Obstetrics management
In this pregnancy, she came early for booking
at ten weeks period of amenorrhea (POA). Her
pregnancy was dated and nuchal translucency
(NT) scan done at 12 weeks POA was normal
(NT 1.3 mm). She was seen bi-weekly by the
feto-maternal specialist for fetal surveillance.
Fetal middle cerebral artery peak systolic velocity
(MCA-PSV) was closely monitored every week
and later two weekly to look for any evidence of
fetal anaemia before presenting with hydropic
features (Table 1 and Fig. 1)
Regular two-weekly follow-up revealed
that the fetus was growing well along the 50th
centile without any evidence of fetal anaemia
from the MCA-PSV monitoring to suggest early
hydrophic changes. Upon further discussion, she
was keen for a trial of normal vaginal delivery
for this pregnancy and further assessment of the
baby will be done post-delivery.