Friday, August 22, 2008

Follow-up ultrasound

Our appointment went well yesterday. I spoke to the doctor, and I'm less concerned now than I was before. This is the gist of what he said (that I remember at least).

1) They really think that Baby G's small size is a dating issue. But they won't move my due date anyway because of how far along I am. (This makes me wonder when exactly they do move due dates...since they wouldn't move mine earlier either...)
2) All babies under the 10th percentile for size are considered to have an intrauterine growth restriction. The majority of these babies are fine. They just pay extra attention to these small babies because problems are more prevalent here.
3) We would have most likely seen other bad things if there were something actually wrong with the baby (like a chromosomal abnormality or an infection.) He said that a lot of these babies are way undersized or that you see other problems with them.
4) We can take it as a good sign that Baby G has stayed pretty close to the 10th percentile curve on the graph, and hasn't shown a dramatic drop in growth. If she weren't getting what she needed from my body, we most likely would have seen a more normal growth early on followed by a pretty drastic drop off in growth on the graph.
5) Unless something changes (like a bad doppler test or if she drops to like the 3rd percentile), they won't just automatically induce me early. If my body doesn't look like it's ready to be induced, they'll most likely let me wait awhile. They might even let me go past my due date still...this is still unlikely though.
6) They're not really worried that Baby G is getting neurological problems by staying in me. The doctor said that this is a bit of a murky area, but that IUGR babies that do have neurological problems were most likely small due to the neurological problems, and not the other way around. So we're not really frying her brain even if she's not getting quite what she needs from me.
7) The main thing they are worried about with IUGR babies is stillbirth. And yes, that would suck a whole lot. But as long as she's still kicking, I can relax.

Most of this was apparently NOT new info. Jason heard and understood a lot of this from the appt last week. I however heard "they might induce me early" and shutdown for a bit, hearing nothing else. So it was really nice that the doctor patiently retold us all of this. And it was nice that I was actually prepared to hear it this time.

We did get a sorta decent picture from her this week though:

You can sorta see her little face and hands. I think this is the best we're going to get. Apparently, it's not just that she's keeping her face down by my hip bones...there's also less amniotic fluid in that area, which means not as good pix. In this one she's actually facing towards my I don't expect to see anything clearer until I pop.

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