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Discussion Starter · #1 ·
Hi,<br>
I am 32 1/2 wks and have gained approx 20 lbs. I dont smoke and eat well.<br><br>
The midwife is concerned that the baby isnt wher she should be growth wise. I have measured 30 wks for the past 6 wks. She is suggesting an ultrasound in two wks to check. She says the weight gain is fine and maybe the baby is turned sideways but I could tell she didnt want to worry me and minimized it.<br><br>
I had cvs test early on(maternal age) and genetically things are fine and the ultrasound at 19/20 wks was normal and her heart valves and cord looked good. I have 3 other biologically children who weigh in between 8'10-9'1 so you can see why I could be concerned about size.<br><br>
Is there anything I can do for now??? Should I have insisted on an earlier ultrasound?????<br><br>
TIA<br>
Melissa
 

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Discussion Starter · #3 ·
Yes by using the tape measure. Im not sure about how much she relies on that vs palpatation because she didnt say anything about it till later and I cant say I was really analysing what she was doing.
 

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Discussion Starter · #5 ·
Im not sure about the fluid, I guess they will know with the ultrasound. Is there another way to check the fluid level????<br><br>
Thanks<br><br>
ps. I really need to update the belly pic LOL! I can barely remember what that belly looked like. Sometimes I walk by the mirror and just have to laugh at my everchanging shape.
 

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Hmm... so, techinally you are currently measuring fine? You're 32.5 weeks and measuring 30. When you were 26 weeks you measured 30?<br><br>
SGA is usually based on a history of no weight gain and/or fundal height growth for 3 weeks... but I don't know how that applies to someone who would have at one point been measuring way ahead. The usualy protocol (around here at least) would be to double check your EDD, make certain the baby's position, and do an u/s for fluid levels.<br><br>
Has your m/w had you do fetal kick counts?
 

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Discussion Starter · #7 ·
I guess what I said doesnt really make sense when you put it that way but basically she says that my fundal height hasnt gotten any larger or farther up in the past two visits which I suppose would mean the last month since I am going every two wks.<br><br>
She asked me about movement but not about counting kicks.
 

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I am not a midwife, but from my own experience I will just share with you. Follow her advice and have the U/S done when she suggested. This will help reassure with some measurements (I know all about the possible inaccuracy of u/s for size, so please no one get started on that!) that can give an estimate of size. It will look at your fluid levels as well which can have an effect on measurement. And positoning as you mentioned.<br><br>
In the mean time, Drink more water, lots, more than you are even if you are drinknig enough. Just pay attention to babies movement and if you feel like it has been to long since baby moved, trust your instinct, no matter what and call your OB to discuss it. It could be just nothing, but if she is concerned she will take a look. As long as baby is moving and your drinking, dont worry yourself. Obviously she isnt too concerned about it or she owuld have had you get an u/s sooner than that.
 

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Discussion Starter · #9 ·
Mama,<br>
I think you are right. Im a little concerned but not overly and yes I am definitely going to have the ultrasound. Its just hard to wait the two wks but I will keep drinking and keep checking on her movements. Why do you not have enough amniotic fluid?? Is it leaking or what is happening?? Thats really what I would like to know as I havent noticed leakage. Wouldnt you know???????
 

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Again, not an expert, i just went through something similar. In much of the reading you do you will find things saying that your fluid intake doesnt have much affect, but that is wrong. So, if for some reason you rant getting enough water. Or, sometimes you will have a small leak in you bag of waters that reallyisnt very noticable, but that doenst happen very often. Or there are possible problems with baby, such as inadequate kidney function that contribute to the problem, but that is also rare, and it seems a bit early for something like that, but maybe I'm wrong. Many times low fluid levels can resolve themselves. You may be able to find a little mor einfo on the web, but be careful as you dont even hav a diagnosis, and you may just be finding messed up info that will scare you.<br>
Her is a quick rundown of mine, OB was worried about babies growth, similar situation, but I was also measuring under for a while. Went for u/s, baby measured fine, water was pretty low, concerning, but not dangerous. I did my best to increase fluids, tha ti was already getting plenty of. Repeat u/s 3 weeks later showed increased water levels and I went on to have a baby girl 8 days after my EDD that weighed in at 9lbs 5oz, 1lb 6oz bigger than my previous baby and almost 3lbs bigger than my first!<br>
I did tons of reading in those weeks, but i have spent the last 5 years reading about pregnancy and birth anyways, just help broaden the subject for me, <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">
 

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Low amniotic fluid or oligohydramnios has a couple of pathophysiologies. I don't know if you are actually classified as having true oligohydramnios, it is defined (among other characteristics) as a fluid volume of less than 500ml between weeks 32 and 36. There are a few factors that affect fluid volume and they relate to input/output of the fetus and the mom. The major pathway for fluid is in through the fetus's mouth and out through urine output so sometimes low fluid can relate to problems swallowing or problems making urine. Not always, but is we're talking pathological reasons those are two major ones.<br><br>
On the other hand, the simplest reason could be they you are not drinking enough and should seriously up your intake of fluids. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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X-post!<br><br><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;">In much of the reading you do you will find things saying that your fluid intake doesnt have much affect, but that is wrong.</td>
</tr></table></div>
Yeah, that! It really does have an effect.
 

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Discussion Starter · #13 ·
HOw much should I being trying to drink daily???? Is this just water or can it be gatorade etc....???<br><br>
Thanks everyone for your responses!
 

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Just noticed your EDD is my 6th wedding aniversary<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">
 

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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>mel~3jumpin beans</strong></div>
<div style="font-style:italic;">HOw much should I being trying to drink daily???? Is this just water or can it be gatorade etc....???<br><br>
Thanks everyone for your responses!</div>
</td>
</tr></table></div>
Minimum of 64 oz a day, more if you can get it in there. Plain water is fine although it's always good to squirt a lemon in there too.
 
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