--
Marisa Geller M.D.
Coordinator Obgyn.net Latina
Specialist on Obstetrics and Gynecology
Specialist on Fertility and Sterility
Buenos Aires
Argentina
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.
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>----- Original Message -----
From: "Char" <anonymous@obgyn.net>
To: "Multiple recipients of list PREGNANCY-BIRTH"
<pregnancy-birth@mail.medispecialty.com>
Sent: Friday, February 28, 2003 7:30 PM
Subject: Concerned about 22 week ultrasound result -- IUGR?
> I had a routine ultrasound at 19 weeks. At that time, the baby was
> active, and in such a position that the technician could not see the
> heart adequately, so I needed to come back for a follow-up. Following
> the first U/S, my doctor said, "Well, this is not a gigantic baby". I
> asked him what this meant, and he said to wait until we get the
> measurements from the next ultrasound.
>
> This week -- follow-up ultrasound at 22 weeks. The baby was active. I
> asked for a length measurement, and the technician said they don't do a
> length measurement, but the estimated weight was 11 oz. I called today,
> intending to speak with the doctor about the results. The receptionist
> told me that the results indicated small measurements, and the doctor
> would talk with me about it during my next appointment, which is 5 weeks
> away (I'm traveling for business most of this month). The doctor also
> wants another U/S at 28 weeks.
>
> We are certain of my conception date, as this is a donor insemination
> pregnancy, and I had an U/S due to some vaginal spotting at 14 weeks,
> which indicated normal measurements for gestational age.
>
> I understand that there is a margin of error with U/S measurements and
> estimated weight calculations. However, I found a table that lists 368
> grams as the 10th percentile for 22 weeks gestation, and now I am very
> concerned about waiting a month to talk to my doctor about this. Should
> I seek a second opinion? I will be out of state -- will I be able to
> find an OB to give me a second opinion when I will not become a
> "full-term" patient? Am I over-reacting?
>
> Much thanks,
> Char
>
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