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Dr. K.
Dr. K., MD
Category: OB GYN
Satisfied Customers: 3948
Experience:  Board certified OB/GYN with 20 years of experience.
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LMP: 04/20/2015 Sonographer: TR1GA

Customer Question

LMP: 04/20/2015 Sonographer: TR1
GA by LMP: 06w1d DOB, Age: 08/01/1983, 31
GA by US: 06w2d Pregnancies: Gravida 6, Para 5
Hist/Ind: Dating scan.
Pelvic cramping.
GA Selected: 06w2d (From Largest)
EDD: 01/24/2016
--------------------------------------------------------------------------------
MEASUREMENTS & FETAL AGE FETAL GROWTH EVALUATION
Measurement GA Range Source % 06w2d Ratios
----------- ----- ------------- ------- ---------- ----------------------------
Sac 1.3 cm 06w5d (05w6d-06w4d) Daya Sac 76%
CRL 0.5 cm 06w2d (05w5d-06w5d) Hadlock CRL 50%
GA for sonogram 06w2d (05w5d-06w5d)
based on (CRL) Avg
Fetal Heart Rate: 125 bpm
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MATERNAL ANATOMY
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Uterus LxHxW (cm)
Normal
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Ovaries LxHxW (cm)
Right 2.9 x 2.0 x 2.0 Vol: 6.2cc Desc: Nontender on exam
Left 3.3 x 1.6 x 2.7 Vol: 7.1cc Desc: Nontender on exam
Right and left ovary normal.
Left ovary is best seen transabdominally.
--------------------------------------------------------------------------------
Adnexa:
No abnormality in the right and left adnexa.
--------------------------------------------------------------------------------
Cul-de-sac LxHxW (mm)
No free fluid in the posterior cul-de-sac
--------------------------------------------------------------------------------
Anatomy !Imaged!Not Imaged!Not well se!Prev seen !Comments
--------------------------------------------------------------------------------
GS ! x ! ! ! !
Yolk Sac ! x ! ! ! !2.3 x 1.9 x 2.0 mm
CRL ! x ! ! ! !
Cardiac Activ! x ! ! ! !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
Type of Gestation: Twin embryos( less than 10 wks)
Exam Type(s): 1st trimester transabdominal/transvaginal
Comparison: None
Scan Quality: Satisfactory
1st Trimester Findings:
Twin A: . Intrauterine gestational sac, yolk sac and embryo with cardiac
activity Location: Posterior
Twin B: Intrauterine gestational sac, yolk sac and embryo with cardiac
activity Location: Anterior
Choriogencity: Dichorionic/Diamniotic
Dichorionic Twin living intrauterine pregnancy with an ultrasound age of
06w2d.
Twin A:
Living early twin pregnancy , no sonographic abnormalities.
Twin B:
Gestational sac size slightly small for embryo size.
.
Dictating Workstation: Women and Babies Hospital
Imaging protocols by AIUM, ACR and ACOG guidelines
Koch, Pamela J., MD
-------------------
06/02/2015 05:08pm
------------------------------------FETUS B-------------------------------------
Pat. Name: FREELAND, JOY L Study Date: 06/02/2015 4:27pm
Pat. No: (###) ###-#### Referring MD: SNELL, BENJAMIN, R
LMP: 04/20/2015 Sonographer: TR1
GA by LMP: 06w1d DOB, Age: 08/01/1983, 31
GA by US: 06w2d Pregnancies: Gravida 6, Para 5
Hist/Ind: Dating scan.
Pelvic cramping.
GA Selected: 06w2d (From Largest)
EDD: 01/24/2016
--------------------------------------------------------------------------------
MEASUREMENTS & FETAL AGE FETAL GROWTH EVALUATION
Measurement GA Range Source % 06w2d Ratios
----------- ----- ------------- ------- ---------- ----------------------------
Sac 0.9 cm 05w6d (05w3d-06w2d) Daya Sac 8%
CRL 0.4 cm 06w1d (05w5d-06w4d) Hadlock CRL 38%
Fetal Heart Rate: 128 bpm
--------------------------------------------------------------------------------
MATERNAL ANATOMY
--------------------------------------------------------------------------------
Submitted: 1 year ago.
Category: OB GYN
Expert:  Dr. K. replied 1 year ago.
Hello there what is your question? It looks like this is a viable/living twin pregnancy with no complications.
Customer: replied 1 year ago.

I was confused because twin a said no complications but twin b didn't say no complications but it did say gestational sacred slightly small for embryo and everything in Google dsaid that means 90% miscarriage

Expert:  Dr. K. replied 1 year ago.
A gestational sac that is slightly small does not carry a 90 percent chance of miscarriage. A sac far too small does. These measuremnts do not support the sac being described as "slightly small" The heart rate is a much better predictor. At six weeks the risk of miscarriage for twins or one of the twins is still higher than for a single pregnancy. Of course an ultrasound at 10 weeks is more conclusive. Good luck.