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Author Topic: closed fist on ultrasound  (Read 7214 times)
jill garrett
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« on: January 16, 2004, 12:44:41 PM »

Hi, I am a basketcase worrying over these CPC's.  I had an ultrasound at 20 weeks that showed two cysts.  The baby had her hands in front of her face but the one we could see was closed.  Everything else looked absolutely normal.  I had a negative AFP screening also. I guess what I'm wondering is, does a closed hand mean I have another soft marker?  Don't most babies have their hands closed?  I am so terrified.  I never expected anything like this and it's taking the fun out of being pregnant.  Has anyone else had an ultrasound where their babies hand was closed?
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Tiffany
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April 18, 2004


« Reply #1 on: January 16, 2004, 02:15:52 PM »

Jill,

I had a total of three ultrasounds... the first being when the cysts were found... the second being a level II ultrasound with a perinalogist which one of the hands did appear fully open... the third was also a level II which showed the cysts had disolved and both of my baby's hands were closed in a fist.  I don't take the closed fist as a real marker being that alot of babies have closed fists during ultrasound while in utero.  I think they look for the overlapping fingers along with the closed fist... when the first finger overlaps the third.  I don't think you should worry about your baby's closed hand.
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Bilateral cpc's found at 19 week u/s, disappeared at 24 week u/s... Healthy Baby Boy April 21, 2004!!!
melissa t
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« Reply #2 on: January 16, 2004, 02:16:19 PM »

Hi Jill,
I know what you mean about taking the fun out of being preg, but let me tell you...we just went through the same situation and followed up...cyst was gone and i am 21 weeks...my baby's fists were closed too and the dr. said it is  common for babies to have their fists closed in the womb. The thing he was looking for was overlapping fingers or the wrong amount of fingers and other abnormalities like that. IF everything else is ok...like the heart, brain, spine, bones etc...then please try not to worry too much..i cried for a week and my dr tells me yesterday....just act like this week never happened b/c you worried yourself for no reason...I know what you are going through....but think positive...everything is going to be OK....
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cammom
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« Reply #3 on: January 16, 2004, 06:41:14 PM »

My daughter had closed fists, but we did not notice this until my 18 week u/s when our results from the Triple Screen came back positive for T18 (1:10).  

My first u/s was at 15 weeks and no one said anything about her hands.  But b/c of my Triple Screen result they were looking for T18 markers at the next u/s.  The only things they found were bilateral CPCs and clenched fists.  The tech must of watched her little hands for at least 15 minutes.  It was painful for me to watch my baby move her arms around w/out opening her hands.  Occasionally she would lift her index finger, but that was it.  I had a bad feeling about it, especially when the tech said that babies will keep their fists closed but when they move thier arms around the hands usually open...hers did not.  When the high risk specialist spoke to us, he showed alot of concern.   Not b/c of the fists, but b/c of the combination of my positive Triple Screen and the CPCs.  I had an amnio that day and it confirmed T18.  

I don't know if my post will make you feel any better.  But you had a negative Triple Test and I would certainly feel good about that.  But you will truly only know if all is well through the amnio.  My odds were so bad that it made sense for me.  I knew that I would be a wreck if I didn't know for sure.    

Thinking of you.
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Joann
Cameron 1.10.01 (no CPCs at 20 wk u/s)
Faith ~11.15.03~ (CPCs at 18 wk u/s) sadly, an amnio confirmed Trisomy 18
Been_There
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« Reply #4 on: January 17, 2004, 04:38:23 AM »

Babies with T18 often have structural abnormalities of the hands and wrists which  may result in the bent wrist/hand deformities marker on a US. However, all babies make fists and all babies close hands. Those are perfectly normal. So whereas an open hand is a good sign, a closed fist in and of itself doesn't tell you much. Very good sonographers won't be looking for just closed hands or fists, but the wrist/hand abnormalities that are specifically associated with T18. CPCs are not significant findings. Your triple screen is a better indicator of risk factor. If you have a high risk triple screen that is going to be of a concern whether or not your baby has open hands and whether or not your baby has CPCs. But none of this is diagnostic. If you are under thirty-five and have a good triple screen then your risk is low. You might consider having another US (I am assuming this is a level 2 that you had) to get a better look at your baby's hand. Best wishes for a happy outcome.
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Been There
EB on 17 week US in 1999. Healthy baby girl.
(I am neither a doctor nor a genetics counselor.)
jill garrett
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« Reply #5 on: January 17, 2004, 07:25:41 AM »

Thanks for all your support.  I do have anothe ultrasound on the 26th.  I was looking at my ultrasound from 13 weeks and there is a very clear picture of her hand open with all five fingers very visible.  I am also only 27 years old with a negative triple screen and no other abnormalities on ultrasound except the cysts.  I am still really worried and feel like maybe amnio is too risky thou.  Does anyone know what my chances of having a baby with Trisomy 18 would be  versus risk from the amnio?  Thanks again for everyone who replied.  I am so glad I found this website. Smiley
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bevin88
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« Reply #6 on: January 17, 2004, 09:16:03 AM »

It sounds to me like your baby is not likely to have T-18.  As for deciding whether or not to have the amnio, I think it just depends on whether or not you will terminate the pregnancy based on the findings.  If you would not terminate, then there is no reason to get the amnio and expose a healthy baby to the risk.  It's a personal decision you and your husband have to make.
Best wishes.

Bev
23 wks w/ twin boys
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LAS
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« Reply #7 on: January 17, 2004, 10:05:25 AM »

Don't worry!  Most babies have their hands closed.  In fact, when I went for my detailed u/s (because they found a CPC in our baby) they had a hard time getting a picture of the baby with his/her hand open.  As soon as she saw our baby's hand open she snapped a picture.  She said you have to take the picture when you can because most of the time their hands are closed.  
Our doctor said that they can tell when the hand is not 'normal'.  She said the hands are kind of like someone who has really bad arthritis (she showed us what she meant but unfortunately I can't show you).   Smiley
It's very apparent when they see this.  Please don't worry!  When I read your message, I wasn't concerned at all.  Just enjoy your pregnancy and look forward to your healthy baby.
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