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Old Feb 25th, 2018, 05:18 AM   1
elle kay
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Not Grown enough - IUGR advice


Hi all. I started having extra growth scans at 28 weeks due to my age (42). at 28 weeks the baby was smaller than expected according to my customized chart but at10th percentile not a concern. However 13 days later (on friday) I had another scan and baby had dropped to below 5th percentile and the abdominal circumference had not changed. Cord flow and fluid still fine.

First the dr said i would be called back for another scan in 2 weeks to see if baby catches up or if she continues to drop, but then she left the room to speak to consultant and when she came back she said actually i should
come back Monday to monitor cord and fluid and in to discuss being put on steroids for possible early delivery and another growth scan booked for next week aswell .

I will be 31 weeks on tuesday so i know the gestation is good enough to not be a huge concern but just wondered if the speed at which they are getting me back in indicates that they think the baby will need to come out sooner rather than just monitoring for a few weeks. If they are talking steroids then does that mean an imminent delivery or is it fairly standard to take them 'just in case' things take a downhill turn? I'm not keen on taking steroids simply as a precaution but of course i would if things DID go downhill and it was needed for delivery.

has anyone else had to be induced for growth slowing/stopping even when the cord blood and fluid is still good?

the baby was estimated 2lb 2 at 28 weeks2 days and 2lb 9 at 30 weeks 2 days.

Any clue as to how this might go from here?



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Old Feb 25th, 2018, 15:24 PM   2
xarlenex
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I have not been in this exact situation so can't give any advice on your details you've given, but I have sat in front of consultants who have spoke at me and it's hard to take it all in and process it. My only advice is to write your questions down you need answers to before you see them again tomorrow, then even if your feeling balled over with other information you'll still remember these things too. Also if your appointment is next Monday and not tomorrow, don't sit and worry until then, call to speak to someone, midwife or consultant.

hope all goes well xx



 
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Old Feb 25th, 2018, 21:40 PM   3
MoBaby
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Take the steroids. They are for the baby; not you. For lung maturity. If baby has a chance not to go on vent you need the steroids. Doesn’t mean babybwont need it but will have better chances with the steroids as lungs will be better.
I’d take it as a sign you’re going to deliver early if you have to come back so soon. Honestly I wouldn’t chancebit and take the steroids. Hopefully baby grows some and you can hold off.



 
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Old Feb 26th, 2018, 06:11 AM   4
Tanikins
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My youngest was iugr. We had scans twice weekly from 31 weeks, I also had 2+ ctgs a week aswell. I had steroid shots at 31 weeks (fyi they are so painful). We were told to expect a baby at 31 weeks. Then when the scans showed he was 'ok' that moved to 32 weeks, then 34 and finally it was if we get to 36 he's coming out regardless. You have to find a line on when it's no longer safer to be inside because obviously there meant to be in for 40 weeks


The fact that there monitoring is good. They may well deliver you early but they gain may not. They will keep baby in for as long as needed. Ds2 was born 36+4 at 4lb 13oz and we had a 2 week NICU stay as he couldn't suck. During that time he dropped to 4lb 4oz.



 
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Old Feb 26th, 2018, 14:15 PM   5
elle kay
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well i went for monitoring spent about an hour on a heartrate/movement monitor first which i hadnt expected as there have been no issues with movements , was scanned for cord and fluid which was all fine, didnt even get to sit down with a doctor, he just stuck his head round while i was on the monitor and told me that it was bad baby wasnt growing and i probably wouldnt make it to term, but that cord flow and fluid was good. no mention of steroids or any information on what might happen .. so i dont really know whats going on. After all they have only 2 growth scans to go on and arent they notoriously unreliable? I had been told i would have another growth scan later this week but today they said no, it will just be cord and liquor again. So I have to try to work out the situation from all the random bits and pieces from all the different departments and i am concluding that at the moment all is ok but they are monitoring and expecting it to become not ok at some point, but clearly must be ok for the next week and a half at least until the next growth scan



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Old Feb 26th, 2018, 14:23 PM   6
Tanikins
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I had twice weekly scans for cord flow and waters. They only measured growth once a fortnight as they aren't reliable if measured too often



 
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Old Feb 27th, 2018, 02:38 AM   7
elle kay
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so now i'm a bit concerned that they DIDNT discuss steroids yesterday, because if the next growth scan isnt for a fortnight and babys AC already didnt grow for 2 weeks, in another 2 weeks could be in quite a bad way and i wouldnt have had any steroids???



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Old Feb 27th, 2018, 08:22 AM   8
MoBaby
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Can you contact them and ask about steroids?



 
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Old Feb 27th, 2018, 08:54 AM   9
elle kay
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i'll ask when i'm in on thursday.



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Old Mar 1st, 2018, 03:20 AM   10
elle kay
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too snowy to get in for my appointmenthttp://babyandbump.momtastic.com/images/smilies/doh.gif



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