Thursday, April 7, 2011

I finished my book, so I'm back online, just killing time until I am too tired to do anything but fall asleep.

Tonight I've been interested in researching more about doppler ranges, because that's something they check twice a week, and since I'm getting further along (rejoice!) there is more and more information available.

From some research paper:
The systolic/diastolic (S/D) ratio is a measurement of the umbilical cord artery that compares the systolic with the diastolic flow and identifies the amount of resistance in the placental vasculature. This retrospective study made a direct comparison between the S/D ratios of third-trimester fetuses and their birth weights. Previous studies have reported fetuses with S/D ratios greater than 3.0, after 30 gestational weeks, to be at an increased risk for low birth weight. This study looked at outcomes of fetuses with S/D ratios greater than 3.0, and ratios less than 3.0. One hundred S/D ratios were obtained and divided into three categories: less than 2.0, between 2.0 and 3.0, and greater than 3.0. The collected data showed 35.5% of low-birth-weight neonates had S/D ratios greater than 3.0. Those patients with S/D ratios less than 2.0 had the largest percentage (37.5%) of neonates above the 50th percentile in weight, whereas ratios between 2.0 and 3.0 had the highest percentage (59.46%) of neonates between the 11th and 50th weight percentiles. The S/D ratio is easily obtained and provides important information in conjunction with fetal structural measurements when predicting the outcome of a fetus.

Today, they measured three times, in different spots along the cord. One was 4.8, one was 3.9, one was 3.5. Those average out to 4.06, hovering right around the 95th percentile, still. Some days the readings are higher, but they don't usually go much lower than the 95th line. Average for my gestation is a S/D ratio of 2.80. I've never once had a reading in the 2's.

With the concern over all my bleeding episodes, the growth issue has been placed on the backburner. She *did* have a normal growth interval, which was an amazing feat. I am anxious to see what next Friday brings, only a week away.

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