Audio Transcript Auto-generated
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Hi my name is Emily McGregor. And today I'm going to be walking you through A. B. P. P.
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Also known as a biophysical profile.
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Today I'm meeting with my client Claressa.
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And before my meeting I am going to confirm her LMP her last menstrual period.
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Um The date of the report. Her E. D. D.
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Estimated due date and her estimated gestational age.
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So I can just make sure that my charts and that
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this biophysical profile that there is no discrepancy between the two.
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Um Alright so Claressa comes into the office, she sits down and I say hi Claressa.
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Um I just got your results back from your biophysical profile.
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Do you remember doing that last week?
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She says yes I say um would it be alright if I just walk you through some of the results?
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Everything that I'm seeing looks really normal.
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But I just want to make sure that if you have any questions you
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have an opportunity to check in and ask me while you're here today.
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She says sounds great.
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Alright so Claressa, there are just a few things that I'd like to go over.
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Um The first thing is the report came back saying that you're having
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one baby which is exactly what we have been suspecting this whole time.
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You're 33 ish weeks. Um
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You're having a single 10 1 baby.
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Um The result does say that um they're suspected inter uterine growth restriction
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which means that the baby is a little bit smaller than what they would
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like to see the baby at
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at this age. But I don't want you to worry about that because
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um your amniotic fluid level is great.
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It's actually a little bit higher than average. And
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when I'm concerned about inter uterine growth restriction I'm
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usually also seeing really low fluid levels as well.
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Which is an indication that the placenta isn't functioning as well
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as it should be and that the baby is not um really
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you know kicking out as much fluid as they should be as well.
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So that's something that I would like to keep an eye on.
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But at the moment I'm not really that worried about it.
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But I did want to let you know because it is noted in your report.
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Um And I also wanted to confirm with you that they did do this report or this B. P. P.
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Um trans abdominal e.
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Meaning that they went from side to side on the
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external part of your belly and then up and down.
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And that's how it was done correct.
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And she says yes okay great that's what we would expect for this gestational age.
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But I just wanted to confirm
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your baby is head down and their back is to the outer part of your belly.
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So if this is your baby,
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their head is down and they are facing like this which is great.
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That's exactly what we'd like to see.
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The placenta is posterior.
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Which is what we have suspected since we've been able
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to hear the baby's heartbeat really easily every single time.
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Uh That just means that the placenta is on the back region of the uterus there.
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Um We had talked a little bit just earlier about the the higher amniotic fluid level.
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Um The the pockets are at seven.
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What I like to see normally is two by two pockets two centimeters by two centimeters.
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So again it's a little bit higher than
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what I like to see normally. But um it is it's totally fine.
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Um
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Your baby's head,
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the diameter of your baby's head is measuring
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right around where it's supposed to be.
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Um
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The uh and that's called the byproduct by her out. Oh my gosh
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by
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correct
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for alittle
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diameter
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words are hard.
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Um
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And the head circumference is it's exactly where it should be.
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uh the abdominal circumference is exactly where it should be.
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The estimated fetal weight is 1750g. Which is about
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just over £3. Almost £4. It's about £3.08 ounces.
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Um And this is where that inter uterine growth restriction is.
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Um That's where they're getting that because at this
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age we'd like to see the baby around £4.5.
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But again the discrepancy is not so big that
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there's any need to feel alarmed or concerned.
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And your NST
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um
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It was a two which um the way that A B. Pp. Is scaled is it's a number out of 10.
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And so your full score was eight out of 10. And so that S. T.
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Number is right where we'd like to see it right now. Do you have any questions?