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So I had the AFP test, it came back positive. Did all the testing and everything came back fine. Because of the positive AFP test I had to have an additional ultrasound (had today) to measure to see of baby is growing properly. The compared their measurements from a few months ago and today. Well... First of all, I was right.. he flipped two nights ago and is breech, no big deal though, plenty of time to move. Second of all, he is measuring three weeks behind and is in the 12th percentile. They aren't labeling him with the growth restriction unless he falls into the 10th percentile. So, now I have to have weekly ultrasounds and non stress test and they have to be 3 days apart. Oh, and my amniotic fluid is on the low side so that is being monitored as well. This pregnancy has turned into less than ideal, my UC plans are flying out the window and I have this attitude "what now?" I just don't get it, my two other pregnancies looked nothing like this, I know they are all different but I assumed they would be similar... maybe that stupid. Anyhow, I am feeling a little off. I always had feelings that this pregnancy was going to be different but this is not what I had in mind. I am a planner and like to know whats going to happen. With this crap, I have no idea whats going to happen. So aggravating! And I have my mom shaking her head at me saying 'This is exactly what happened when I had you Ali'. I was born 2 months early and breech. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
Sorry if this is disconected, just trying to process things...
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> mama, hopefully this lo will turn around again and that s/he'll NOT drop below 10%. I know it's hard, but stay positive. This is your body and your pregnancy, not your mom's!
 

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First off hugs - <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2"><br><br><br>
I don't know that this helps any, but I'm right there with you. Mine was the quad screen that came back positive. Did lots of tests, babe is fine, but the low uE3 they found puts us at higher risk for IUGR and stillbirth.<br><br>
We've had 2 growth scans so far and I have to admit I rather enjoyed getting to check in on our little guy (I don't have issues w/ U/S and it was nice to be able to confirm that the little guy is head down as I expected and fun to watch him move while I was feeling him push on me - this guy never sits still!).<br><br>
I would do a bit of reading re: the growth. As I understand it under 10th percentile is something to watch but the concerning thing would be asymmetric growth (IE abdomen is not keeping pace w/ head circ - known as brain sparing). Assuming there isn't brain sparing, you might also ask yourself the typical questions regarding your dates and whether your other children were small - is there another explanation for this little one being smaller than they expected?<br><br>
I will go in for weekly NSTs. There is some disagreement in the medical community about how long a positive NST is good for (IE how long after the NST do they continue to feel good about the babe's status). Some folks say 3-4 days, others put it at a week. My midwives (and OB oversight) felt that since I haven't had High BP or low growth scans (either one could indicate that the placenta isn't working as well as it should be) that we were all comfortable going w/ one per week. Obviously you should do what feels right for you, but know that there are differing opinions on this.<br><br>
Wow - that was a whole lot of information that you may or may not have wanted. I should go back to the <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2"> and just say that if you want to talk more about it feel free to shout.<br><br>
I hope that everything ends up turning out just the way you wanted and you can look back at this as an inconvenient bump along the way.
 

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Discussion Starter #4
When they could not find a reason (ie spina bifida) for the positive AFP they told me that there is a percentage of babies who don't grow properly who had abnormal AFP levels and no neural tube defects thus the reason for the follow up. I didn't ask about the abdomen and brain ration, had no clue about that. Will read up on that later. They aren't concerned at this point, they just want to watch us. I grow average size kiddo's. DS was 7.5# and 2 weeks early and DD was 6.4# at 3 weeks early, all in the realm of normal. I actually always measured a head with both of them. As far as the dates go, he was a surprise but I *normally* track my fertility, so back tracking and checking my dates, they have my due date 1 day a head of what I had so I wasn't going to argue there.<br><br>
As far as the NST, well they want to do those because once again there is a higher percentage of stillbirths associated with high AFP levels. My OB was going to review my tests and see if I could go without doing them but after this ultrasound and the high risk OB saying it needs to be done, I am sure that he will agree. I will only have to do the u/s and nst's once a week though... not by any means convenient with a life, 2 kids, limited help and 30 minute drive away. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll"><br><br>
I don't know, its just all aggravating. I guess I can get some knitting done during the nst's though.
 

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I don't have anything to add, but <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> to you.
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>ProtoLawyer</strong> <a href="/community/forum/post/15424387"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I don't have anything to add, but <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> to you.</div>
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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/yeahthat.gif" style="border:0px solid;" title="yeah that"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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This is not exactly what happened with you. That's impossible- these experiences don't ever exactly repeat themselves. Thanks but no thanks for the irrational comparison, mom!<br><br>
Are you eating adequate amounts of protein? Drinking adequate amounts of water? Fluid levels fluctuate so easily- try upping your water intake and see if that makes a difference, might just be that easy.<br><br>
Remember that guesstimating weight via ultrasound is just that, it's not an accurate science. What are the NSTs supposed to show anyway?? I don't trust those machines and I don't like it when nurses freak out about invariability when the baby's just sleeping! Always drink a big glass of orange juice before you go in so that the baby will be awake and buzzing with variable heart tones!
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>shishkeberry</strong> <a href="/community/forum/post/15424397"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;"><img alt="" class="inlineimg" src="/img/vbsmilies/smilies/yeahthat.gif" style="border:0px solid;" title="yeah that"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"></div>
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me three<br>
.
 

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Discussion Starter #11
Thank you everyone.<br><br><br><div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>mataji4</strong> <a href="/community/forum/post/15425113"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Are you eating adequate amounts of protein? Drinking adequate amounts of water? Fluid levels fluctuate so easily- try upping your water intake and see if that makes a difference, might just be that easy.<br><br>
Remember that guesstimating weight via ultrasound is just that, it's not an accurate science. What are the NSTs supposed to show anyway?? I don't trust those machines and I don't like it when nurses freak out about invariability when the baby's just sleeping! Always drink a big glass of orange juice before you go in so that the baby will be awake and buzzing with variable heart tones!</div>
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I think I am good on protein... few months ago not so much but now the food aversions have moved on, I'm doing well. Hydration... there is always a possibility that I am not drinking enough. I definitely will stat drinking more, anything that I can do on this end that may help is worth the try. I have actually suspected a small leak for about 3 weeks now. I am considering bringing this to my OB's attention but then again I am getting enough attention as it is... I have been trying to drink extra because of this and keeping an eye out for signs of infection.<br><br>
As far as the NST... I originally wasn't on bored with it. My ob was reviewing my AFP test and was going to get back with me next Thur about if he felt it was *really* needed... he is a very laid back Dr. I don't really get the point of the nst but they want it along with the u/s for a biophysical profile... once again, this is all new to me. I haven't had a chance to discuss this with my OB in detail. As far as the weight.. I dont think they are going on this alone. The did measurements back a few months ago and used them with the measurements from today and concluded he isn't growing properly.. I don't know what this all means, hopefully nothing. I'm just tired of it all, it seems like its always something. It doesn't help I have this weird feeling. I am sure it will all be fine though.
 

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Sending more <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">s your way
 

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Oh, wow. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> I am so sorry for this extra stress that you're going through right now!<br><br>
Perhaps the u/s are off? With my girl they were two pounds off (on the heavy side) for both of the u/s we had, which was their reason for inducing. I think mataji had some really good advice for you.<br><br>
I really hope that all of this is needless and that everything is just right on with you and your little baby. Is there any way you can take a couple of weeks and NOT go in for any of this stuff? Maybe put your feet up and eat lots of protein and fluids and not worry about the tests and stuff? If there are no neural tube defects and they don't see any signs of downs, then it could be a false positive---I didn't know a lot about the test and googled it, finding that there are frequently false positives. What is the end result of these tests? If babe's growth is behind, what will their course of action be? If the nsts are all normal (which it sounds like you expect them to stay), then what difference will the testing make?<br><br>
I don't know what to say; I wish I could help reassure you! I'm wishing you peace surrounding all of this!
 

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It's good to know your Doctor be keeping an eye on things, and your baby will get what he or she needs.<br><br>
In the meantime, what about you? This news has bumped up your anxiety. You have been trying to do your best to control your health during this pregnancy. It's destabilizing to realize that something is going on that has been outside of our awareness.<br><br>
How's your time and energy for self-care these days? I see you have little ones at home and unschool, so it's not like you have free time. I am hoping you can get the occasional break to take care of yourself, to find a place of quiet peace... how often is realistic? Once a week? Every two weeks?<br><br>
Have you spoken with your HCP about your anxiety and aggravation? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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Well I have decided not to worry about this (or try not to) that much. There is really nothing that I can do about this situation than what I am already doing. I have decided to go along with the tests. Back when all this started I was told there was a small possibility that all this could happen so its not that huge of a shock, I guess. As far as the testing goes, it is all done to make sure the baby is healthy and safe... yes, most of that is based on statistical data. However, I could not live with myself if something unfavorable happened and there was a possibility that it could had been prevented by those test. The multiple trips to the OB is going to be a huge PITA but so is driving 2 hours to the Pedi urologist for DD... somethings just have and need to be done. If something not so great creeps up, we will deal with it then. Just like I am dealing with this now. Worrying and fretting about all the 'what ifs' are going to make the last 2 months hell if I keep this up and its just not happening. Right now, baby is rather small but he is healthy and so am I. Thats all that matters anyways.<br><br>
As far as me having the kids all the time. They keep me really busy but thats a good thing. To much free time for me leads to a wondering mind that often goes to the worse case scenario in any situation. They keep me sane and drive me insane all in once.... talented children I have. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"> I do get me time though. Not as much as I would like at times but thats a price I pay for being a stay at home mom to unschooled children, I am more than willing to pay it. DH is very helpful though. When he gets off work and I have had a rough day, he take the kids outside or takes them grocery shopping with him and lets me have the quiet house to myself for a few hours. This happened a few times a week if he isn't working over time. He also lets me sleep in every weekend and makes breakfast, helps with the kids, helps clean up, etc... so I get my breaks. I still get overwhelmed at times but its nothing thats not unmanagable... after the moment has passed.
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> sounds like you have a very positive outlook about this whole situation! That is awesome. Your hubby sounds wonderful, too; I'm glad that you are settling into some peace about all this and that he is helping you as he is able <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 

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Glad you are starting to feel better and glad you have your dh to give you some breaks. Hugs and best wishes for you.
 

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Your in my heart and thoughts mama!
 

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I hope things stay okay for you. I also agree about the head vs abdomen ratio. It sounds like you have smaller babies to begin with so keep that in mind. If anything, I'd focus on the low amniotic fluid. Good luck!
 

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Today was the first NST. It was a total PITA. Took 3 techs 30 minutes to find the baby's heart rate and then I had to hold the monitor on my belly for the whole time, chasing him around. Then his heart rate dropped down to 95-110 range for a little over a minute SO now they are worried about that. I have to go back AGAIN tomorrow to have another one done. *sigh*
 
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