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Re: Help regarding IUGR??

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 30 Aug 2000 15:31:09 -0500 (CDT)


At Wed, 30 Aug 2000, Nancy wrote: >
>I am 22.5 wks pg and my baby has intrauterine growth retardation,
>measuring around 18-19 wks. I have a bicornuate uterus and had bleeding
>at 11 wks. I was also on progesterone suppositories because my level
>was low. I have had every test -amnio, cystic fibrosis, cmv, ana,
>antiphospholipid antibodies, and they have all come back normal. The
>baby is behind symmetrically which means the head isn't growing very
>well. My doctor says the prognosis is poor and suggests induction. I
>went today for a final u/s, and the heart is still beating and the baby
>grew. I am supposed to go in for induction, but am afraid I'm giving up
>too easily. Anyone else with similar experience? I feel I need more
>info. Please help!!

Nancy, I certainly feel bad for you in that you are in a difficult place. My reservation comes in not having a diagnosis. Certainly there can be syndromic things that will have normal chromosomes and cause this kind of thing. Also there are skeletal dysplasias that can also cause this with a normal karyotype. You have to understand that you do not have to have an induction. Another option would be to manage things expectantly and see what happens. The growth issue is a big item. Depending on the solidarity of the dating, there is a variation of 1+ weeks at this gestational age. If the dates are not solidly accurate, then the growth restriction may not be as pronounced as thought. I would just make sure that the calculations and comparisons are being made appropriately... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)




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