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Ives had an emergency Caesarean section delivery at the University College London Hospital, five weeks early, and was told her son had a 5% chance of survival.
Edward’s heartbeat sped up after he was born, and doctors tried medication and shock treatment, conventional methods, but none seemed to be working. According to ABCNews, doctors gradually raised Edward’s temperature, this time by only half a degree every 12 hours.
Depending on the age of the gestation, these graphs can be used to determine the correct EDD.
Mean Sac Diameter measurement is used to determine gestational age before a Crown Rump length can be clearly measured.The average sac diameter is determined by measuring the length,width and height then dividing by 3 . The following image is using a transvaginal approach the gestational sac can be seen during week 4-5. The Crown Rump Length (CRL) measurement in a 6 week gestation.A mass of fetal cells, separate from the yolk sac, first becomes apparent on transvaginal ultrasound just after the 6th week of gestation.
The fetal pole grows at a rate of about 1 mm a day, starting at the 6th week of gestational age.
Using a transvaginal approach the fetal heart beat can be seen flickering before the fetal pole is even identified. Sometimes there is difficulty distinguishing between the maternal pulse and fetal heart beat. Until 53 days from the LMP, the most caudad portion of the fetal cell mass is the caudal neurospone, followed by the tail. Until 60 days from the LMP, the most cephalad portion of the fetal cell mass is initially the rostral neurospore, and later the cervical flexure. What is really measured during this early development of the fetus is the longest fetal diameter.
The outer chorion with the developing placenta and the inner amnion which will "inflate" with the production of fetal urine,to adhere to the chorion obliterating the residual yolk sac.

Initially twins may be identified as 2 separate gestational sacs (ie diamniotic, dichorionic) They may be 2 fetal poles within the same gestational sac (monochorionic). It is a sad situation when a "vanishing twin" occurs, which is about 20% of twin pregnancies. Ultrasound is essentially used for assessing gestational age, current viability and maternal wellbeing.
If multiple pregnancy, confirm number of foetuses, number of sacs, and number of placentas present to determine chorionicity. Measure CRL to calculate gestational age and Estimated Date of Delivery(EDD).If too early to see the foetal pole measure the average sac diameter.
His mother, Claire, was seven months pregnant when she discovered that Edward’s heart was beating around 300 beats per minute, close to double the normal¬†160. Baby Edward was born with¬†supraventricular tachycardia (SVT), a heart condition that causes episodes of an abnormally fast heart rate that can lead to organs not functioning properly.
A cold gel blanket was wrapped around Edward, and his body temperature was dropped to 91F for a few hours. Edwards heartbeat became stabilized and one month after he was born, Ives and her husband were able to take Edward home from the hospital. Although doctors will need to monitor him on a regular basis, he is otherwise considered a healthy baby. Thus, a simple way to "date" an early pregnancy is to add the length of the fetus (in mm) to 6 weeks.
Often technicians will take the mothers pulse at the same time to check if it is the fetus or the mothers . This is the result of normal midgut proliferation and will resolve by 11 weeks as the fetus lengthens.
The rhombencephalon of the developing brain is visible as a prominent fluid space posteriorly.

The accuracy of this is increased by factoring in the levels of bHCG and PappA in the maternal blood. It is easier to determine chorionicity earlier in the pregnancy depending on the chorionicity and amnionicity.
Over the next hour, drink at least 1 litre of water and do not go to the toilet until instructed. His heartbeat slowed to a proper rate, but when his body was warmed up, his heart started beating erratically again. Using this method, a fetal pole measuring 5 mm would have a gestational age of 6 weeks and 5 days. It may be below 100 beats per minute but this will increase to between 120- 180 beats per minute by 7 weeks. Instead, its development arrests and it is reabsorbed, with no evidence at delivery of the twin pregnancy. An ectopic pregnancy will appear the smae but it will not be within the endometrial cavity.
Failure to identify fetal cardiac activity in a fetus whose overall length is greater than 4 mm is an ominous sign.
Failure to identify (with transvaginal ultrasound) a yolk sac when the gestational sac has grown to 12 mm is also usually indicative of a failed pregnancy.

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