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I'm a little anxious about my midwives appointment this week, where my belly was measuring 28 weeks instead of 30 weeks. It was a big surprise to me, since things have been right on track before.<br><br>
Naturally, I've been reading medical studies about IUGR, oligohydramnios, and all sorts of other complications. Please, talk me down from my ledge!<br><br>
Anyone else measuring "small"? I've read it can mean lots of things, or nothing at all, and for now the midwife is not concerned. She didn't mention it again for the rest of the appointment, but after I left, I actually went back and asked for an ultrasound requisition in case I decided to do an ultrasound to measure everything. And once I had the req., I couldn't stop myself from going to the ultrasound place and begging to be squeezed in for an appointment.<br><br>
They did the U/S, results came back today that things are normal, the baby is most likely not going to be huge (which didn't surprise my midwife as DH and I are both average size or slightly below, and DD wasn't huge either, 7lbs 10oz), but my amniotic fluid level is on the lower side of normal, whatever that means (I wasn't home when they called with the results, DH took the messages).<br><br>
I've been gulping down tons of water today in an effort to increase my fluid level. Short of starting my own IV hydration, is there anything else I can do to make this baby grow? Ice cream for breakfast to fatten it up? The midwife also said not to worry, but that she'll likely suggest another U/S at 36 weeks. ACK!<br><br>
Really, I'm not a hysterical pregnant woman...I just need some reassurance and/or practical things I can do/change to get bigger/more fluid/larger baby.
 

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sweetie, please don't worry about the measurements being "behind." my last child measured an average of 2-3 weeks behind all the way through. my mw was not very concerned. she said, as did the head mw and back-up ob, that the babe would be about 8 pounds.<br><br>
2 days after this pronouncement, i gave birth to a healthy baby boy. all 10 pounds of him! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 

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Please don't worry, my dd was "overdue" (roll eyes) and weighed 6 pounds 12oz not by any means small.. but she measured small. she was actually super short, she was born at 16 inches long lol, so short but she looked super pudgy lol.<br><br>
U/S are an ESTIMATE, keep that in mind. Breathe the best thing for your baby is you doing what you normally do, and not stressing.
 

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At 22 weeks, I was measuring 21 cm.<br>
At 26 weeks, I was measuring 25 cm.<br>
Then at 28 weeks, I measured 28 cm.<br><br>
I saw a different midwife at each appointment, and they were all very pleased with my measurements.<br><br>
In fact, at the beginning of my pregnancy, yet another midwife told me that measuring a centimeter or two off is no big deal. It's only cause for further investigation when you get more and more behind each week. For example, being 1 cm behind, then 2 cm behind, then 4 cm behind would be cause for concern.<br><br>
One "off" measurement is fine.
 

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I just measured 26 cm at 29 weeks. Neither I or my midwife are worried at all--I'm slim for one thing, and for another thing baby's positon can really change the measurement. Just from feeling my fundus myself, I'm sure it can change 4 or 5 cm in one day. I think the only time they'd start to worry is if the measurment wasn't growing over a period of time.<br><br>
Do you remember how you measured for your first pregnancy? And are you slnder? Remember the average is taken from moms of all sizes--there's bound to be a lot of variation.
 

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Discussion Starter #6
Thanks everyone. I'm calmer now, though still drinking lots of water to increase my amniotic fluid (if that is what made me measure smaller).<br><br>
I normally wouldn't be worried and would agree with my midwife (she wasn't concerned), but then the more I started thinking about things, the more I became concerned. My reasons:<br><br>
1. I've always measured right on, and in fact, at two ultrasounds I measured a week ahead (I had those done due to other abdominal issues, appendix-related). So this CHANGE concerned me.<br><br>
2. I read that too much caffeine and not enough water can decrease amniotic fluid level, which translates to smaller measurements, and I did have a period of two weeks that I was drinking a cup or two of coffee every day (I've since stopped entirely). I wonder if that could have limited circulation to the baby and slowed its growth.<br><br>
3. DD has ongoing kidney growth issues (entirely asymptomatic, no ill effects but her kidneys were growing at a slower and discordant rate than expected from age 1-3, so we've had kidney ultrasounds done every six months to track the growth. It seems to have evened out now, and we don't need any more tracking ultrasounds, but the fact that she went through this in the first place makes me wonder if DH or I have some sort of defective kidney genes that we're passing on to our kids!), and I've read that low amniotic fluid is related to kidney problems in the fetus.<br><br>
4. Also, I've read that if you have low amniotic fluid levels, you can really feel the baby moving very strongly and see it from the outside, as there isn't much fluid to cushion the kicks. And I've felt that for the past few months, stronger and stronger, to the point of being so painful that it takes my breath away a few times a day. I can see body parts through my abdomen. I don't remember this with DD.<br><br>
I've never had a problem with measuring small with DD, and yes I am slender, so maybe that's why my midwife wasn't concerned. My next appointment is May 10th, so we'll see how I measure then. I'm trying not to dwell for now...
 

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<div>Originally Posted by <strong>mummy marja</strong> <a href="/community/forum/post/15357547"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">baby's positon can really change the measurement.</div>
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This. Lots of good advice here on this thread. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> Hugs Mama, take a deep breath....
 

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Any updates atpeace?<br><br>
I had my 28-week appointment today. Everything is doing great except I am measuring a bit small. My OB said she wasn't really worried because I am normally thin (I used to have a 23" waist, hard to believe now!), but she did order another U/S for me to check on growth.<br><br>
Made my U/S appointment for tomorrow, at least I get another chance to see baby and maybe now I'll get a better sense which of the jabs are punches and which are kicks. Too bad DH is out of the country and will miss it.
 

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I am measuring small too, but there's absolutely no need to worry. My last midwife appt, she said I measured at 28 while 30 weeks along. No big deal! The baby is laying sideways and that makes the measurement smaller. She said to start sending the 'head down vibes' to the baby. That's all. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> No biggie. I'm 35 weeks now, but don't know how I'm measuring, haven't had an appt. in a while. My stomach is still getting bigger, though! 3 inches in 3 weeks!
 

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Discussion Starter #10
somegirl - how did you U/S go? My last appointment, I was still measuring 2 weeks behind, but at least I had grown two weeks, so at least there's growth. The U/S results came back perfectly normal, baby is measuring right on when it comes to head circumference/femur length/abdo circumference, or maybe a week early, but is not going to be big, meaning he/she is on the 12th percentile for weight (gee, that's a surprise! DH and I are both smaller than average). Midwife is estimating around or just under 7 lbs. Fine with me!<br><br>
My amniotic fluid level was on the "low normal" range (normal is 90-234, and mine was 117).<br><br>
I'm guessing it was the position of the baby that makes me measure small, as hikingfortruth said, and maybe my abdomen is really compact.<br><br>
So I am resting easy <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Glad to hear you are doing well. My U/S went great, he is measuring right on target, 51st percentile. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> It's just me that is small, I guess. Baby is heads up right now.
 

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This is my fourth and I have always measured 1-3 weeks behind and never got bigger than a 37 even at 42 weeks. My kids have ranged from 7 1/2 to 8 1/2 lbs. I wouldn't worry in the least. I am currently measuring 28 at 30 weeks and this is my fourth.
 

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my first DD always measured a couple of centimeters behind the week, and she was 8 1/2 lbs. at birth!<br><br>
To bulk up the baby, some women like to do a high protein diet. It could also help to up your iron intake for added blood volume.<br><br>
don't worry!
 
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