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Discussion Starter · #1 ·
This is sort of a cross post, I meant to put it here originally but accidentally posted in the "I'm Pregnant" forum.<br><br>
After measuring the same for six weeks, and now measuring 31cm at 36 weeks, the midwife sent me for a growth check ultrasound. Baby isn't teeny-tiny (about 5-ish pounds) but he's showing asymmetrical growth. Head is in the 40-something percentile and femur/abdominal measurements are in the 6th and 10th percentiles. That coupled with some doppler readings show babe may be showing signs of "brain sparing," ie, he's not getting everything he needs so his body is shunting extra nutrients to the brain to the detriment of the rest of him.<br><br>
Other than that he looks great--no signs of distress, good fluid, passed the Biophysical profile.<br><br>
SO . . . no huge red flags, but the midwife is consulting with my doc (who agreed to be my backup) tomorrow to see where they want to go from here. I'm guessing another ultrasound, but it could mean induction and/or transferring back to my doc's care if he doesn't show growth. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked"> I'm REALLY hoping not to do that (though I love my doc) because it means I'd risk out of the birth center and be delivering at the hospital.<br><br>
Send lots of "grow baby grow!" vibes!
 

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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/goodvibes.gif" style="border:0px solid;" title="Goodvibes"><br>
of course, why would anybody leave a small baby in to grow any longer <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br>
hope all is okay!
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> Hang in there! Hope baby is alright and that whatever is decided is the right thing for your baby and you.
 

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

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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.
 

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Discussion Starter · #6 ·
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<div>Originally Posted by <strong>is it puppies?</strong> <a href="/community/forum/post/15401067"><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/goodvibes.gif" style="border:0px solid;" title="Goodvibes"><br>
of course, why would anybody leave a small baby in to grow any longer <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br>
hope all is okay!</div>
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It's actually a matter of trying to determine if he's actually getting fed in there. I'm as opposed as anyone to unnecessary inductions for arbitrary sizes and dates, but there ARE cases where baby isn't getting the nutrients he needs. (IUGR, SGA, etc.) That seems to be the case here based on blood flow in his brain and asymmetrical development. Staying inside when he isn't getting nutrition wouldn't help him grow IF he's not getting adequate food.<br><br>
Right now, he's not stressed, so there's no panic. And as far as I can see, standard protocol for a babe of this gestational age is to monitor until there are signs of stress. He's not super small for overall weight, though his femur and abdominal percentiles would qualify him for IUGR.<br><br>
Anyway--talked to midwives today and still waiting for some communication between them and my regular doc (who was out yesterday and had some clarification questions today.) Sigh.
 

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Discussion Starter · #7 ·
Oh, AND both my docs and the midwive probably want to get a consult with a perinatologist (my doc is a family doc who also does OB--very natural birth friendly, but also has to consult for out of the ordinary stuff.)
 

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Thinking of you and your babe...I hope you get a plan of action that you feel comfortable with.<br><br>
I measured 30 cm. and 33 and 3 days but the midwife didn't seem concerned. She did note that my babe was low and that could have caused the drop. Is it anything more than +/- 3 that's considered worthy of further investigation?
 

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Discussion Starter · #9 ·
<div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>Noah's mommy</strong> <a href="/community/forum/post/15403938"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Thinking of you and your babe...I hope you get a plan of action that you feel comfortable with.<br><br>
I measured 30 cm. and 33 and 3 days but the midwife didn't seem concerned. She did note that my babe was low and that could have caused the drop. Is it anything more than +/- 3 that's considered worthy of further investigation?</div>
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With my midwives, it was anything more then +/- 4cm that was cause for further investigation.<br><br>
I measured 31 cm at 32 weeks, 31cm again at 34 weeks (still no concern) and finally 31cm at 36 weeks, which put me 5cm "behind" PLUS showed no change for six weeks. That's what prompted the ultrasound for me.<br><br>
Had I been measuring consistently "behind," but showing growth, even at the limit of 4cm or so, I don't think they would have sent me for the ultrasound.<br><br>
My coworker is seeing an OB and got one because she measured 2 cm ahead, which we all thought was a bit conservative.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>curvyred</strong> <a href="/community/forum/post/15403617"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">It's actually a matter of trying to determine if he's actually getting fed in there. I'm as opposed as anyone to unnecessary inductions for arbitrary sizes and dates, but there ARE cases where baby isn't getting the nutrients he needs. (IUGR, SGA, etc.) That seems to be the case here based on blood flow in his brain and asymmetrical development. Staying inside when he isn't getting nutrition wouldn't help him grow IF he's not getting adequate food.</div>
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In March 2010, OBGYN News stated "<a href="http://www.obgynnews.com/article/S0029-7437(10)70115-4/preview" target="_blank">Waiting as Good as Inducing Labor for IUGR</a>".<br><br>
If you put "Waiting as Good as Inducing Labor for IUGR" into a search engine box you'll find plenty of articles describing the study.
 
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