Is it ok if I vent a little? Because I am a doula, and my family/friends all have pretty strong opinions on birth things I didn't really feel comfortable laying it all out there with anyone irl.
At my 20 week appointment, my fundal height measurement was 19 cm.
At my 24 week appointment, my fundal height measurement was 21cm.
My midwife has said that this indicates I am "small for dates", and that if it doesn't get closer to 'normal' by the next appointment then they will probably recommend an ultrasound for further screening. However, she also commented that I have very strong abdominal muscles which can cause a smaller measurement. The reading I've done so far indicates that being of short stature (I'm 5'3") can cause a smaller measurement too. I've also found varying guidelines which say that 1cm is acceptable variance, 2cm, or even up to 3cm is acceptable variance. Knowing that in some circles it's allowable to be 3cm different in your measurement than you are weeks pregnant; that I am on the short side; that I do have excellent abdominal muscles... makes me feel like going for an ultrasound if I'm still measuring 1-3cm small isn't worth the stress. I'm inclined to decline the further screening under those circumstances.
I know for those of you who aren't opposed to ultrasounds this wouldn't likely be *so* big a deal, but that's not the camp I'm in. I've done my research - I don't need links on ultrasound benefits/safety, or stories of how ultrasound saved a baby's life.... I work in the birth field and am well aware of the information on both sides. My choice is to avoid ultrasounds unless I am faced with both a compelling medical reason to expose my baby to what I consider untested technology AND my own intuition tells me it is the right thing to do. (I know not everybody believes in the concept of intuition and people define it in many ways)
I know that it isn't likely as simple as one quick ultrasound either. It is an extensive (full anatomy scan to check for heart, kidney or other defects, and to check for placenta issues) ultrasound which can take quite a long time. And if I don't get measurements they like (measurements which may or may not even be accurate!), then I am facing ultrasounds every couple weeks, non-stress tests, and OB consults.... I am NOT a fan of any of that....!
I guess the other piece of the equation is that my appointment was immediately after (ie left the hospital from a birth at 12:30pm, drove 30 min home to change & grab my binder, then drove 30 min to my appt) I had attended a marathon birth as a doula, and there was a good chance I was dehydrated (which could affect amniotic fluid volume & hence my measurement)
I know it is still 4 weeks away and the best thing I can do at this point is eat really well, take my prenatal vitamins & essential fatty acids every day, and drink plenty of fluids. I don't know that I believe in the importance of prenatal vitamins for that matter (folic acid is a different story) but I don't think a good quality vitamin is *likely* to cause harm, so I'll start being more diligent about those. And I will drink more water. Every day.
So there's my story. I just needed to get it off my chest in a place where nobody 'knows' me. Thanks.