Recurring IUGR

Updated on September 18, 2009
H.B. asks from Syracuse, UT
4 answers

It's been almost 5 years(Dec 21) since my last child. I'm now expecting again(unplanned) and due Nov 29th. All my kids have been small, the first 6'8" and 1 week early, the 2nd was 5 weeks early 4'12" born healthy and was taken home the next day. My third was born at 33 weeks at 4'2" she spent a week in the NICU, mostly for observation. My doctor noticed I was growing slow and I was given a hormone shot a week before for lung development. I didn't require a C-section and the baby was born using Patocin after a ultrasound showed my amniotic fluid was below acceptable standards. I'm 31 yrs. old and average weight is around 95 lbs. Im currently towards the end of my 29th week of pregnancy. My doctor mentioned that if I continue to have kids that this will occur earlier with every child. The time between baby #2 and baby #3 was 19 months. OK, my question, What's the likelihood, that this will happen again, and if so will it be earlier than before. I guess I asking cause its been 4+ years since my last child. My last measure was at 26 weeks and I'm 2 weeks behind.

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S.S.

answers from Salt Lake City on

The tests Diane mentioned sound like they would be beneficial to you. You sound like a small person. However, I have had 5 and always measured about 2-3 weeks behind. They always did more tests and were concerned but I have gone 40-41 weeks on every baby so my body may be different. My babies have gotten progressively smaller though starting at 7.5 lbs. down to 6.2 on th last one. Go to a high risk dr. and let them monitor to make sure the baby grows well. Best of luck and let us know what happens please!

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S.B.

answers from Boise on

I do not know about the trend, hopefully it will not continue. I would do my best to eat the best I could and get a good prenatal vitamin. I know of a great one that helped me with my iron levels.

If you would like more information let me know.

S.

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D.R.

answers from Denver on

I'm assuming you are seeing a specialist who is knowledgable in this type of high-risk pregnancy. If not, then do. With my second, whom I had 13 months after my first (supposed to be 14 months), I had these same issues. I ended up on baby aspirin t/o the entire pregnancy b/c the ultrasound and bloodwork showed a general slowing of uterine blood to the placenta, causing the baby to be small. Almost a stoppage of blood on one side, a dam if you will. This may not be all of the problem, but your specialist can certainly check this on the in-depth ultrasounds. They checked my uterine blood flow (and a lot of other things) every 2 weeks at the specialist once they diagnosed the problem, and every week after I got past 30 weeks. (I made it to 35 weeks). Then I was having 2 NSTs/week on top of that. At this point, you should be getting measured every two weeks at least b/c of your history. If you were 2 weeks behind at 26 weeks, it sounds like you are going down the same path as before. Is this measurement the measuring tape test?

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S.W.

answers from Pocatello on

I don't know anything about IUGR but I do know about our bodies copying themselves and it sounds like yours is doing the same thing it has done in the past. If you are measuring 2 weeks behind already, then I think it would be safe to assume that your doctor is right. I know that with my pregnancies, I had PIH and the first 3, like you were close together, and then there was 4 and a half years between the 3rd and 4th babies and I thought that because of the time in between these babies that I wouldn't have the same problem but I did. In fact it was worse. Listen to your doctor. With your size I would think that you would probably run a slightly higher risk of having a smaller baby anyway. It doesn't sound like you are a very big person yourself... I'm sure that its suggested for you to gain more than the average amount of weight while you are pregnant. I don't know, it just what I have read, typically smaller women tend to need to gain a bit more while they are pregnant. But don't be fooled, most often, not always, but most often our bodies do what they know and it sounds like this time is the same as before. You should have an appointment coming up, talk to your doctor about ways to avoid having an early/small baby.

S.

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