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Re: 37 week ultrasound quest

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 3 Jul 2002 18:06:25 -0500 (CDT)


At Wed, 3 Jul 2002, Betty wrote: >
>Hello,
>I will be 38 weeks tomorrow. Last ultrasound was at 37 weeks last
>Thurs. to monitor growth since I was measuring 1 week behind at 20
>weeks, 2 weeks behind at 31 (3lbs) and 34 (4 lbs) weeks and now at 37
>weeks I was
>closer to 3 weeks behind. Fetal weight is estimated at 5.5lbs. All
>other
>areas of US and organs were normal. AFP triple screen and GD test
>normal.
>Dr. believes just a small baby (boy). Dr. not overly concerned. I
>was a tad under 5lbs at 37 week
>birth 33 years ago and my husband was 6.5 for a twin 38 years. ago.
>
>QUestions:
>1) What percentile is my little guy in with weight of 5.5 lbs?

5# 8 oz is the 10th %ile at 36 weeks. US weight estimation is plus or minus 15 %15% of 5.5 pounds is about 15 ounces. So that means that if US says 5.5 pounds, 90% of babies will be between 4.5# and 6.5#. The other 10% will be above or below that.

>2) Is this suggestive of IUGR?
>3) How concerned should I be about measuring this much behind at these
> dates? Could he still be a decent weight at birth?
>Thank you for your valuable advice and happy holiday to all.

--
R.Daniel Braun, MD  FACOG   FOG
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