I'm currently 35 weeks pregnant and attached is the report. My baby weighs around 2389+-354gms. And observed that early diastolic notch in the left uterine artery. Is everything okay and what do i need to do from my end. Please suggest

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At 35 weeks of pregnancy, your baby's weight of around 2389 grams (approximately 5.3 pounds) is within a normal range, though on the lower side of average. The early diastolic notch in the left uterine artery indicates that there might be increased resistance to blood flow in that artery. This condition can sometimes be associated with complications such as preeclampsia or intrauterine growth restriction (IUGR). However, it doesn't necessarily mean there is a problem, but it does warrant closer monitoring.

### What You Can Do:
1. **Follow Medical Advice**: 
   - **Regular Check-ups**: Ensure you attend all scheduled prenatal visits. Your healthcare provider will monitor your baby's growth, amniotic fluid levels, and blood flow through Doppler ultrasound.
   - **Monitoring Blood Pressure**: Keep track of your blood pressure regularly, as high blood pressure can be a concern with uterine artery notching.

2. **Healthy Lifestyle**:
   - **Balanced Diet**: Eat a well-balanced diet rich in fruits, vegetables, lean proteins, and whole grains. Ensure adequate intake of iron, calcium, and other essential nutrients.
   - **Stay Hydrated**: Drink plenty of water to stay hydrated.

3. **Rest and Stress Management**:
   - **Rest**: Get plenty of rest and avoid overexertion. Consider lying on your left side to improve blood flow to the uterus.
   - **Stress Reduction**: Practice relaxation techniques such as deep breathing, prenatal yoga, or meditation to manage stress.

4. **Monitor Baby's Movements**:
   - **Kick Counts**: Keep track of your baby's movements. If you notice a significant decrease in activity, contact your healthcare provider immediately.

5. **Prepare for Delivery**:
   - **Birth Plan**: Discuss your birth plan with your healthcare provider. Given the early diastolic notch, there might be recommendations for specific monitoring or interventions during labor.

### When to Seek Immediate Medical Attention:
- **Symptoms of Preeclampsia**: If you experience severe headaches, visual disturbances, swelling of hands and face, or upper abdominal pain, seek medical attention immediately.
- **Decreased Fetal Movements**: Any significant decrease in fetal movements should be reported to your healthcare provider promptly.

### Regular Monitoring:
- **Ultrasound and Doppler Studies**: Your healthcare provider may recommend regular ultrasounds and Doppler studies to monitor the baby's growth and blood flow.
- **Non-Stress Tests (NST)**: These tests might be conducted to check the baby's heart rate and response to movements.

### Reassurance:
While the presence of an early diastolic notch can be concerning, it doesn't always lead to complications. With close monitoring and appropriate care, many women go on to have healthy pregnancies and deliveries.

Ensure you communicate openly with your healthcare provider about any concerns or symptoms you experience. They are there to support you and ensure both you and your baby remain healthy through the remainder of your pregnancy.