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Re: PREGNANCY: PIH and IUGR
From: Ashleigh (anonymous@obgyn.net)
Wed, 19 Mar 2008 22:22:16 -0500 (CDT)
Thank you for your input. I went in today b/c the baby wasn't moving as
much as usual ... the NST was nonreactive so they sent me for a BPP
that he passed in 10 minutes. She indicated that the blood flow to the
placenta has improved since Monday. I am SO excited to hear that news.
The baby hasn't grown in two weeks but my hope is that with increased
blood flow to the placenta he will begin to grow again. I am supposed
to go back for another NST on Monday ... it seems so long to go from
Wednesday to Monday without the reassurance of hearing his heart on the
monitors!
Thank you again for your help!
At Wed, 19 Mar 2008, William F. von Almen, II, MD, FACOG wrote:
>
>Ashleigh
>
>Sounds like the docs are monitoring you well. It is a fine line to walk
>between delivering prematurely and risking the baby's health. Close
>monitoring is the halmark and frequent visits provide that as do
>frequent monitoring and ultrasounds.
>As far as baby health at this stage, that is better asked of the
>neonatologist. We do know that often the stress of PIH will lead to
>advanced maturity of the baby...Dr. von Almen
>
>At Tue, 18 Mar 2008, Ashleigh wrote:
>>
>>I've been diagnosed with pregnancy induced hypertension and
>>intrauternine growth restriction. My baby dropped from the 19th
>>percentile 2 weeks ago to less than the 3rd percentile this week. We're
>>obviously very concerned about this as it appears he hasn't grown at all
>>in two weeks.
>>
>>I just would like a second opinion (though I know that it is very
>>dependent on my individual case so the doctors here may not be able to
>>give an opinion).
>>
>>My doctors want to wait as long as possible to deliver him so that his
>>organs can develop. But I'm terrified that if he's not growing that he
>>will die inside of me. Is it more dangerous to leave him inside or take
>>him early? I am at 30 weeks 3 days today. He weighs approximately 2 lb
>>3 oz.
>>
>>Also, what kind of problems will he likely face after birth? I didn't
>>ask yesterday at the hospital and I don't go back until Thursday and
>>would like to be prepared for whatever news I get then.
>>
>>Thank you.
>
>--
> 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 emails cannot be entertained due to time
> constraints; consequently, they will receive no response.
>
>William F. von Almen, II, MD, FACOG
>Private Practice
>New Orleans, La.
>
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