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IUGR? I'm completely confused and worried.. Kait. 3 kids; Iowa 2345 posts
26th Jun '12

This may get kind-of long but I have no idea what's going on so I'm going to share any information that may be helpful. I was in preterm labor at 34 weeks and 35 weeks. They stopped it both times with a few shots and an IV (still been having contractions every day though and I'm on a pill that's supposed to help calm my uterus). The baby got two steroid shots for her lungs, one the 14th and one on the 15th.



I had some spotting last week for a couple days (bright red)..they monitored me (NST) and I was having contractions again and was dilated to a 1 but never did an ultrasound. Two nights after that I had mucus discharge that was brown.



I had an appointment today and I'm measuring 33 weeks, but I'm 36w3d along and I also lost some weight. Two weeks ago he told me that he had concerns about the baby possibly not growing correctly, but was going to wait 2 weeks to see if things improve and they haven't so I go for an ultrasound tomorrow afternoon. Now he told me the baby was diagnosed with IUGR (intrauterine growth restriction).... how can he diagnose me with this before the ultrasound? I thought it was strictly based on ultrasound results?
I know nothing about it or what could happen... he said we'd talk more about it tomorrow or the day after depending on when the ultrasound gets read. He seemed concerned, yet not concerned enough to ease my mind/ask my questions until a later date.



I had placenta previa with my last pregnancy so I'm afraid there's something going on this time around too now that I had some bleeding... could that cause IUGR?



I don't even know what to ask here...but any words of advice/experiences? I just have no idea what to expect...

Mrs Mia Wallace Due May 9; 33 kids; 3 angel babies; Georgia 2859 posts
26th Jun '12

Yes, it can cause IGUR. One of my fellow preemie moms had her little girl with severe IGUR because of placenta previa.
I'm sorry you're going through this, hun. I know it's scary not knowing what's going on or what will happen.

Kait. 3 kids; Iowa 2345 posts
26th Jun '12
Quoting Mrs Mia Wallace:" Yes, it can cause IGUR. One of my fellow preemie moms had her little girl with severe IGUR because of ... [snip!] ... placenta previa. I'm sorry you're going through this, hun. I know it's scary not knowing what's going on or what will happen."


I had it with my last pregnancy with no other complications. I haven't been diagnosed with any placenta problems this time around, but I'm still worried I will find out tomorrow that something is going on due to the bleeding. That's the only sign I had with my previous pregnancy but we'll see.



Is induction necessary/recommended if it turns out she is small?

Ashley R [[x3]] 3 kids; Greenville, South Carolina 1531 posts
26th Jun '12

My oldest had IUGR. We didn't find out until after he was born because they didn't do a ultrasound. All I know is I started spotting, after going into preterm labor 3 times and being on the pills to stop contractions. I went to my doc who sent me to the hospital overnight. The next morning they were going to do a ultrasound but about the time she turned the machine on, she ran out of the room and brought the doc in, who looked for maybe 30 secs and sent me back to the room. 5 mins later my doc came in and told me that they were going to deliever him now. And it was going to be a c-section. He came out weighing 3 pounds and I was 35 weeks pregnant. They said there was no fluid so he didn't grow.



I'm sorry. I know how scary it is. I hope everything is ok for you both.

Kait. 3 kids; Iowa 2345 posts
26th Jun '12
Quoting Ashley R [[x3]]:" My oldest had IUGR. We didn't find out until after he was born because they didn't do a ultrasound. All ... [snip!] ... They said there was no fluid so he didn't grow. I'm sorry. I know how scary it is. I hope everything is ok for you both."


Wow, sorry you had to go through all that! Did they think the preterm labor was caused because of the IUGR?
What is the 'normal' weight for 36 weeks? I'd like to have an idea of what I'm dealing with even before the results are read (the tech will tell me how much she weighs), but I really don't know what would be considered too small?



Would I be induced right then and there if she does have IUGR? My hospital doesn't have a NICU, but can take patients at 36 weeks, but they'd most likely want to transfer me to a hospital with a NICU, correct?



What questions should I be asking tomorrow?



Thanks for the help!

Ashley R [[x3]] 3 kids; Greenville, South Carolina 1531 posts
26th Jun '12
Quoting Kait.:" Wow, sorry you had to go through all that! Did they think the preterm labor was caused because of the ... [snip!] ... want to transfer me to a hospital with a NICU, correct? What questions should I be asking tomorrow? Thanks for the help!"


They don't know what caused the pre term labor or what caused the IUGR. I'm not sure what normal for 36 weeks is. My last baby was born at 37 weeks and she was 5lbs, but they said she was small too. So I couldn't answer that one.



I'm not sure if they would transfer you. You would have to ask them. But 36+ weekers seem to mostly be ok and do good. I don't know if they would induce you, just depends on what your doc thinks is right.



Just ask all you want to know. What's going on? What's going to be done? What are the outcomes?



Sorry I'm not much help.

Kait. 3 kids; Iowa 2345 posts
26th Jun '12
Quoting Ashley R [[x3]]:" They don't know what caused the pre term labor or what caused the IUGR. I'm not sure what normal for ... [snip!] ... Just ask all you want to know. What's going on? What's going to be done? What are the outcomes? Sorry I'm not much help."


36 weekers usually do pretty good I think, but if the ultrasound shows some issues then I'd most likely ask to be transferred. The NICU is 30-45 minutes from home so it's not too far.



My LO was born on her due date weighing a whopping 7pounds7ounces (which was big for me, I was 125 when I had her)... NOOOO idea where she was hiding at in there!



Thanks for the responses :)

Ashley R [[x3]] 3 kids; Greenville, South Carolina 1531 posts
28th Jun '12

Let me know how things go today! I've been thinking about you and hoping things are ok.

Mrs Mia Wallace Due May 9; 33 kids; 3 angel babies; Georgia 2859 posts
28th Jun '12
Quoting Kait.:" I had it with my last pregnancy with no other complications. I haven't been diagnosed with any placenta ... [snip!] ... only sign I had with my previous pregnancy but we'll see. Is induction necessary/recommended if it turns out she is small? "


I know I'm kinda late in responding but I wanted to see how you and your little one are doing.
As far as your question, I think it really depends on the doctor and circumstances.
My friend's daughter was induced because her "home" (uterus) was not actually doing her any good, it was preventing her from getting the proper nutrition and was better to get her out where she can properly grow, kwim?



I hope you're doing okay, mama. ((hugs))

Kait. 3 kids; Iowa 2345 posts
2nd Jul '12

Thank you, everyone. Sorry I haven't responded, I'm on hospitalized bed rest. No baby yet, they're hoping she can stay in and grow for a few more days because of her small size. They're keeping a close eye on her though and if anything happens they will induce/c-section depending on the situation. My fluid levels weren't as low as they originally thought (not dangerous at this point), but they're keeping an eye out for that as well.



Just stinks being a little over an hour away from home... my hospital's birthing center is so much nicer and bigger, but I know this hospital is more qualified (my hospital doesn't have a NICU)... just kind of a bummer. I was so set to have a private, non-medicated, joyful delivery because I think this is our last baby...but I know this is what's best for baby. Just disappointing and stressful.



Thanks again :)