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baby too small so they're inducing?

post #1 of 18
Thread Starter 
Okay, this concerns a friend of mine. She's not aware that I am soliciting advice on her behalf but I wanted to see what other women feel about this issue. I plan on forwarding her this thread. Of course, we'll operate as though I have all the facts that were relayed to her by her doctor.

My friend is 35 weeks pregnant and has been told by her OB that her baby is too small. They estimate via ultrasound that the baby is 3 lbs. 13 ounces right now. Of course, ultrasound is not a reliable method for determining birth weight of the baby but nevertheless OB's still use this method. They've been running stress tests on the baby for several weeks now. When i asked why she said just b/c of the baby's supposed size. The mother has no high blood pressure indicative of pre-eclampsia and has had no complications that I know of. The mother is very petite and they suspect that the baby doesn't have enough room to grow so they are planning on inducing her soon so that the baby can grow outside of the womb. They want to induce at 36 weeks.

I believe that they've already resigned to doing what they're doctor is suggesting but I am hoping to inspire them to ask a few more questions before committing to such a risky plan.

I have NEVER in my life heard of anything so insane. They want to bring a baby into the world prematurely because the baby is too small?? Don't baby's put on most of their weight in the last weeks of pregnancy? At 36 weeks this baby has at least 4 more weeks to go before it is considered to be "done" and possibly 2 weeks after that before most OB's will pull the plug (so to speak). So in 4 weeks this baby could gain at minimum 2 more pounds putting her at a healthy 5-6 lbs! The mother was only 6 lbs, 4 ounces when she was born and is a cute little petite thing now. I see trouble written all over this one. The baby will be born way before her time all because they don't thing there is room to grow. I asked whether or not they think something is wrong with her which would cause her to not to grow and they don't, they just think that because the baby is small now that there must be a problem and that baby can't grow. Isn't that why our bellies stretch? So that the baby has room?

I can't shake the feeling that this is one of those times when OB's are induction happy and can't let a woman have a normal, healthy, medical intervention free pregnancy. I feel as though they may be introducing risk into this pregnancy. I am also worried that once they administer pitocin and if the baby's not ready to come out that because of it's small supposed weight that it might go into distress leading to an inevitable outcome of c-section. It's so early that nature has a way of not responding to induction and then the only recourse is to emergency deliver it.

Now, maybe there is something that I don't know but from all the information I gathered, their only reason for scheduling an induction is because the baby's not growing at the rate they want it to. Have you ever heard of this before?

I personally think it's in the mother's best interest to let her baby cook until it's ready to come out. This ensures that the baby's lungs are developed well and that the baby grows efficiently. As much as doctor's try, they can't recreate the womb. They can try to be God but they're not. They've seen no medical reason for an induction. They are using ultrasound to anticipate a low birth weight at 35 weeks!

WWYD? Also, give me a list of questions for them to ask their OB when they go back this week. I told them to get a second opinion but their OB sent them to a "specialist" so they've already seen two docs.
post #2 of 18
I'm not a birth professional, saw this on the New Posts page.

That seems like an insane idea. I can see if there was something truly wrong, like placental problems or true IUGR, but just because the baby is small? You'd think they would try to keep her pregnant to allow the baby to grow more.
post #3 of 18
You need to look at IUGR ~ intra uterine growth retardation.. I'm sure this is the concern, and then induction would be called for.
post #4 of 18
Quote:
because the baby's not growing at the rate they want it to. Have you ever heard of this before?
Perhaps the baby has IUGR? Not something to ignore, IMO.


ETA: Sorry about the crosspost...I have helpers on my lap this week
post #5 of 18
Last time I encountered this scenario, baby turned out to be more than pound larger than u/s estimate....right in normal range for dates. Which was discovered after the 35.5 wk induction.

Sure, *COULD BE* IUGR. Maybe not. THe parents ought to ask about IUGR and all the ramifications of both allowing pregnancy to continue, and of inducing early.

But...this family sounds like the kind who follow drs orders. Your intentions are good, but they might come to naught if the parents already feel that 'dr knows best'....KWIM? So, try to tread lightly, and not get too attached to your good intentions.
post #6 of 18
My boyfriend's ex's new baby was born early by c-section because she was too small and not growing on schedule. The umbilical cord was not attached all the way (she'd had a difficult pregnancy) and the baby would be healthier out in the world. She was born at 36 or 37 weeks, and went home after a couple of days. Now she's big and healthy!
post #7 of 18
Thread Starter 
I did a search on IUGR and it seems like a plausible reason to induce if in fact it is IUGR. I am going to ask her if this is what their doctor specifically diagnosed them with or not. I'd hate to think that their doctor hasn't fully diagnosed it but is just suspecting it and then prescribing induction.
post #8 of 18
My cousin's baby was diagnosed with IUGR and when they did the emergency c-section, they found out the umbilical cord had ruptured and if left in utero longer the baby would have been stillborn, so maybe they are worried about that sort of thing, I dunno, but they should get a lot of info to make an informed decision.
post #9 of 18
If it is IUGR, yes, that is reason to induce. But this concerned me:
Quote:
The mother is very petite and they suspect that the baby doesn't have enough room to grow so they are planning on inducing her soon so that the baby can grow outside of the womb. They want to induce at 36 weeks.
Is this an actual reason her doctors are citing? Because if it is, i am calling BS. Your uterus expands exponentially when you get pregnant. It is an amazing organ. Small women carry and birth babies all the time. In news and current events, there was an article recently about a woman that was a little more than two feet tall who had an 18" baby. So if that is a reason they are giving her, i would tell her to get a second and third and fourth opinion.
post #10 of 18
ITA with MsBlack
post #11 of 18
With my first baby, they talked about IUGR - some weeks he had it, some weeks he was on target. The day they induced me I was told I'd be lucky if he was 4 pounds. 8 hours later, he was born 5 pounds, 15 ounces. (Clearly, I didn't know then what I know now...)

If they are saying its because your friend is small framed and they are afraid the baby won't fit, that's just ridiculous and dangerous.

If they truly believe this baby has IUGR, they would have had to bring it up weeks ago at least. You can't just diagnose that in one visit.
post #12 of 18
True IUGR is a legitimate reason to induce. If this is the case, it is most often safer to deliver a baby that is premature. In real cases of IUGR you will see restricted growth over time, not just on one measurement.
Quote:
The mother is very petite and they suspect that the baby doesn't have enough room to grow
This is the part I find dodgy. Unless there is an actual structural problem with her uterus (large fibroids, bicornate), there is plenty of room for baby to grow.
post #13 of 18
Quote:
Originally Posted by georgia View Post
Perhaps the baby has IUGR? Not something to ignore, IMO.


ETA: Sorry about the crosspost...I have helpers on my lap this week
I'm not a profeesional (saw this in new posts) but my friend's baby had that. The dr. missed it, and luckily, my firned went into labour at 38 weeks. Baby was just over 4 lbs, but otherwise healthy. The baby woudln't have lived if she'd gone to term, though.

The dr. had estimated baby's weight around 36 weeks and said 7 lbs. No ultrasound though.
post #14 of 18
I was at a birth like that a couple years ago. mom had osteogenesis imperfecta. But baby was born at 32 weeks because mom was having severe respiratory difficulty.

But baby not growing is concerning. You said they'd been doing NST's? Are they normal?

And any OB inducing at 36 weeks without a damm good, documented reason is asking for a lawsuit.
post #15 of 18
Isn't IUGR what they diagnosed Abby Epstein's babe with? sorry if someone mentioned this, but I was speedreading.
post #16 of 18
^^ Yes it is.
post #17 of 18
Quote:
Originally Posted by milkydoula View Post
If it is IUGR, yes, that is reason to induce. But this concerned me:


Is this an actual reason her doctors are citing? Because if it is, i am calling BS. Your uterus expands exponentially when you get pregnant. It is an amazing organ. Small women carry and birth babies all the time. In news and current events, there was an article recently about a woman that was a little more than two feet tall who had an 18" baby. So if that is a reason they are giving her, i would tell her to get a second and third and fourth opinion.
:
post #18 of 18
im with the "unless she has IUGR for absolute sure and not some crazys opinion based on her size, then go ahead, but otherwise tell them to bug off...

the story posted is amazing!
my first thought was amy roloff..she had twins! im sure there are some other little people who had babies as well! (yes thats sarcasm...!!) ]

btw how tall is your friend...i hope shes less than 4'10" for them to even have the thought of possible problems if shes not having any showing.
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