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Discussion Starter · #1 ·
I'm new to this forum and hoping to find some one else that went through this...<br>
I'm 36 weeks pregnant with di/di twins and have been told that they are both IUGR. The ultrasound at 35 weeks had them estimated to be about 4lbs each, under the 10th percentile. I get another one tomorrow and if they don't see any growth from the last one they want to induce me.<br>
My first pregnancy was a cinch- baby born at 40 weeks by a CNM, beautiful natural labor, small, but healthy, baby (5lbs 13oz). There was no reason that anyone could come up with for her being small (not a smoker, gained enough weight, good nutrition...). I was also 5 lbs 13 oz at birth by the way.<br>
This time with twins I'm going through so much testing and am wondering if we had done this with my first daughter would we have found that she too was only 4 lbs or so at 36 weeks? All of the NSTs and BPPs I'm having show that babies are doing fine. If tomorrow we do find out that they have not grown, I feel as though maybe I should listen to these drs. and let them induce. No growth certainly isn't normal and it would put them that much farther behind. But if we see that they're inching along, do I have a case for waiting still?
 

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Given your history of growing small babies I would NOT allow doctors to induce. Are they measuring small, or are they not growing from one week to another? That is really what I'd be looking for. My baby A was dx as IUGR when he didn't grow at all from one week to the next. If your babies ARE growing, but just happen to be small -- and remember, u/s measurements are notoriously inaccurate -- I would not allow them to induce me.
 

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Wanted to add, if your BPP and NST are looking good, that's another reason not to induce.<br><br>
Is your doc an induction-happy doctor? Does he/she believe that twins are "term" at 36w? Recently we had a mom on this board whose doc told her that "term" for twins was 36w, and twins were "post-term" at 38w. She had her babies by c-s at 36w, and guess what? They were not ready, needed time in the NICU. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
There are many moms on here who went to 38, 39, 40, and even PAST 40w with twins!<br><br>
However, I do not want you to discount your mom intuition. I just don't want you to be bullied by misinformation either.
 

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I have a personal friend who had her boys at 38 weeks and they were only 5 pounds and small change each. So I wouldn't think they would have been any bigger than 4 pounds at 36 weeks! They were completely healthy and went home with her--no NICU. Just small. They are still small! They're 9 weeks old and just now 9.5 pounds.<br><br>
Some people just grow small babies.<br><br>
I would be concerned if they didn't grow at all. I would not be concerned if they were still on the 10th percentile. SOMEONE has to be on the 10th percentile (that just makes me nuts) in order for the curve to exist. You may carry them to 40+ weeks and have 7 pounders. Like Erika mentioned many women here have carried that far. Another of our moms here had babies at almost 42 weeks and they were only 7 pounds! They were certainly not bigger than 4 pounds at 36 weeks.<br><br>
So here's some of these <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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i agree with above ladies, be very cautious. my ultrasounds were so extremely off, it was ridiculous. 2 lbs off for each baby AND they got the babies wrong, baby A vs B. i had mine at 40 wks 7'12" and the other was only 5'12".<br>
and make sure it is the same person checking for growth from week to week. if they are basing an induction on these numbers i would demand the same tech as these measurements can vary so much and each mom/baby is so unique.<br>
best wishes, try not to stress, just keep up your health and positivity and trust your gut <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"> be very open and clear with your drs about your concerns and wishes. it will all work out mama<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 

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I grow small babies too <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love"> I was 5lb 13oz at birth and my mum went to almost 42 weeks!!! Her dates would not have been out - she's scrupulous with everything. lol. My 40 weeker was 6lb 6oz, but with my third child they did a mega scare on me and ruined the last bit of my pregnancy. She was *fine* at 6lb 3oz, 38 weeks.<br>
It drives me mad.<br><br>
I would totally avoid induction unless all the evidence was worrying - ie: worrying NST, doppler picked up prob with placental function, scans showed no growth etc etc...or if I felt 'off', but remember that being stressed out yourself can also affect growth of babies - the first week they told me I was measuring small on the outside and they wanted to investigate, there was apparently not much growth on the scan, but after I had regained the trust in my body being fine to keep growing my daughter, everything read fine - and my fundal height measurements got *smaller* proportionately!<br><br>
Also, (sorry but I'm sceptical sometimes!) they made the size of my baby an issue at the exact same time I started trying to arrange my homebirth plans, and continued scanning me every week until it was too late to sort it all out.<br><br>
Induction is convenient. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/run.gif" style="border:0px solid;" title="run"> but not to stress that point too much, cos obviously sometimes it is a lifesaver too. Sigh. Just trying to get the balance.....
 

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Get them to check the cord blood flow and the blood flow to the brain. If the blood flow to the brain isn't normal, you want the babies born. Otherwise, IUGR isn't a good a reason to deliver early if the NST and BPP look good.<br><br><br>
My IUGR guy was 2 lbs 9 oz at 34 weeks. My OB waited until the blood flow changes to get him out and I am convinced it was the right decision. He still spent a while in the NICU, but you would never know he was even preemie now. But, if you can avoid the NICU, you want to.
 

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Yep, I agree. If your first was that small at 40w, then its actually not bad at all seeing twins weighing 4lbs at 36w. And again, ultrasounds are off so often, even the docs know this-it can be off up to 2lbs either way. Thats a LOT for a baby. As long as you see growth, I wouldnt worry.
 

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Discussion Starter · #9 ·
Thanks everyone for your thoughts and comments. Good news... I had another u/s today and they measured the abdomens and both babies look like they've grown an appropriate amount since measuring a week ago. So we've stopped talking about induction and are going to let them grow! The OB isn't induction happy, but I do feel she is overly cautious. She wants me to get an NST everyday and a BPP so we can assess the babies and make sure fluid levels and cord dopler numbers stay good. I'm annoyed with all the testing, but am willing to cooperate if we can avoid inducing me and let these guys grow.<br>
You'll hopefully be hearing about my noninterventive hospital birth in the coming weeks!
 

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Wow, that is a LOT of monitoring for di/di twins!!!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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I didn't have any of that testing done, except 2X a week bpp with my mono/di twins. I think your doc is being a little too conservative.<br><br>
Most studies show that the more tests that are done, the more "help" is "needed". You might think about refusing anything more than the bare bones tests.
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>Intertwined</strong> <a href="/community/forum/post/11546314"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Another of our moms here had babies at almost 42 weeks and they were only 7 pounds! They were certainly not bigger than 4 pounds at 36 weeks.</div>
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Yes... that was me <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br>
I was concerned that my babies were small after an ultrasound weight estimation at 34-35 or so weeks, when they were measuring around 4-5 pounds. And they were small, but they needed to cook! And when they were born at 42 weeks, they were very ready to be born and were alert babies, able to latch on, etc.<br>
I WOULD NOT induce unless there is noticeably no change in weight in 1-2 weeks time.<br>
Let us know how it goes.<br><br>
Oh - Just saw your update - yay! But, for what it is worth, I would not agree to all of that testing... momma intuition is worth more... my twins were mono/di and the only testing I had was an U/S every week towards the end of the pregnancy to check fluid levels. The OB agreed that the U/S was worth more than the NST. I was scheduled for an NST at 41,5 to appease my providers, but went into labor that day and so was able to avoid it. One of my main reasons for avoiding a lot of testing (in addition to the high rate of false positives) was that doplar and U/S may actually inhibit growth in fetuses in-utero. Good luck sticking to your guns while balancing your OB's concerns - a tough place to be, for sure. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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Glad to see the update. I hope you find an amount of testing you are comfortable with. Even when we knew my IUGR guy had stopped growing, my peri still only did the u/s every other day.
 

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EVERY day? Wow. You know, you are allowed to say "No, thanks," any time you want! It seems a bit excessive, especially considering all that u/s exposure isn't so wonderful.
 

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Wow, that is a LOT. I thought my friends OB was nutto doing them twice a week for di/di twins. I would definately say no if I were you, but to each their own <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
As another friends OB said-excessive monitoring can lead to seeing things that arnt there.
 
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