Monday, March 4, 2013

TIFFA Scan Received

We received the TIFFA ( Targeted Imaging for Fetal Anomalies) scan result today from Anjani. All is good. We also have 24 week payment to make today.

Ngan ordered some onesies on Amazon last night. She also shop at CVS yesterday and saw some good deal on Newborn Diaper and bought 300 number1diapers and 100 number 2 diapers.

Made a Google search and knew that the scan is ultrasonic visualization fetus in detail. Ultrasound is the main diagnostic tool in the prenatal detection of congenital abnormalities. It allows examination of the external and internal anatomy of the fetus and the detection of not only major defects but also of subtle markers of chromosomal abnormalities and genetic syndromes. Although some women are at high risk of fetal abnormalities, either because of a family history or due to exposure to teratogens such as infection and various drugs, the vast majority of fetal abnormalities occur in the low-risk group. Consequently, ultrasound examination should be offered routinely to all pregnant women.
The scan, which is usually performed at 18–23 weeks of pregnancy, should be carried out to a high standard and should include systematic examination of the fetus for the detection of both major and minor defects.

The report indicates :
  . Twin live foeti with separate placenta and separating amniotic membrane noted.
  . Cervix - 3.5 cm
  . Internal os is closed.

  Twin A
    - Cephalic presentation i.e. the baby is delivered head first. This delivery presentation is the safest and most common
    - Grade 1 for fundal posterior
    - Amniotic fluid - adequate
    - FHR : 154 bpm
    - EFW : 574 grs

   Twin B
    - Breech presentation i.e. the baby enters the pelvis with the buttocks or feet first as opposed to the normal head-first presentation
    - Amniotic fluid - adequate
    - FHR : 138 bpm
    - EFW : 554 grs

    The estimated deliver date is June 27, 2013
    Twin Fetuses Tiffa as followed:

    . Fetal head is normal. Cerebral ventricles are normal in calibre
    . Fetal spine shows normal
    . Four chambered view of heart is visualized and is normal
    . Gastric bubble is visualized. Bowel echoes are normal
    . Fetal kidney and urinary bladder are normal
    . Anterior abdominal wall is normal
    . Limb survey is normal
    . Face survey is normal

The result is:

    . Dichorionic, diamniotic twin live fetus at 22 to 23 weeks of gestational age
    . No obvious congenital abnormalities