Jump to content

Induction for small baby


12 replies to this topic

#1 glowlight

Posted 14 February 2014 - 08:57 AM

This is my second pregnancy and first time everything was textbook - went into labour naturally 3 days before EDD and had no major issues. This time up until last month everything was also textbook, apart from transverse position but baby turned at 35 weeks. Then my fundal height measurement started deviating from my dates (same ob measuring both pregnancies). I'm currently over 5 cm behind. I also haven't gained any more weight in the last month. I had a 12kg gain overall but this stalled and I wasn't big to begin with. Ob was concerned and sent me for 2 scans, 2 weeks apart. Both showed baby is small but gaining weight, fluid level is normal and blood flow is normal so no placenta issues that could be identified. Predicted weight at 37 weeks was 2.5kg. DS was 2.95kg at full term and I was born at 2.8kg. Ob said because of the scan results she is ok not to intervene right now but wants to induce me sometime at 39 weeks and definitely not let me go post dates (her policy is usually to go over 10 days before induction). She also wants to do a S&S next week (I'll be  38+3). I'm debating whether to agree to an induction or insist on waiting. DH wants me to insist on waiting to go naturally but there's always that 'what if..'. I know that scans are notoriously inaccurate, but I went to a reputable place where they specialise in pregnancy ultrasound and it makes sense for baby to be about this size at 37 weeks. Does anyone have any similar experiences? I am aware of induction risks.

#2 kristylee21

Posted 14 February 2014 - 09:10 AM

So baby is growing, has plenty of fluid, a good heartbeat and is measuring within normal range?? Why does he feel the need to induce you then? I would be asking for a follow up scan before any intervention and if baby is still growing normally then i would want to wait and not be induced. I've always measured small with both my babies, currently measuring 35 at 39 weeks but have had growth scans in both pregnancies show no reason to induce. dd was born 2.89kg

#3 glowlight

Posted 14 February 2014 - 10:36 AM

Thanks for your reply. The answer to those questions is yes. I already had 2 scans in the last 2 months, both normal. At over $300 a pop I can't afford any more. Baby is tracking to be close to 3kg at full term too which is similar to ds. She is concerned by the reduction in FH and lack of weight gain, that's why she wants to induce. Only because the baby kept on being on the 10th percentile and growth was steady, she is letting me go until over 39 weeks.

#4 Bunsen the feral

Posted 14 February 2014 - 10:51 AM

Wouldn't the change from transverse position explain the irregular fundal height measurements?

#5 glowlight

Posted 14 February 2014 - 11:16 AM

not really, I was only a week off or spot on eve with transverse position, now baby is head down but my FH is more than 5 weeks out.

#6 Bunsen the feral

Posted 14 February 2014 - 11:58 AM

But the change happened around the time the position changed?

FWIW My second baby's FH measurement was all over the place, some weeks up 4 cm, next week under by 2 - he was posterior, not sure if that makes a difference generally - 4.1kg baby. My first consistently measured only 1cm over dates but weighed in at a whopping 4.75kg so I'm not convinced of the reliability of FH if everything else is going ok.

#7 Wellie

Posted 14 February 2014 - 01:04 PM

I'm in a similar position to you, FH started measuring 2cm, then 4cm behind from about 20 weeks. Now am 38 weeks with FH of 31...

I've been sent for regular scans from about 24 weeks to check growth. Even though the FH seems to be lagging further and further behind, the scans have been showing growth (~20th percentile) so my Obs doesn't seem worried about it. Sorry I don't have more helpful information, other than FH not always being a good/accurate measure of growth.

View Postglowlight, on 14 February 2014 - 10:36 AM, said:

She is concerned by the reduction in FH and lack of weight gain, that's why she wants to induce.

Is she concerned about lack of weight gain for the baby or you?

Good luck!

#8 crocodilessnap

Posted 14 February 2014 - 01:27 PM

I was induced at 38wks due to a small baby (diagnosed as small for gestational age) and as the placenta function had detoriated significantly in a fortnight. My FH started to decrease at 24 weeks but they didn't become concerned til 33wks and I had growth scans every 10-14 days after that til I delivered. Added to this I also had threatened labour at 34wks that they managed to stop and periods of reduced movements. Needless to say there was a lot happening and I was on first name basis with the ladies in the maternity assessment unit.

Personally for you id request another scan at 10-14 days after your last one to see how bub is tracking. Though I understand that the $$ can be hard to part with so maybe you could ask for some ctg monitoring and if bub is doing ok then ask about just waiting for things to start naturally.

I will agree though that the fact the FH issues came to light when bub turned makes me think that may be why bub is suddenly measuring smaller.

#9 glowlight

Posted 14 February 2014 - 01:45 PM

View Postwellie, on 14 February 2014 - 01:04 PM, said:

I'm in a similar position to you, FH started measuring 2cm, then 4cm behind from about 20 weeks. Now am 38 weeks with FH of 31...


Is she concerned about lack of weight gain for the baby or you?

Good luck!

me. Baby gained 400g in a fortnight which is normal. FH issue only came to light from 36 weeks and I haven't gained any more weight since that's why ob is concerned. If it was FH on its own she would probably not worry so much. Scan was last week and all was normal other than baby in the 10th percentile which given my genetics is not  surprising. Just debating whether I should fight my ob on the induction issue or go with it since I'll be almost at EDD.

Edited by glowlight, 14 February 2014 - 01:45 PM.


#10 Wellie

Posted 16 February 2014 - 05:52 AM

Good luck whichever way you decide. At least your ob is keeping a close eye on things in case they deteriorate.

Fingers crossed you make it close to your EDD.

#11 wannabe30

Posted 16 February 2014 - 08:09 AM

Personally, I'd pay the $300 for another scan in a few weeks.

But if the money is really an issue, can you ask to have the scan done at the hospital on Medicare?

#12 Soontobegran

Posted 16 February 2014 - 08:25 AM

I understand why you are confused. All seems to be progressing normally and some babies are born smaller than average......that is why there is an average BW of 3.4.....some are bigger and some are smaller.

That being said I do not think it is a bad thing that your obstetrician is being vigilant as when term approaches there is a natural reduction in placental well being and amniotic fluid levels which could result in a drop in nutrition for an already small baby.

I'd be arguing the need to induce at 38.8 but I'd definitely want another ultrasound to check things are still tracking along happily.
Can you possibly ask to have it done at an U/S place at a major public hospital to reduce costs?

Lots of luck.....

#13 glowlight

Posted 18 February 2014 - 08:17 PM

Thank you for those replies. Saw my ob today. I've gained a kilo and FH increased by 2cm so didn't have a S&S. Waiting to see how it goes next week. Hoping to go into labour naturally then like I did with ds:)



Reply to this topic



  


0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users

 

Share the little things that make you smile

We're giving away a Mountain Buggy nano, the ultimate travel stroller - and here are some of the great entries so far.

Toddler pleads for return of "stolen" nose

A two-year-old's reaction to a game of "got your nose" shows it doesn't take much to make a toddler cry.

The 15 photos new parents share (and five they don't)

From the first scan photo to the baby covered in cake at their first birthday party, there are 15 photos most parents seem to share - and some they don't.

Doctor sings first Happy Birthday to newborns

His job is to deliver babies, but this US obstetrician also has a unique way of celebrating the miracle of life.

Breastfeeding friendly café goes viral

A photo of a breastfeeding-friendly sign in a cafe has been posted to Facebook and shared by hundreds of mums around the world.

First look at the Bugaboo Bee3

The newest Bugaboo Bee ? the Bee3 ? offers a variety of improved features, including a much asked-for bassinet and a rainbow of colour combinations.

Childcare costs, not paid leave, the real issue for parents

Given the choice between maintaining their wage for six months to have a child, or having a reduced rate of pay for a time but a better deal on childcare when returning to work, there are no odds on what most working parents would choose.

Win a Mountain Buggy nano

We?re giving away the new Mountain Buggy Nano - the lightweight travel buggy! So show us the little things that make you smile for your chance to win.

We lost three babies in two years

Our first pregnancy ended the way we all expected it to - with a healthy, happy baby in our arms. What a true blessing he was, for we were not to know the heartache we were about endure.

Family turned back from doomed flight MH17

'There must have been someone watching over us and saying, 'You must not get on that flight,' says mother who narrowly avoided boarding the Malaysian Airlines flight which exploded in mid-air over the Ukraine last night.

The myths and facts about "normal" breastfeeding

When it comes to successful breastfeeding, there is a wide variety to what is "normal", according to new research.

Adorable Skeanie loafers for kids

Your little toddler or preschooler can now get their nautical on with a new range of classic loafers by Australian show brand Skeanie.

My baby is hypermobile

For months, I have been telling myself not to worry that Jasmin isn't crawling or walking. This week I heard the term hypermobile for the first time.

When you don?t bond with your baby

They say that there is no bond greater than the bond between a mother and her child. But for some women, the mother-baby bond takes more time and effort to develop.

Yumi Stynes: Having a baby after a 10-year break

After a long break, Yumi Stynes gets a reminder of the pain - and the pleasure - of giving birth.

Grieving father asks for help to Photoshop his daughter's image

When Nathan Steffel's daughter Sophia died from a liver condition at just 6 weeks old, he reached out for someone to create a beautiful image of his little girl.

Raising kids in a 'low media' home

Can you imagine a life without TV or computers? Some parents are opting for a low-tech, screen-free life for their kids.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Win a Mountain Buggy nano

We?re giving away the new Mountain Buggy Nano - the lightweight travel buggy! So show us the little things that make you smile for your chance to win.

Be careful what you say, your baby is listening

The importance of speaking to your baby even if they are not old enough to answer back has been highlighted by new research.

The beautiful moment a baby was born at the side of a road

It's not where she expected to give birth, but mum Corrine Cinatl is delighted that her daughter's roadside arrival was captured in a series of beautiful photos.

Doctor sings first Happy Birthday to newborns

His job is to deliver babies, but this US obstetrician also has a unique way of celebrating the miracle of life.

The Nappy Collective starts new drive

It's that time of year when the dedicated volunteers at The Nappy Collective do their bit to help out mums and children in need - and they need your help.

Baby shower cake wrecks

From misshapen cake babies to questionable text, from odd colour choices to internal organ recreation, these are the baby shower cakes that taste forgot.

Photographer captures the beauty of adoption

The love of a family is usually tough to capture on camera. This is an exception.

Pregnancy progression photo ideas

Want to record your pregnancy as your belly grows? Here are some creative, fun ideas for photo shoots along the way.

The myths and facts about "normal" breastfeeding

When it comes to successful breastfeeding, there is a wide variety to what is "normal", according to new research.

Tin can craft and DIY ideas

Got a few old formula, Milo or coffee cans around the house? Use these fantastic upcycling ideas to create items for around the house and yard.

Dads meet their newborn for the first time

Emotional photos of two fathers meeting their newborn son have resonated with viewers worldwide, attracting thousands of Facebook likes and shares.

Skin safety isn't just a summer worry

Lax about the slip slop slap with your kids as weather turns cooler? Here's a reminder as to why we have to remain vigilant for our children?s future health.

Personalised baby gifts

We've scoured the internet to find gorgeous personalised keepsakes and nursery decor to record baby name and dates. They make great gifts for christenings, name days and birthdays! (All prices in AU.)

Creative sleeping baby photoshoots

See how some parents and photographers have captured sleeping babies in unusual positions and using different props.

DIY kitchen and food hacks

DIY your way to a better kitchen and make cooking easier with our clever hacks. (Some content reproduced with permission from mashable.com.)

Winter warmers for babies and toddlers

Your baby or toddler will be nice and snug in these beautiful and fun winter pieces. Most are hand-made or knitted, and they're all designed to keep your little one toastie - and adorable!

 

Mind, body, beauty, life

Making time for me

We look at your wellbeing, covering health, relationships, beauty and fashion, mind and body.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.