PREGNANCY-BIRTH Messages for July, 2001: Re: IUGR??

Re: IUGR??

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 31 Jul 2001 16:41:35 -0500 (CDT)

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In reply to: anonymous@obgyn.net: "IUGR??"

At Tue, 31 Jul 2001, anonymous@obgyn.net wrote: >
>IUGR?? Hi, I did not have any problems during my pregnancy. Labor was
>long. I went into labor Friday evening and my son was born Sunday
>morning. I did not progress from 1cm. Sunday morning I was 2 cm. My
>doctor broke my water. After that i dialated to about 4.5 cms. I had
>just gotten my epidural when the baby's heart beat went low(50s). My ob
>did an emergency c-section because of this. The baby was smaller than
>what we doctors had told earlier, but I believe that is common( we had
>been told he would be 7.5-8lbs. He was 6lbs, 19.5" tall). He had a lot
>of dry skin, and flabby skin although he was born 2 days before the due
>date. The ped. nurse said it looked like he had lost some weight in
>the womb or the due date was wrong. We spoke to my OBGYn about this and
>he said the ultrasound indicated that the due date was correct, so it
>might have been IUGR. I have been feeling very guilty about this since
>he lost weight in the womb, and want to find out if we can confirm this
>was indded what happened. Also, if it did should we worry about any
>long term effects. Our baby is 3 months old now. At 2 month check up
>he weighed 10.5 lbs, 23.25 inches tall and head circumfrance was
>15.25(this was 13.25 when the pediatric nurse measured him at 2 weeks).
>Thanks..

If it was IUGR, then it was quite mild. The placenta is not always able to meet all the nutritional requirements of the baby towards the end, but you can't really tell if the baby lost weight at the end, I would be willing to bet serious money that he did not. IUGR from non-constitutional causes (like Down's syndrome) is usually self limited, and the babies catch up over the first 6 months to a year.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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