PREGNANCY-BIRTH Messages for May, 2002: Re: 2nd percentile?????

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Re: 2nd percentile?????

From: Garry E. Siegel, M.D. (anonymous@obgyn.net)
Tue, 14 May 2002 20:40:43 -0500 (CDT)

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In reply to: kimberly: "2nd percentile?????"

At Mon, 13 May 2002, kimberly wrote: >
>i have a baby (now almost 29wks)who has been monitored closely via u/s
>throughout my pregnancy (due to hx of a stillborn and insulin dependent
>diabetes-dx'd at 6wks pg). a perinatologist did the last u/s and said
>the baby was small-about 2lbs at 27wks, was asymmetrical (abdomen
>further behind other measurements), but otherwise appeared normal.the
>baby had gained about 10oz from the previous u/s done at my regular ob's
>office 2 wks previous. today i returned to my reg ob office for another
>u/s (12 days post perinatologist) and the baby didn't seem to gain as
>much-he now weighs 2lbs 4oz. my question is twofold. first, the tech
>who did the u/s today said the baby was in the 2nd percentile but was
>still within normal range. is this possible? i mean, at what point do
>they consider the baby out of normal range? it seems to me we can't go
>much lower. second, do you think the variable weight gain could have to
>do with 2 different facilities performing the u/s's? i'm concerned b/c
>my stillbirth occured at 29 1/2 weeks and she had iugr as well though we
>had no idea until she was born. thank you so much for any information
>you can provide.~kimberly

Hi Kim:

2nd percentile is below the normal range, and if the abdomen is lagging, that makes me think of IUGR a bit.

There can be variation between facilities. If possible, it would better if the perinatologist's office did the scans. Also, if you had a stillbirth at 29 weeks due to IUGR, I would expect that weekly monitoring (or more often) is warranted.

Kim, I would like to know what the prenatal plans are, and what happens. Will you be kind enough to keep me updated periodically on MONDAYS only, and put "Attention Dr. Siegel" in the subject. Also, a quick blurb to remind me of your story (like your age, diabetes on insulin, any other factors) would be appreciated.

My fingers are crossed.

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA

No private emails; this advice does not constitute a doctor-patient relationship

Next message: Garry E. Siegel, M.D.: "Re: second cerclage"
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In reply to: kimberly: "2nd percentile?????"

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