Friday, 6 November 2015

Clinical fundal height

 Izzat Mubarak: Dr Shaiful, if my patient is 39 weeks POA. And clinical fundal height is 36 weeks (i am not sure if i have estimated it well). Is the clinical fundal height corresponding to the POA??

Or the clinical fundal height should be 38 weeks??

 Alif Hussaini: Baby dah descend

Alif Hussaini: Normal

Dr Shaiful Ehsan: Waalaikumsalam izzat....what is the patient gravida?
And how many head fifth palpable?

Izzat Mubarak: Gravida 4 para 2+1
3/5 palpable

 Dr Shaiful Ehsan: Dear izzat and others...
As a general rules....discrepancies of SFH from POA is as follows:
2nd trimester = can not be more than 2cm
3rd trimester can not be more than 3 weeks...

And you can see further about the head engagement....

Like in ur case, the head is not engaged yet but 3/5th palpable...which may lead to the loss of about 1cm on SFH....
So overall I can tell that ur patent SFH is following POA...tq

 Dr Shaiful Ehsan: Homework, primigravida engaged when?

Dr Shaiful Ehsan: Gravida 2 and above fetal head engaged when?

Mb Izzat Mubarak: Tq dr

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