Baby weight below 10th centile at 32 weeks

[Lady H]

Hi Ladies, anybody experienced this? I had low PAPP-A at 12 week bloods, so had a growth scan today. Apparently her size is fine but her weight is low, below 10th centile. I'm now having scans every two weeks and BP and urine tests weekly.

Is there anything I could do to help her or is this purely a placenta problem?

 

[chulie]

No idea but just wanted to wish you good luck...if they are that concerned about her weight maybe they'll discuss going early....

 

[Wriggley]

I have a low pappa to hun and i am due a growth scan in just over a week for the same reason

I was told this is what happens with a low papp a - that baby may be small as the plasenta is not producing enough of a certain protein meaning its not working quite as well as it should be

 

[Lady H]

Thanks Wriggley, hope all ok for you. I weighed myself today and I've gained not one ounce in three weeks now. Cue total emotional melt down this morning!

 

[hopefulfor1st]

I was the opposite. At 20 weeks he was around the 90th percentike mark, at 34 weeks he was 49th percentile so bang on "average"
He was born at 38 weeks only 5th percentile but healthy, At his 6 week check up he'd caught up a bit and was around the 10-15th percentile mark

 

[amjon]

With twins they tell us to help protein and rest to help the babies gain weight, so it wouldn't hurt to try those.

 

[Wriggley]

i forgot to add my first son was the the 2nd percentile when he was born - and we didnt have the blood test done with him so we will never know if i had a low papp-a with him

 

[TWINKLES80]

Hi ladies:

Praying for all of you to have a healthy delivery. I was hoping one of you could tell me the range for low pappa?

I can't find it anywhere! Thanks!

 

[Wriggley]

Hi ladies:

Praying for all of you to have a healthy delivery. I was hoping one of you could tell me the range for low pappa?

I can't find it anywhere! Thanks!

the closer to 1 the better anything under 0.24 is considered low

 

[// arcadia]

Ive been for a growth scan today. They put weight at just under 10th centile so now saying i have to go back weekly and be consultant lead care.

My first LO was born weighing 6.13 lbs and just under 10th centile. Im not fussed about where this baby is at, everything measures in proportion, hb always been good.

All seems unnecessary to me tbh.

 

[Lady H]

Wow week Arcadia, that's a pain. Mine are every two weeks. Like you all other measures are fine and Doppler flows of placenta were fine too for me. I guess I'm jumpy as its my first but I was just over 4lb when I was born and I'm ok!

Amjon thanks for the tip, have been eating much more protein this last week.

 

[Wriggley]

Did any of you ladies have a growth scan at 28 weeks because of the Low pappa?

Just I 26+3 and had a private 4d scan today and they measured him as 1 day ahead and weight was 2lb 5oz which was average weight for 27 weeks so is measuring silly ahead despite my Low pappa

noticed that all you ladies are around 32 weeks so further ahead then me so was wondering if anyone had growth scan around my gestation and baby measured on target?

Thinking I should prepare myself incase growth slows down by my 32 week growth scan? Cos I know I will worry lol

 

[// arcadia]

This was my first growth scan at 31 + 6.

At my 28 week midwife app she measured my fundal height at 27. Then at my 31 week midwife app she measured FH at 28 weeks so sent me off.

I have my customised chart, my first LO was born at 3100g which is UNDER the line - exactly where this little one is plotting. I have had no bloods come back bad no other problems. I was happy that I just produce smaller babies. My first LO is so active and clever and healthy. Now after this and being told I have to be Consultant lead im just going to worry till the end now. Plus I wont be able to go to MLU and try and have a waterbirth as id planned .. all because my baby is a little bit small but JUST the same as my first and I had none of this

I dont know what you mean by the low pappa stuff though, what is that? :S

 

[Wriggley]

This was my first growth scan at 31 + 6.

At my 28 week midwife app she measured my fundal height at 27. Then at my 31 week midwife app she measured FH at 28 weeks so sent me off.

I have my customised chart, my first LO was born at 3100g which is UNDER the line - exactly where this little one is plotting. I have had no bloods come back bad no other problems. I was happy that I just produce smaller babies. My first LO is so active and clever and healthy. Now after this and being told I have to be Consultant lead im just going to worry till the end now. Plus I wont be able to go to MLU and try and have a waterbirth as id planned .. all because my baby is a little bit small but JUST the same as my first and I had none of this

I dont know what you mean by the low pappa stuff though, what is that? :S

Oh Ok my little boy was born at 39 weeks at 2948.4g which they told me was small?

As for the low pappa - after your 12 week scan if you had the NT part done you also had bloods taken which tests your papp-a level (a low papp-a level combined with a high Hcg beta is a soft marker for downs) - papp-a should be close to 1 and anything under 0.24 is considered low (mine was 0.23). it means that the plasenta is not producing enough of a certain protein (pregnancy associated plasma protein - A AKA papp-A) it means during the thrid trimester it may cause problems with the babies growth. hence why we have regular growth scans during third tri.

I declined the downs test with my first son so the blood test that shows these levels was never done but due to his low birth weight they think i may have had a low papp-a with him too.

because of the low papp-a the hospital automatically booked me in for growth scans at 28 weeks 32 weeks and 36 weeks and also do a artorial doppler scan to see how well the flow of the arterys in the plasenta are working.

I had a private 4d scan done today and hes measuring ahead in the way of size but im still in the second tri and have been told the papp-a effects the last trimester so im wondering if i would still expect the growth to slow?

 

[// arcadia]

I had first LO at 40 + 5 .. 3100g So both our Lo's where pretty much the same.

I never got any detailed results back from my downs test just a number 1:2000, I might ask my MW what the pappa thing was though.

TBH I will prob go to my first Consultant app do another scan see im following the same line and then refuse, because this all seems a big fuss over nothing, if I follow the line my LO will be near enough exact same weight as my first LO.

Another thing, the BPD, FL, HC & AC today where ALL around the middle line, none of those dropped below so shes perfectly formed. Went on the hb monitor and had no problems.

 

[// arcadia]

I guess Wriggley when you go for your growth scan see where you are on the line. If you're pretty much where your first one was and everything is working correctly its just a case of another small baby.

I hate these bloody charts. the sonographer actually said my first LO was born just under the 10th centile so why on earth would they expect you to fall right on the middle line or above???

Im following my own line lol!

 

[Wriggley]

lol yeah hes following his growth so i guess thats good will see what happens at my growth scan next week

 

[Lady H]

Wriggley - Baby was spot on size etc at 20 weeks, and my fundal height was spot on at 26 and 29 weeks. All her measures as arcadia had are fine at 32 weeks it's just her weight. I don't really understand how her abdominal circumference is fine but her weight not at 1580g?! So going by that her weight gain stalled between 29-32 weeks. Interestingly I put no weight on at all between those weeks. My next scan is this Thursday and I have gained 0.4kg, so I'm hoping baby is some of that.

 

[Wriggley]

Wriggley - Baby was spot on size etc at 20 weeks, and my fundal height was spot on at 26 and 29 weeks. All her measures as arcadia had are fine at 32 weeks it's just her weight. I don't really understand how her abdominal circumference is fine but her weight not at 1580g?! So going by that her weight gain stalled between 29-32 weeks. Interestingly I put no weight on at all between those weeks. My next scan is this Thursday and I have gained 0.4kg, so I'm hoping baby is some of that.

good luck with your next scan let me know how it goes. i have my 28 week one in 8 days but im guessing its the 32 week one that will be the scan that will show any weight gain changes

 

[kcmichelle]

It was weird for my last pregnancy because at 28, 32 and 36 week growth scans the baby showed around 50th percentile. Then I had him at almost 38 weeks and he was only 5 pound 6.5 oz. Perfectly healthy but much smaller then anticipated. Even the doctors were surprised.