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growth slowed

April 19 2012 at 3:56 PM
ann  (Login willbamom)

 
Hi ladies,

My baby's growth has been reduced the past 3 weeks. Only gaining 3 oz. weekly and I am 33 weeks. Baby measures 4 1/2 lbs.

Doctor said it seems to be placenta malfunction and they will watch closely. If you have had this experience, please let me know how things turned out. No GD, pre-eclampsia and blood pressure is controlled. Baby grew nicely up until last week's sono. Thanks.

 
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GIMB
(Login Getinmybelly)

Had suspected IUGR -- DS is fine (edited)

April 19 2012, 4:19 PM 

I'm sorry to hear that you've got a bump in the road.

In my case they diagnosed IUGR at 37 weeks so they induced.
They were fairly certain baby was under 5 lbs.
They were off by more than a pound which in baby land is a lot.
Post delivery conclusion was I did not have it.
Just inexact measurements.

So DS was fine, no NICU time and gained a lot his first month.
(A pound his first 7-10 days). Has had steady growth since birth.
Fast forward two years he's average size and very smart for his age (more like a four year old than a two year old).

They do err on the cautious side with IUGR and will strongly recommend delivery. They gave me the pros and cons (and the cons of waiting were frightening) so it was an easy decision for us. Packed up and went right over.

The peri had been using the doppler to track blood flow on both sides in my final trimester and I did have ongoing stress tests which had been fine.
And I was scared to death between the IUGR call and the birth a few days later.

I know a few others on the board had definitely did have IUGR, a couple in twin situations so hopefully they'll post. In the two cases that come to mind, their kids (I believe 4 and 1) are perfect ine very way.

But hang tough and know regardless you're at a good weight.

Keep us posted and hope this helps.

Lilypie Third Birthday tickers

 
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Julie
(Login JuJules)

similar situation with DD --- all was well

April 19 2012, 6:07 PM 

I measured small with Miss O at about 32 weeks so a decision was made to start weekly non-stress tests at that time. They were concerned because I had GD so being too large is the concern there. Anyway, with weekly non-stress tests and ultrasounds they determined while she was smaller than average, she appeared to be fine. I went into labor naturally at 38 wk 3 days. They were set to induce me 3 days later but not due to size concerns but simply because my OB did not want me to go full term due to my earlier pre-eclampsia issues. She was 6lb 5 oz at birth which was around 40% percentile but they measured her around 25% before she was born so they were off a bit.

Was this your regular OB or a MFM? My OB sent me to a MFM for all the non-stress tests and they were able to do more accurate u/s.

At 4.5 pounds you are in good shape. When do go back again? The fact that they are watching you closely is great. Another 10 days or so, if they are still concerned they could go ahead and let you deliver. 35 weeks is such a magic number.

I can't believe you are so close!!

 
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Ann
(Login willbamom)

seeing a perinatologist

April 19 2012, 6:44 PM 

who is very good. He will now see me weekly. THey do all the testing of arteries, blood flow to brain, umblical cord, fibroid measurements, etc. He has me on Lovenox, aspirin etc so he is very thorough.

I was concerned about organ and brain development without the proper nutrition but he said it will be ok. They will not let her drop too far behind percentile so I am just holding out as long as possible. Trying not to get nutso but am concerned. THis is the only board I trust so thank you again.

They haven't mentioned IUGR but a slowed growth.

 
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demomone
(Login demomone)

Happened to me

April 19 2012, 6:55 PM 

Sorry you are going through this.
Our DD stopped growing at 7 months..putting on only a few ounces when much more was needed. the cause, as they studied the placenta after birth, was due to multiple blood clots in the placenta( I have clotting disorders and had some issues during my pregnancy)...Our high risk OB thought it would be best to deliver her early..but I was closely watched with non-stress tests and many fetal ultrasounds up until the 36th week, when I was delivered. She was born at 4 pounds..and did great in the NICU for two weeks. She doubled her weight the first month and is still on the small size for weight but not for height at two years.
If you deliver early, make sure your hospital has a great NICU.
Good luck

 
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Catmama
(Login CatMama75)

Hi Ann

April 19 2012, 7:37 PM 

I'd say you're in good shape. Like others have said, 4.5 lbs is great, even if baby loses some in the next few weeks (which likely won't happen).

For what it's worth, my story: twin girls delivered at 33w4d due to pre-eclampsia. 20% IUGR was suspected at in the final days of the pregnancy, but it was not found during delivery. Still, one of my girls (whose placenta was failing) was clearly struggling at birth (very blue, no crying). My girls were 3 lbs 14.5 and 3 lbs 15.5. They spent 3 weeks in the NICU without significant difficulty. I will say: my baby who had the failing placenta is far weaker than her sister. She is sicker more often and has had significant eating problems since 6 weeks of age. She was hospitalized several times for dehydration, then we discovered she has a confition called laryngomalacia, which meant her airway was floppy. Today she continues to be very small. She's barely 20 lbs at 18 months (not corrected age, by the way) HOWEVER she is very tall for her age. Meanwhile her twin sister is short and 25 lbs.

It's been a very stressful journey, but she's smart as a whip and has a darling personality. Most frustrating: doctors tell me she's fine. Well, they don't have to battle to get her to eat. I DO. And if THEIR child didn't want to eat or drink (and was already behind the 8-ball with a small birth weight) they'd be upset.

Anyway, You're not going to be in my predicament, but I wanted to give you some more feedback.
Keep getting non-stress tests and ultrasounds. You're in good hands. Don't be afraid of making your concerns known.

GOOD LUCK,
Cat

 
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sas
(Login sangelas)

I had similar experience.

April 19 2012, 7:57 PM 

I don't want to frighten you but want to make you aware of my experience. My ob/gyn kept telling me not to worry -- all would be fine even though LO went from way ahead on measurements to way behind (especially the abdomen). I had some high bp but no other pe-eclampsia symptoms. Began around the same time you are at now. I FINALLY convinced OB to send me to specialist who sent me to have my LO about 4 to 5 weeks early. She said it was pre-eclampsia. I told her I didn't have any of the symptoms -- no puffiness, no protien in urine -- only high bp which my OB said in itself was not PE. She told me PE is very difficult to understand and sometimes has no symptoms -- just reduced growth in the baby.

We delivered my LO and he was only 4.12 pounds and was considered IUGR BUT ....VERY healthy...not one second spent in ICU and now he's ahead of all the charts in growth and no health issues at 17 months.

My recommendation to you is to make sure your peri monitors you closely and, even if you have no symptoms of PE - get as much bedrest as you can. Low lights - minimal stimulation around you & as much sleep as possible. Lots of fluids.

I'm sure it will all be fine! You're so very close!

GL!

sas

 
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THK
(Login perthkitty)

growth rates

April 20 2012, 1:21 AM 

Hi,
You have a lot of good advice here already. I wanted to mention that its hard to compare babies a lot of the time.
For example, my cousin delivered 2 weeks ago. She had a full term babe which measured 6lbs and 4 ozs, and 46 cms long.
My babe was delivered at 34 weeks and measured 4lbs and 16ozs, and 45.5 cms long.
I have no idea what happened to my cousin. I do not mean to frighten you but her mom told me that the cord was wrapped around the baby's neck three times. I'm unsure if this is so because if it was then surely someone would have noticed this and perhaps delivered sooner or something else (don't know what they do when this happens). I'm sure her mom would have said they had some intervention during the pregnancy but she didn't say anything.

There is something they call 'failure to thrive' but I think that is moreso linked to Pre-esclampsia (which I had BTW) or it is linked to hyperthyroidism.
Again, there are a lot of ladies here whose babies growth slowed who have mighty find babes happy.gif Try not to worry.
My boy is going gangbusters as well and is over the 50 percentile for head circumference and over the 70% for height but low on weight.
Its all relative, best to you and your lovely babe, THK


 
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