Tuesday, 22 April 2014

Rollercoasting

I had my checkup today and the doctor was concerned because the fundus measurement was only 32 cm and I hadn't gained any weight for four weeks.

Well, it didn't seem like I'd gained any weight since my weight measurement was the same as my first visit to the new hospital when the midwives were concerned about my 10kg weight gain over the course of my pregnancy to that point.  I did notice my belly seemed to have moved down a bit a few days ago, but at nearly 35 weeks was hoping Pickle was starting to think about dropping into position for birth.

Anyway, I was referred for an ultrasound for suspected IUGR.

IUGR stands for Inter Uterine Growth Restriction (or Retardation depending on who you ask).  It means the baby is not growing as expected for dates.  This could be due to issues with the baby (eg genetic), issues with the mother (eg poor nutrition, drugs) or issues with the gestation (eg failing placenta, blood restriction).

After re-confirming my age and the fact that I had not had the usual 12 week genetic screening, the doctor referred me to a private clinic because the hospital ultrasound department was overbooked.  The ultrasound was precautionary to see if the baby was indeed not growing and check for gestational issues.  If there were issues I would likely be asked to immediately return to the hospital for an induction.

What?

Gah!  Not what I want at all.

I was lucky the private clinic could fit me in this afternoon so only had a few hours to stress about it.  It turns out that everything is fine with Pickle, in fact measurements taken during the ultrasound show Pickle is actually a tiny bit larger than average (60th percentile).  Whew.

(Now I REALLY think that the scales the midwives used to weigh me at that first visit were incorrectly calibrated.)

However the reason the fundus measured small is that Pickle has turned from the vertex (head down) position noted at my last appointment two weeks ago to a transverse (sideways) position, with the head to my left not far above my belly button and the legs up by the face, so the top of the uterus has dropped and I have bits of baby sticking out my sides.  Comfy.

Not.

I was just coming down from the adrenaline rush of worry about Pickle's size when the obstetrician manning the ultrasound casually mentioned in closing that transverse babies seldom move into position and I'll require a caesarian section at 39 weeks.

Gah!  Not what I want at all.  Re-trigger adrenaline.

My next point of call is a site I came across when I was looking for birthing ball exercises called Spinning Babies.

And breathe...

4 comments:

  1. Ack!! What a roller coaster. I love the spinning babies site. Really hope pickle likes it too and gets turned around!

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  2. Oh gosh! what a rollercoaster indeed. That so doesn't sound fun. It is good to hear Pickle's growth is on target though. I didn't realize that babies would pick a position and some point and then hang out there for another month. Do they get too big and not want to turn much anymore?

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    Replies
    1. The OB operating the ultrasound seemed to think that there would be no room for the baby to turn in the next five weeks, but the interwebs turn up plenty of anecdotal evidence that babies continue to change position up to (and including) labour so I'm just going to work on my posture and hope for the best.

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