Jump to content
Uterine Growth Development
15 replies to this topic
Posted 08 April 2012 - 11:02 PM
If a baby is born at 4kg is it considered a healthy weight? or is it only considered a healthy weight if the length is considered a healthy length?
What if that 4kg baby is 60cm long at birth - is it still considered healthy because it is 4kg, or is it considered underweight / IUGR because it does not even make the 3% on the height/weight WHO charts?
Posted 08 April 2012 - 11:46 PM
Are you talking about a girl or a boy?
60 cm long is off the charts for a newborn, and 4 kg is a great weight! Not sure where you got the 3rd percentile from.... Are you sure the baby was 60 cm at birth - 55 cm is above the 99th percentile for length....
Posted 09 April 2012 - 12:12 AM
I was certain I replied to this... *sigh*
Baby was a boy.
as you can see from the charts, not anywhere near the 3rd percentile..
So does that equate to IUGR, or not because he was 4kg?
Posted 09 April 2012 - 12:20 AM
I must admit I have never seen a baby born at 60 cms. Even the very large macrosomic babies of 5kg+ are still approx 53-56cms.
One would expect a baby of 60 cms to weigh about 6-7 kgs and be several weeks old to be on approx the 50th percentile so I can see how a newborn that was 60cms long could be viewed as growth restricted when weighing 4kg even though I haven't seen it happen and the weight alone is above average.
I probably haven't helped with your question at all...sorry.
Edited by soontobegran, 09 April 2012 - 12:24 AM.
Posted 09 April 2012 - 12:53 AM
I have heard of a number of other babies born at 57/58/59 cm, but they were all around 5kg / 11lb.
I have been researching Potassium effects on inter-uterine growth of the fetus, as there are hints that this can cause IUGR. My potassium levels were above 6.8
As I said, this baby was stillborn (my Avery). I still believe that he was not a "normal" baby.. but chromosomal tests were unable to get results.. and I have not got autopsy results back. I wonder about stroke or other issues in utero. (he had low muscle tone on the left of his body)
It appears I had "Rapidly reversible acute renal failure from ureteral obstruction in pregnancy"
thanks for taking the time to read all of this..
Posted 09 April 2012 - 09:42 AM
studiobird - I am sorry to read of your loss of Avery. My heart goes out to you.
I am not a medical professional but from my understanding of IUGR, it is based on weight. Head circumference is also taken into consideration to determine whether it is asymetric or symmetric IUGR. I have had preterm babies and 2 of my babies were not even measured for length until they were over 1 week old. Both of these babies were short for gestational age but were classed as low birth weight not IUGR as weight was higher than 3rd%ile. Length was not taken into consideration until they were older (6+mth) and then it was used to determine weight/length percentiles in diagnosing "failure to thrive". My preterm baby was beside an IUGR baby in SCN and although she was lighter than him she was quite a lot longer than him.
I am not sure if this helped at all but I hope that you find some answers.
I have heard of a number of other babies born at 57/58/59 cm, but they were all around 5kg / 11lb.
My SIL baby was in this category 57cm and 10lb10. My sister's DD was 57cm long and just under 9lb. She was not classed as IUGR. The comments from the midwives were that she was a "very long baby". Both of these babies were born 12+ days past EDD.
Posted 09 April 2012 - 09:57 AM
I wondered if you were talking about Avery. I am so sorry, he is such a beautiful baby. I have been wondering how you are doing and whether you were able to get some answers as to why he was not born alive.
Those are some really awful potassium levels Studiobird and I presume you that aside from making you very sick that they would very sadly have an effect on the intrauterine health of your little boy.
Edited by soontobegran, 09 April 2012 - 10:01 AM.
Posted 09 April 2012 - 10:20 AM
soontobegran - no, we have not had answers. I do not have the autopsy results yet.
I was in ICU after he was born. Yet, I did not feel sick at all. I am starting to believe that my uterus caused a partial bilateral blockage that affected my potassium levels and his weight development. Then when my waters broke (as he was not fully engaged) he compressed the urethra to cause a complete blockage from both kidneys causing rapidly rising potassium levels. I also believe that my high consumption of quickeze may have held some of the symptoms at bay early in the piece (the calcium and magnesium in the quickeze lessening the effects of the potassium).
They are all theories. But basically the Renal Specialists and the OBs had never seen anything like it. I was producing no urine before he was removed, and then started producing urine in theatre immediately.
All the studies I can get are old old old. it is so rare.
I am going to get my notes to get more information to try and piece it all together.
As for me...
I am OK. Good, and Bad. I had a miscarriage in January that tipped me off a cliff... but I am getting there. I spoke in front of 300 people last week about Avery and that was very cathartic.
It is just a day by day thing.
Writing, searching for answers, stepping one foot first, then the other... it all helps.
Posted 09 April 2012 - 10:29 AM
I am sorry for your loss.
Were you labouring for a long time prior to the caesarean?
Is it possible that your acute renal failure was due to true, prolonged, obstructed labour?
Acute renal failure would quickly lead to very high potassium levels.
Posted 09 April 2012 - 12:12 PM
Yes, the potassium levels were definitely caused by obstructed labour / obstructed urethra. As soon as he was removed kidneys started functioning again.
But it is also a consideration that I had prolonged pressure on the kidneys before labour started too..
Posted 09 April 2012 - 12:30 PM
Oh, the acute renal failure was caused in labour.. we know that. I guess part of it is whether there was issue in pregnancy (that could have lead to high potassium levels and subsequently affected Avery).
He was long... super long... but ONLY 4kg. which is a healthy weight - until you put it with his length...
But I do also think there may have been something wrong with him...
I have to get my records, speak to the social worker and find out about the autopsy stuff... ugh.
Posted 09 April 2012 - 12:40 PM
I know of a baby that was 60 cm and weighed 4.2 kg at birth. She's a very tall 7 y.o. now. She was born to tall parents though, so they just thought they were destined to have 'long' babies. It's the only one that I know of though.
Posted 09 April 2012 - 02:23 PM
I only had bloods done in very early pregnancy. I opted not to have others. But I did have a 20 week ultrasound / morphology scan.
My husband and I are both 160cm tall. but the boys in my side of the family are big...
Posted 09 April 2012 - 02:35 PM
If your acute renal failure was caused by obstructed labour then it would be highly unlikely to have started earlier in your pregnancy.
Acute renal failure and chronic renal failure have different pathologies and you would not have recovered from chronic renal failure as rapidly.
edited to remove other discussion related to obstructed labour. I did not mean to be insensitive.
I am so so sorry for your loss.
Edited by anotherid, 09 April 2012 - 02:56 PM.
Posted 09 April 2012 - 03:51 PM
I lost our first son Kobi 2 years ago this Wednesday and when he was born I was told that he did not look like he was growth restricted. He was almost 7 pounds and was 56cm long.
We opted for a limited autopsy based on a clotting condition I have and it was found that in fact he was growth resticted based on the measurements of his liver, kidney,and very low fat stores, for his weight and length they were undersized.
We have since had another son born prem at 34 weeks due to his growth suspected of slowing, he will be 1 in a couple of weeks and I am now also 17 weeks pregnant again. Losing a child dosen't go away and I have been a very stressed, anxious person with every pregnancy since losing Kobi but in the end we had to believe that with the right treatment and monitoring we would get there.
I hope you get the answers you are looking for we saw mulitple sepecialists before trying again because it was important to do everything we possible could to get a positive outcome. Keep asking questions if this is what you need.
Posted 09 April 2012 - 04:21 PM
The fact that your renal function recovered so promptly and has not been an issues since would infer that this was just an acute manifestation caused by the obstruction but I can understand why you are questioning whether you did have some pregnancy related renal problems as well that meant that Avery's health was compromised before you ever laboured.
I do hope you will get the answers eventually studiobird. I feel strongly that if your maternal instinct makes you believe that he was not well then you are probably right.
My heart aches for you when I look at those beautiful photos.
2 user(s) are reading this topic
0 members, 2 guests, 0 anonymous users
Today, on White Ribbon Day - and every other day - we're teaching our son to say no to violence against women.
If there is one thing the owners of Tillings Cafe can be certain of, it is that the eatery won't win the award for Britain's best baby-friendly coffee shop any time soon.
A woman who admitted to dumping her newborn baby down a Sydney drain has reportedly been allowed to give him a name.
Are you feeling used up by life's stress, family problems and a demanding job you can't turn off? Many people are way beyond work-life exhaustion. They are functioning as robots.
The world's biggest chocolate-maker says we're running out of chocolate.
A baby who was born at 23 weeks has survived her first week of life outside the womb.
It might sound like temporary insanity, but almost obsessive nesting as you near your due date isn’t uncommon – even if you’re not usually a particularly clean person.
The baby found abandoned in a Sydney drain may have been alone for up to six days without being fed, leaving many asking how he could have survived.
A child's excitement at Christmas time is a beautiful thing, but one dad ponders whether his toddler daughter is getting into the festive mood a bit too soon.
A new experience is radically altering men's views of childbirth.
Italian police have placed 12 doctors under house arrest on suspicion of promoting baby milk formula over breastfeeding.
Cara Simmons arrived at work to clean a large and beautiful house in time for a party planned for that evening. It was soon hers.
Every now and then your child does or says something that is truly memorable.
A few weeks ago, some dear friends of mine had their first baby. As the proud dad texted me a picture I had to fight the natural instinct to say “Enjoy every moment!”
Footage of Australian babies and children sleeping in their bedrooms are among the images on a Russian site showing live feeds from thousands of homes and businesses around the world.
Was there really a man who was actually there by his wife’s side as she laboured and gave birth to his child, all while he was making what he perceived to be meaningful eye contact with a midwife?
Tantrum Trolls are a small but growing species of predatory bottom-feeders who delight in picking on parents at their most vulnerable.
The death of children, siblings, and parents has long term impacts on the rest of our lives.
Love has nothing to do with mental illness. But love may drive a mother to do something about it.
We have a beautiful seven-month-old son, and his allergy rules our life.
A transgender man who breastfed his first baby - despite having his breasts removed as part of his transformation from female to male - has now had a second child.
A Canadian couple were slammed with a million dollar medical bill after their daughter was prematurely during their babymoon.
One in every five dollars spent at supermarkets goes on cigarettes or junk food, according to industry data.
There is no doubt mums have a right to continue breastfeeding after they have returned to work, but one teacher in the US has taken it to the extreme.
We have 4 family passes to give away to see Disney Live! presents Three Classic Fairy Tales, touring Australia this December/January.
Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.
Top 5 Articles
To celebrate the release of PADDINGTON, we are giving five lucky winners the chance to win a family pass to the exclusive Australian Premiere in Sydney on December 7!
We were green and uninitiated, perhaps a little naïve when it came to the favourite toy responsibility.
She looks him up and down and then touches his chin, but baby Lindsey still isn't sure this clean-shaven man is her dad.
Medical experts say intense fitness routines can be done safely during pregnancy - if the mums-to-be follow some guidelines.
Are our hopes, dreams and expectations for our children what they really need?
Before even giving birth, Katie Myers' maternal instincts warned her something was wrong with her baby.
Some dads-to-be don't miss a beat when their partner is pregnant; others struggle with a range of issues and can become withdrawn, right when their support is needed most.
Katharine and Kris Camilli devised a clever trick to immortalise their family and friends' reactions to their exciting pregnancy news.
"After 30 years on television, I had become what I despised: a painted doll who spent an hour a day and close to $200 a week putting on a mask."
I am secure, confident and strong, but the responsibility of protecting my children can almost bring me undone.
There are so many ways in which parenthood changes us as women, but one of the most noticeable, for me, has been the changing state of my emotions.
Baby Maia was conceived against the odds, only to find she was sharing a womb with an ominous "foreign body".
They say dog is man's best friend, but this playful pooch seems to have chosen a jumping baby as her number one buddy.
New paernts can get frustrated when their newborn gets fussy and can't settle down. When you're feeling overwhelmed, try some of these simple tips to help soothe your baby.
The data-lovers at nameberry.com have been at it again – this time, they’ve discovered the names that are continually rising up the ranks, ready to take out some top spots in the next few years.
Ideally, you want to give food that isn’t expensive to make, isn't too difficult to create, and freezes well; stews, bakes, soups and pasta sauces are perfect.
Some pregnancy products come to market and are just awesome. Others just leave you scratching your head.
Two children who were given to the wrong families at birth will soon learn if they will be returned to their biological parents.
How many weeks til Christmas?
Get the "Santa" shopping done without the kids in tow.