Growth tailing and low amniotic fluid

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I posted this in 3rd tri but thought i might have better luck on here.

"Ill try to keep brief - i had my 6th Growth Scan and basically baby growth has completely tailed off. in the space of 4weeks she has now moved into the 5th centile. i found a website where you can put the measurements in and basically her abdomen is measuring of that as a 28week baby

The sonographer booked me in for 2 weeks time for another growth then i was sent to midwife as usual for BP and urine due to me having notching at 20 weeks so being monitored for pre-eclampsia.

In the Antenatel appointment the midwife did my blood pressure which was 120/76 which is apparently good, urine showed no abnormalities and baby is head down 4/5 palpable (sp?). also my amniotic fluid is lowering, and she was asking have i been "damp" as it seems to be slwoly leaking rather than the usual gushing description you see on movies.

Whats worrying is that she went and got a doctor who agreed that a scan in two weeks will show up any growth and they can manage from then. However he is pretty much expecting me to have a preterm baby so i was given one shot of Betamethadone steriods to boost baby lungs, and im going for second shot today. - I was reading online about the steroid and theynormally give you one dose, and then 24-48 hours before delivery they may give you a second dose. My question is what is an actual dose, as i am getting two shots? also if 4/5 palpable can baby become un-engaged?

The doctor also booked me in for a weeks time to have CTG, which i have discovered monitors the baby heartbeat and movements, contractions etc... but now im a bit worried as read that if there is any abnormalities you will be given an emergency c-section right there and then!

I know its really a case of a waiting game, until CTg, then if thats ok, its up to whatever is at scan. But i can pretty much guarantee by the way the doctor was speaking and the words he was using that if i make it to scan, its going to be a discussion afterwards about delivery. At the scan i was 34+4, what is the real delivery options? Is induction a possibilities, i know circumstances will definately sway the decision, but at present knowing what i know am i looking at c-section or induction, or is there any other method of delivery?

My other problem (which i suppose to most people is probably trivial) but i was planning a waterbirth at my local midwifery unit but now i have been told midwifery unit is out of question so im up at local hospital which is t least a 40min drive (my oh doesnt drive).

I have asked my dad that if its a booked delivery, i.e. you know date/time then he will be available to take me but if its completely natural ie waters completely break then in all honesty im kinda screwed as we have no way of getting there!

At the hospital too visitng hours are strict and its 3pm -8pm. So im going to be left alone with my first baby.(well thats if she isnt taken NICU).. At the local midwifery unit you are given your own room with baby so as long as your quiet partner can stay as long as he wants but now im going to be alone and im so scared.

If baby is in NICU i will still be placed on labour ward with all the woman and there babies and i know im not going to be able to cope being around all those babies while mine is ill

I just dont know what to do/what to think, nothing. I cant get a transfer from main hospital to local unless baby is fine and not in NICU and weighs over 5lbs.

anyone got any advice, maybe even my chances of having a baby that wont require NICU?

Lyndsay

ps i was planning on breastfeeding, will this now be affected? "
 
Oh hun... it sounds really hard *hugs*

I've not been there, but I'm going to attempt to answer some questions for you, but really I do suggest you print it out and take it to your next appt to get some answers.

I'm not sure what a dose of that medication is sorry, but I"m sure they are giving you the right amount.

If you go into natural labour they "may" let you go with it, but they might decide if there is any fetal distress to do a c-section. To be honest, I'd be just asking at your next appt on this one, though preparing for a section...

Do you have any friends who live nearby? If you do, then you need to be asking them for assistance to get you to hospital if needed... Do you have any friends living in that town (if you need to move there for a few weeks - I know my mum did this with me when I was measuring small)?

Usually the strict hours are not for partners (here) in the first 24 hours, but then after that sometimes are - and sometimes less strict hours for the partners but not others. To be honest, my friends have said that resting after baby is born is best anyhow and the nursing staff do amazing job's of being there when you need it.

I wish I could say your baby won't be in NICU, but to be honest, I think you need to prepare yourself for that. *hugs* I personally find it easier to prepare myself for the worst, and love it when it doesn't happen.
 
I had a nicu baby and I was able to breastfeed normally and after I kicked off about being placed on a normal ward, they moved me to a private room within an hour.

Good luck with it all x
 

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