus to be termed it as FGR on same day. Article looks nice as long as its not misunderstood and used only as reference for certain situations. Based on guidelines, the article promotes more and more usage of doppler, hence more antenatal visits, might lead to more confusion and possibly lead to more apprehension among patients and ultimately more financial burden only on the patients. Till the time such articles become part of standard USG books like Callen or Rumack, it may be good idea to follow them only as reference for certain cases.
I have always loved Indian Radiologist lectures. Thanks a lot for another great one. It would have been even better if you could have said what the abbreviations means. For someone who is not an OB expert and trying to learn OB US, the alphabet soups are kind of confusing.
Thanks for your comments Sagar Alphabet soup its looking like to us 2 now once u've mentioned it 😊😂 Adding the full form on the TITLE NAME. On poster thumbnail its still not fitting 😔 Thx for watching ❤️ Admin
I was born small, and the nurses assumed I was premature when they saw me, but I was only one week early. I don't have access to any information about my growth in the womb. I am on a waiting list for Genetics, I suspect I have Temple Syndrome. I wish records were kept for everyone, to make it easier to find clues like being SGA for conditions later in life.
Maam , what if EDD in 3rd trimester scan is 2-3 wk disproportionate to EDD by LMP ? Is it that we made mistakes in calculation even after more than one time recording value??
Madam please guide me I want to information about x-ray computed tomography liquid this liquid have any magnetic resonance for CT Scan machine Or any other uses of this liquid plz guide me. 🙏
practically its quite difficult to interpretate whether its 3rd centile or 5 th centile..the machine shows just below 10 th centile .in late FGR few articles say to look for MCA instead of umbilical artery as it may be normal in late trimester..give your feed back on this ?
is there any cut off for doppler age ?around 12 to 20 weeks its quite dfficult to get umbilical and mca doppler ..if we r suspecting early iugr ..wn can we apply doppler ,any specific age by weeks?
Hello meri ongoing pregnancy 29.3 wks size (mean gestational age) asymmetric growth is noted as short length of FH/HL FL 27.2wks HL 27.5wks HC 31.1wks Fetal weight 1246 gram +-182 grams Adi 16cm AC 28.5wks please reply it's normal
I love to listen to your lectures. May Allah bless you the best of all. Respect from Pakistan.
thanks for watching Fariha and best wishes.. ✌️
Thanks Ma'am for making concept more simple
Very nicely explained. Blessed to have her around.🙏
Thanks a lot 👍
Excellent presentation, mam , as usual you simplify the subject and give clear concept.Thank u so much mam🙏🙏
thx for watching Baidyanath Purbey
Very nice explanation madam.
If there is any recent update related to this topic then please inform.
Even if (1) biometry is within normal range and (2) growth velocity is normal (i.e no dropping of centiles), Doppler can still be abnormal (MCA, umb Artery, CPR and uterine artery). And this can be labelled as FGR. Therefore, Doppler MUST be an integral part of every growth scan.
yes ❤️
Not true. The article first talks about SGA Vs FGR. And the doppler criteria are applicable to such fetuses.
Deranged doppler in a normal sized fetus will either predispose it to FUTURE growth retardation or will lead to fetal mortality but wont allow fetus to be termed it as FGR on same day.
Article looks nice as long as its not misunderstood and used only as reference for certain situations.
Based on guidelines, the article promotes more and more usage of doppler, hence more antenatal visits, might lead to more confusion and possibly lead to more apprehension among patients and ultimately more financial burden only on the patients.
Till the time such articles become part of standard USG books like Callen or Rumack, it may be good idea to follow them only as reference for certain cases.
@@IndianRadiologist
When calculating doppler percentile we use pog by lmp or usg?
@@IndianRadiologistHello ma'am my baby's told in cass ultrasound that his has short femur and short humerus
Explained a complicated subject in a simple manner 👍
wow mam.Amazing lecture.Cleared lots of concepts.It will definately help in my practice.
Beautiful presentation naaam..thank you for the basics
Thanks a lot! this video clearly explained my concern on differentiation of SGA & IUGR!
Beautifully explained
I have always loved Indian Radiologist lectures. Thanks a lot for another great one.
It would have been even better if you could have said what the abbreviations means. For someone who is not an OB expert and trying to learn OB US, the alphabet soups are kind of confusing.
Thanks for your comments Sagar
Alphabet soup its looking like to us 2 now once u've mentioned it 😊😂
Adding the full form on the TITLE NAME. On poster thumbnail its still not fitting 😔
Thx for watching ❤️
Admin
Crisp and comprehensive. Thank you.
You're very welcome Nitin ✌️
Nyc information in easy simple words mam u r great
very nice presentation.
need to clear one dobt.what if biometry and doppler parameters are normal but growth velocity is decreased when GA
Amazing lecture 🙏 thank you
The problem is usg centres don’t mention centile values of various doppler parameters, rather they give numerical values.
Nice lecture
Thanku mam
Very helpful Mam.. thanks a lot🙏
Absolutely nice explanation Mam
I want to ask which charts should we use in India is it intergrowth ,hadlock or local
Is there any difference?
Thank u ma'am for another excellent lecture
It's my pleasure thank u namrata
Another informative lecture ! Thanks a lot mam
thank you✌️
I was born small, and the nurses assumed I was premature when they saw me, but I was only one week early. I don't have access to any information about my growth in the womb. I am on a waiting list for Genetics, I suspect I have Temple Syndrome. I wish records were kept for everyone, to make it easier to find clues like being SGA for conditions later in life.
How are you now? What height are you now?
Understood thanks❤
Excellent
Maam , what if EDD in 3rd trimester scan is 2-3 wk disproportionate to EDD by LMP ? Is it that we made mistakes in calculation even after more than one time recording value??
Superlative 🙏🙏
Hello mam.. Do u hav any teaching courses
Can u simply define interms of numarical values rather than centile
Madam please guide me I want to information about x-ray computed tomography liquid this liquid have any magnetic resonance for CT Scan machine
Or any other uses of this liquid plz guide me. 🙏
Mam if EFW is 14 percentile and AC is 5centile is that also UGR?
Or its SGA?
Bernadette Lakes
Which centile charts to follow in India..?? Please clarify
Machines have charts which are appropriate for asian population
Thanks🙏 mam
So for the percentile chart you can only follow up a patient if you use 1 specific machine through out the whole pregnancy?
practically its quite difficult to interpretate whether its 3rd centile or 5 th centile..the machine shows just below 10 th centile .in late FGR few articles say to look for MCA instead of umbilical artery as it may be normal in late trimester..give your feed back on this ?
In late fgr CPR is looked at for management decisions as umb art may be normal
@@dralpanajoshi2488 mam can you provide percentile chart or any reference for doppler PI
Mam how to label fgr when LMP is not known ?
Informative with Excellent explanation mam, as always.....
Thanks a lot
Madam my baby is 15.3 centile in growth scan means my baby is small
is there any cut off for doppler age ?around 12 to 20 weeks its quite dfficult to get umbilical and mca doppler ..if we r suspecting early iugr ..wn can we apply doppler ,any specific age by weeks?
Mam which birth weight percentile should we take into account.. the lmp percentile or aua percentile?
Established percentile or LMP percentile. Never AUAU percentile. All depends on first growth at dating scan.
Thank you mam💐
Thank u . Very nicely explained ..
Very simple method for assesIUGR
1st trem- less than one week of LMP
2nd trem-less than two wks of LMP
3rd trem- less than three wks of LMP
🙏🙏🙏🙏🙏🙏
Is IUGR or SGA can be given before 20 wks of gest?
Yes fgr can be given but infections genetic etc causes should be ruled out
@@dralpanajoshi2488 thank u mam
Hello meri ongoing pregnancy 29.3 wks size (mean gestational age) asymmetric growth is noted as short length of FH/HL
FL 27.2wks
HL 27.5wks
HC 31.1wks
Fetal weight 1246 gram +-182 grams
Adi 16cm
AC 28.5wks please reply it's normal
Plz santosh yadev my brother tell me how is your baby now
How is your baby now,
Is it possible iugr or sga fetus at 23 wks
Centile concept please
COMING UP SOON!
You talk about things like below this percentile and above that percentile, but how we will get to know this
@@shashwatpriyadarshi972 Through charts.
Ok
Can we detect late onset FGR in second trimester.. By ear length, mouth, jaw dysmorphic face in anomaly or 3d scan
Below 3% percentile babies catch up growth
How is your baby now?