HomeAnswersObstetrics and GynecologyultrasoundWhat do the reports for my first-trimester screening for trisomies indicate?

Does an ultrasound of the first trimester reveal congenital abnormalities in the baby?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At January 17, 2023
Reviewed AtJanuary 19, 2024

Patient's Query

Hello doctor,

Can you help me understand my first-trimester screening for trisomies? I am attaching the reports for you to review. Kindly suggest.

Answered by Dr. Richa Agarwal

Hello,

Welcome to icliniq.com.

I have gone through her history and the reports attached (attachment removed to protect the patient's identity). I understand your concerns. The reports are absolutely normal and relative risk to congenital abnormalities are very low. So no need to worry about it, everything is fine in her reports.

Thank you.

Patient's Query

Hello doctor,

The gynecologist said at 16 weeks scan, my wife's cervix was 3.5 mm and that it should be 4mm. She was advised of Aleract medication (it has alpha-Lipoic acid, vitamin B6, and magnesium). She takes the medication twice a day. She also takes a tablet of progesterone 100 mg twice a day. The doctor advised her to rest more. Now she carries the baby low and works from a computer daily for two to three hours. Is it too much? Is she pushing the baby down? Also, what does it mean to rest? Can she go out? It is not strict bed rest.

TA 120/60 mmHg.

Scales: Cervix about 1.5 cm long, moderately firm, closed fingertip, fetus low, uterus size corresponds to amenorrhoea.

Ultrasound: Head in fundus BPD 34, 3 mm 16 4/7 ng. The heart's action and movement of the fetus are registered: Placenta from the fundus on the front wall. Amniotic fluid in sufficient quantity. FL 20.4mm 16 ng. Neck length 35 mm.

The doctor advised her to take the following medications:

Tablet Utrogestan 100 mg twice daily.

Tablet Aleract twice daily.

Answered by Dr. Richa Agarwal

Hello,

Welcome back to icliniq.com.

I have gone through your detailed history, and in my opinion, her cervical length is on the lower side, and her fetus is on the lower side. The doctor has given all the medicines to support the pregnancy, and I believe she should take proper rest to prevent premature delivery. She can work on the computer for two hours sitting and do her daily core, but she should avoid any strenuous activity. She should not go out and take as much rest as possible.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Richa Agarwal
Dr. Richa Agarwal

Obstetrics and Gynecology

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