HELP!!! Reduced growth and AFI 32w scan- anyone had this?

[Minimin]

Hey BlessedMomma- sorry about your low AF! I hope this is just a blip

I have had levels around 4.2 and my last one at 4.9 and they have not talked of any induction, but I presume that is cos I am 33w and not near 37w

I hope you rest tons and drink loads. When are you being monitored again?

Doppler scan tomorrow 2.15pm UK time so I will post more once I know whats happening.

Thinking of you.

M

 

[vickyd]

Blessed so youre not leaking? This decreasing AF really is hard to grasp if youre not leaking...

Anyway i had a three hour stay at the clinic this evening. Had a 1 hour NST, even though the movements were greatly reduced from the previous one the doctor was happy. I then had a growth scan were the AF is holding stable at 8cm, the placents is continuing to age and she gained about 100 gr which makes her about 1.7 Kg. The low weight is being attributed to my MTHFR homozygous mutation, so nothing really that can be done at this point. I will have another NST and scan Saturday. The doc wants to see me every 3 days for now and has asked me to monitor movement very carefully. These last weeks will be so stressful!

Minimin good luck tomorrow and keep us posted!

 

[blessedmomma]

minimin- my next appt is next wednesday. today they just checked the fluid level and i had my appt. next wednesday they will do another biophysical profile on him to check his weight and all. she did check his cord and it seems he is getting good blood flow. she said it could be something to do with the placenta giving out, but didnt check it so i dont know. i thought she checked it last week too, but i guess not, just the cord. hopefully if the cord is ok the placenta is ok too though??? she also checked his bladder and kidneys today and they seem fine.

vickyd- im not sure why my fluid is low. my OB even said sometimes its just low and they have no reason for it. i guess it can complicate labor though and since he isnt moving like he should be they will be inducing at 37 weeks. im nervous about it, but its better than now at 34 weeks. when she said she was gonna check to see if i was leaking fluid and induce this friday if i was, it just made me feel sick. i thought for sure thats what was wrong and that i would be having him. its just so early...

 

[Minimin]

VickyD and BlessedMomma- we are all really having a tough time of it. VickyD- I am glad they are monitoring you. I had a NST done where the movement was less that the previous one but they said it was still within the normal range so they werent concerned. Then they said if i felt it got less to come back in :doh: I just told you it was less!!
I have since had days where it is low but others where it is high so it could also just be variation in babba's movement

Blessedmomma- I thought they checked both cord and placenta? but of course I may be wrong. Tomorrow I hope they do a proper test of everything. Also like you, 37w is my goal! I hope all our babba's hang in there until then!!!!!

Stay rested and I'll post more tomorrow.
TC Min xx

 

[blessedmomma]

i thought she did check the placenta and cord, but she told me today after the sonogram was over that the placenta could be having problems but the cord looked fine??? what does that mean???? i thought they checked both. my next appt is actually next wednesday. im gonna specifically ask her to check it then.

 

[blessedmomma]

i hope all your babies make it as far as possible safe and sound!!!

 

[Minimin]

Blessed Momma- I also thought they checked Placenta and Cord but sounds like they dont from your sonographer. I will ask this afternoon and see what they say. Though today is a different type of scan- doppler- rather than the ones we routinely get at the hospital.

TC and I'll post later this afternoon when I know more.
Minimin x

 

[vickyd]

Minimin, they check placenta as well during the doppler. At least they did with me...
Good luck!

 

[blessedmomma]

i assumed she checked mine, but when i was talking to her it sounded like she didnt. she told me she checked the cord and it was working good. maybe she did and i just misunderstood her? she mentioned that the placenta could have been having some problems but that the cord was ok. i guess i took that like she didnt check the placenta. maybe she checked it though and it looked ok, but there could still be problems, i dont know.

minimin- i hope it goes good today and your LO is ok

 

[Minimin]

Hey
Hope you guys are keeping warm! I just got in from appointment. Scan was done in like 10 minutes! Grrrhhh takes me about an hour to get there and back as it isnt my local hospital! Anyway, basically still measuring small and AF is low (though on the notes I can not see where they have written the exact volume). The blood flow to the Umbilical artery and L. Middle Cerebral artery is positive (PI values 0.98 and 1.50 respectively) I will google this!

My last scan was a week ago and her AC has gone from 234 to 251mm which is growth! and the Biparietal Diameter from 76 to 79mm and finally the Head circ from 296 to 292 (?)
All in all I think scans every two weeks are more accurate for growth so they didnt look into the data above. Her estimated weight has gone from 3lb 2oz to 3lb 6oz.

They were primarily concerned about the blood flow and that looks good. They will monitor me again for flow in a weeks time and in the mean time I get 2x/week CTG's which is where they hook me up to a machine, measure HR and movement. My first one of these is tomorrow morning! Phew- they basically are monitoring me and will intervene when something is wrong. In the meantime, babba is looking happy (albeit BREECH!) and they will keep her in. The lady today seemed to think that things could just keep plodding along and I can hit full term! LOL alternatively next week they could pick up something and have to have interventions. She did say the more monitoring they do the more they pick up

Dr doing the scan reckons I may have premature ruptured membranes that have been slowly leaking. But he wasnt concerned as the fluid isnt as important as it is earlier on in pregnancy. He was more interested in the weight and growth from now on thus the weekly scans and biweekly CTG's. First one tomorrow! I am sure it will all be well!!

Knackered from being outside today! I am glad to be back home and tucked up in bed - nap time I think

Minimin x

 

[blessedmomma]

sounds like great news minimin! i hope you can make it to full term!!!! glad they are gonna keep a good eye on you too. my scan was like 10-15 minutes yesterday too. although i didnt have to drive forever to get there it was disappointing that she only checked the fluid levels and not his weight and all that again. on the paperwork she had that his weight and everything was up like she checked it, even though she didnt. so when my OB looked at it she assumed all was fine except the fluid levels. i hope he is still growing and that her not checking it wasnt a mistake! next week should be the full biophysical profile scan again though so should all be done then.

enjoy your nap!!!!

 

[Minimin]

Oh my god to napping- knackered and just got up 20 mins ago! LOL.

like you I dont know what they measured in terms of AFI and think maybe the doc wasnt too worried. Only when I came home and looked at the notes did I see the changes and 4oz weight gain. If she continues on that path she will be 4lb 6oz at 37 weeks which is low. I would like her to bulk up! Come on girl!

Roll on next week. I think we both have our scans on Wednesday right?

 

[vickyd]

Minimin sounds good! Lets all hope we make it to full term!
By the way my baby girl is also breech!

 

[blessedmomma]

Oh my god to napping- knackered and just got up 20 mins ago! LOL.

like you I dont know what they measured in terms of AFI and think maybe the doc wasnt too worried. Only when I came home and looked at the notes did I see the changes and 4oz weight gain. If she continues on that path she will be 4lb 6oz at 37 weeks which is low. I would like her to bulk up! Come on girl!

Roll on next week. I think we both have our scans on Wednesday right?

that is mighty small for 37 weeks...

yes my next appt is on wednesday, heres to hoping we both get good news!

my baby is head down right now, i hope he stays that way! i had one that was breech til the last minute, almost had a section. he flipped with a couple days to go! i hope your babies flip into position, i dont think they read the books! they should have plenty of time to wiggle around...

 

[Minimin]

Hey VickyD :wave: how are you doing?
BlessedMomma- I thought it was early to get worried about the Breech position and that they could change positions as close to delivery as you suggested. I am hoping my acupuncturist will give me some help to turn her. If he turns her now will she stay down? About 5 weeks ago she was Breech and then head down then went transverse and now breech again!

 

[blessedmomma]

i have heard some girls say that after a certain time they wont turn again, but mine was overdue at 41 weeks and turned. he was induced at 41+4 and was head down so its definitely possible. i wouldnt worry at all about it right now hun

 

[Minimin]

Thanks hun! I think it is the least of my list of things to worry!
Tonight I have been paranoid I am leaking AF. I wonder if that is me being neurotic as the Consultant said I prob had leaking fluid due to ruptured membrane. Or if this is real! I am tempted to tell them tomorrow morning when I got for my CTG just so they can do some tests.

Have you had any testing to see if AF is leaking? What did they do? The only thing I had done was the week (28w scan I think) when they first discovered I had low AFI they did a speculum thing where they looked for pooled fluid inside. Rather painful and uncomfortable but they said their wasnt liquid there. How can they differentiate between AF and Discharge.

Also some reading around ruptured membranes suggests they should check for infection- has anyone had this done? What do they do?

I know I shouldnt google and get worried- I am more trying to be aware of things they may do rather than worry it is eg an infection as this can be picked up on baby's HR and hasnt so far

 

[blessedmomma]

when they checked mine yesterday they just used a swab and left it inside me for one minute. then took it out and put it in a solution. threw away the swab and put the end of a test that looked like a pregnancy test into the solution to soak it up. left that for 10 minutes and checked it. said it would have 2 lines for a positive and 1 line for a negative. there was only one line so i wasnt leaking fluid. it was very easy.

 

[vickyd]

Minimin about the infection, i think youre referring to the group B strep? I was tested for this last week but i think most places test around week 36.

 

[Minimin]

Thanks girls! I'll ask this morning-- off to the hospital AGAIN I go!
Update later this afternoon
Have a good day and keep warm

Minimin