Parameters of Fetal Well-Being
KEY FACTS Imaging • Biophysical profile (BPP) score : 0 or 2 points for 4 parameters in 30 min; numbers added for BPP score: 0, 2, 4, 6, 8 out…
KEY FACTS Imaging • Biophysical profile (BPP) score : 0 or 2 points for 4 parameters in 30 min; numbers added for BPP score: 0, 2, 4, 6, 8 out…
KEY FACTS Terminology • Cervical insufficiency is clinical diagnosis: Inability of cervix to retain pregnancy in absence of contractions or labor • Short cervix is sonographic observation: Cervical length (CL)…
KEY FACTS Terminology • Vasa previa (VP): Umbilical (fetal) vessels under membranes < 2 cm from internal os Imaging • 90% associated with low-lying placenta • Can occur in 2…
KEY FACTS Terminology • Anomalous twin [twin reversed arterial perfusion (TRAP) twin] perfused by deoxygenated blood from pump twin • Blood enters fetus via umbilical artery (UA) ○ Reversed perfusion…
KEY FACTS Terminology • Extension of placental tissue beyond endometrial lining • Described as morbidly adherent placenta (MAP), placental adhesive disorder, and abnormally invasive placenta • Pathology subtypes of placenta…
KEY FACTS Terminology • Monosomy X is preferred term • Definition: Complete or partial deficiency of X chromosome Imaging • Cystic hygroma (CH) is hallmark finding ○ Large back of…
KEY FACTS Terminology • Synonym: Mermaid syndrome • Definition: Lower extremity fusion + other skeletal, gastrointestinal, and genitourinary abnormalities Imaging • Fused lower extremities (variable amount of fusion) ○ Severe…
KEY FACTS Imaging • Multiple causes; can be isolated or syndromic • Autosomal recessive polycystic kidney disease is single gene disorder ○ Large, diffusely hyperechoic kidneys most common ○ May…
KEY FACTS Terminology • Succenturiate lobe (SL): 1 or more accessory placental lobes connected by submembranous fetal vessels Imaging • 2 or more separate placentas ○ Color Doppler shows connecting…
KEY FACTS Terminology • Placenta detachment ○ Most often partial and can see hematoma • Categorized by location of abruption Imaging • Marginal abruption (most common) ○ Hemorrhage from edge…