At my 28 week appointment we had some concern with how the baby was growing when my fundal measurement first started being a little behind. My doctor sent me for a growth ultrasound and the baby looked good. She was a little small, but still within the normal range. My fundal measurements were still behind at all of my next OB appointments, but I was following my own curve and with the good ultrasound results we weren’t too worried. But at my 34 week appointment my fundal measurements actually decreased (they should increase by 1 cm every week), so I was sent for another growth ultrasound. This time the results weren’t within the normal range and baby was diagnosed with asymmetrical IUGR.
Her head is still measuring in the normal range, but her limbs and abdomen are all lagging behind. This means that for whatever reason (most likely a problem with the placenta) that baby girl isn’t growing like she should. The good news is that since her head measurements are still within the normal range her body knows there is a problem and is protecting her most important parts (like her brain).
So from here on out my pregnancy will be monitored very closely to ensure that she stays happy and healthy, despite not growing like she should be. I will have twice weekly NSTs (non-stress tests) to keep an eye on her neurological status. I had my second NST today and she passed with flying colors! Also I will have weekly ultrasounds to check on her amniotic fluid levels. My first ultrasound to check her fluid is tomorrow morning. In a couple more weeks I’ll get another growth ultrasound and hopefully she will show that she’s gaining weight slowly. As long as the NSTs and ultrasounds keep showing that she’s not in any distress she’ll get to keep baking. If at any time she appears to be struggling we’ll deliver early. Hopefully we can make it to term and she’ll be born healthy and just a little small.