Re: Update Baby's growth--any thoughts?

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So far, the measurements are to be watched very closely as has been done. the oligohydramnios (low AFI - amniotic fluid index) is of concern because that is what cushions the baby and the placenta/umbilical cord.

>My question is, at what point, if any, will they decide to deliver the
>baby. I asked my doctor about this, but he wouldn't really give me an
>answer. He said that the criteria changes the farther you are along.
>Any information so that I know what to expect would be comforting.

Your doctor is correct. There are many points to be considered - the AFI, the lag in growth of different body areas, the S/D ratio in the umblical cord (used by some and not by others), the overall biophysical score which includes 4 criteria - 2 points each and the non-stress test.

>Also, just in general, from the information I have given, how serious is
>this. A couple of people have told me that the baby will be small, but
>will do fine.

So far, that's the way it sounds but vikgilance with respect to monitoring is the key. Sometimes, things change very rapidly.

>As background, I was being followed closely because of a history of
>preterm labor and severe preeclampsia. I also took progesterone at the
>beginning of this pregnancy, and my anticardiolipin antibodies are
>"borderline."

Obviously, the risk of pre-eclampsia is still there (1 in 3 chance).

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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