instruction: hello doctor I am 38 weeks pregnant 38 weeks and days I took an ultrasound today my report shows biparietal diameter 93 am 36w 1d head circumference 32 17 am 36w ad abdominal circumference 31 65 am 35w 4d femoral length 98 am 35w 6d average age of gestation based on today scan 36 weeks estimated fetal weight 2765 grams I just want to ask if I need to be worried as my doctor said the baby is small is there any problem for the baby because I am on 38 weeks days now but base on my ultrasound the baby is 36 weeks
output: hello the growth of the child is two weeks smaller for 38 weeks but corresponding to its ultrasound age the weight of the baby is fine there is a likelihood that you may have had an irregularity in your menses earlier and your ovulation may have been delayed and leading to late conception however best would be to undertake a biophysical profile and an umbilical artery doppler ma doppler studies middle cerebral artery to look for cause for decreased supply to the fetus if at all if these parameters are normal then your dates are probably wrong or you have had delayed ovulation and fertilization because fetus would then be considered growing and pregnancy can be continued and followed up with serial ultrasounds but nevertheless even if dates are not good still it is advisable that one should go with your dates as at 38 weeks and deliver the child by 41 weeks considering the child has matured and the average fetal weight is also good I hope this helps