Re: [ozmidwifery] IUGR

[Anne Moore]

there is a margin of error of estimated dates and also uss dates 1-2 weeks size would be a normal range. there is also a big difference between a genetically small baby and a iugr baby. which has significant placental disfunction and reduced liquor volume, most commonly diagnosed at the 30-34 week gestation. at 27 weeks i would be highly suspicious of a diagnosis of iugr, in all my years in practice as a LMC it was extremely rare usually associated with hypertension or chemical/ solvent abuse etc etc. a second opinion is definatly called for and if required a tertiary uss doppler studies etc. as all uss are not equal. since working over the last 3 years in the australian public system, the number of women induced fro "IUGR" and birthing a 2800-3000 gm baby at 37-38 weeks gestation is amazing, we also have 4000gm "IUGR" babies at Term !! fetal movement and adequate liquor volume are good clinical indicators if uss is not a option, as well a maternal instinct, especially if this is not a first baby. hope this helps anne.   ----- Original Message ----- From: Judy Chapman To: [EMAIL PROTECTED] Sent: Sunday, January 12, 2003 7:05 AM Subject: Re: [ozmidwifery] IUGR Also, why, if he is so worried is he not doing doppler studies etc. As Andrea says, doppler and palp are notoriously inaccurate. Judy From: Andrea Quanchi <[EMAIL PROTECTED]> Reply-To: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] IUGR Date: Sat, 11 Jan 2003 12:30:53 +1100 lieve, I find doctors in general pretty baby assessors of fetal size by palp and u/s at thi sgestation is always out by 1-2 weeks anyway. I would suggest she get a second opinion before she lets anyone convince her that birth at 29 weeks is an option for this. Surely the risks of birth at 29 weeks are enough to not electively contemplate it in a mother who is OK and has an active baby on board. Encourage her to listen to her instincts. Andrea Quanchi On Saturday, January 11, 2003, at 01:12 AM, Lieve Huybrechts wrote: >Dear list, >I got a phone call from a mother. She is 27 weeks pregnant. Her gyn >told her >the baby has a growth retardation of 1-2 weeks. He told her to lay >down on >her left side for an hour three times a day. He pretty scared her of >by >telling her when the baby didn't have a growthspurt in a >fourthnight, he had >to get the baby because the placenta was not well enough.The baby is >very >active and the mother had a very good feeling of her pregnancy. She >had a >previous c-section 11 years ago for breech baby and she is 35 years >old. > >Do you have any tips for her to improve the placenta function? > >Warm greetings >Lieve > >-- >This mailing list is sponsored by ACE Graphics. >Visit to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. Help STOP SPAM: Try the new MSN 8 and get 2 months FREE* -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe.