Re: [ozmidwifery] IUGR

[Robyn Dempsey]

I've had 2 women with previous babies diagnosed 
with IUGR, for some reason, a visit ( or two) to the osteopath seemed to make 
the difference in all cases. Something spurred the bub to grow, if indeed there 
was a problem to begin with!
Just a thought.
 
Robyn Dempsey

  - Original Message - 
  From: 
  Kelly @ 
  BellyBelly 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, October 10, 2006 9:53 
  PM
  Subject: RE: [ozmidwifery] IUGR
  
  
  Thank-you very much 
  Christine and Mary. She’s been hoping to be able to go into labour 
  spontaneously for the first time, so we’ll find out more soon I guess. 
  Thank-you!
   
  
  Best 
  Regards,
   
  Kelly 
  Zantey
  
  
  
  
  From: owner-ozmidwifery@acegraphics.com.au 
  [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary MurphySent: Tuesday, October 10, 2006 9:39 
  PMTo: ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] 
  IUGR
   
  The important 
  measurement here is the abdominal circumference.  4 weeks below gest age 
  indicates IUGR.  The next important measurement is U/S Doppler 
  flow.  This, + Amniotic fluid levels are the most reliable indication of 
  baby’s health.  Reverse Doppler flow the most ominous.  
  MM
   
  
  
  
  
  From: 
  owner-ozmidwifery@acegraphics.com.au 
  [mailto:owner-ozmidwifery@acegraphics.com.au] 
  On Behalf Of Christine 
  HollidaySent: Tuesday, 10 
  October 2006 6:14 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: RE: [ozmidwifery] 
  IUGR
   
  The BPD is Bi-Parietal Diameter and is 
  the width of her baby’s head.  She should really ask her midwife what 
  this means as I believe this would indicate IUGR and that close observation is 
  wise including a follow up USS in a few weeks to monitor growth as this may 
  have slowed.  On the bright side the baby may have been breathing in when 
  they measured it which gives a false reading, I presume thought that they 
  watched for a while before taking the measurement to try and ensure this was 
  not the case.  It is difficult to give advice with just a snapshot of a 
  woman’s pregnancy and I may have a different opinion if I knew the woman and 
  her whole history.  Hope this helps.
  Christine
   
   
  -Original 
  Message-From: 
  owner-ozmidwifery@acegraphics.com.au 
  [mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Kelly @ 
  BellyBellySent: 10 October 
  2006 18:34To: 
  ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] 
  IUGR
   
  A mum 
  and dear friend I am supporting is due on November 9th and has had 
  two previous IOL for IUGR. At her scan today, she said:
  ”Head 
  Circ around 31cm just a couple of days off Gestational Age... aka 
  perfectLeg bone length - Perfect about 4 days off Gest AgeBPD (not 
  sure what that is) - Approx a week under Gest AgeAmnio Levels - Perfect 
  Blood flow through cord - PerfectAC (stomach circ) - 4 weeks below 
  gestational age - she checked it 3 times. So they graphed it and the 
  computer automatically plotted it and gave a weight reading. 4lb 11oz the computer was saying give or 
  take 13% on each side of that. So looks like another tiny baby on my hands. 
  Now we have to sit and wait what they say at my next antenatal appointment, at 
  my last she said if there is an issue she may call me in early.They 
  checked this scan against Kameron and Lachlans too at the same gest age and 
  Ashton is not far off what they were predicted for both the boys. Lachlan at 35wks 1 day they predicted 4lb 9oz. I am 
  35wks 5 days today. So pretty much the same, so I am expecting a 6lb something 
  to be born.”
   
  Can 
  anyone offer and insight into this – is it an indicator that IUGR may be 
  diagnosed again?
   
  Best 
  Regards,
   
  Kelly 
  Zantey
   
   

RE: [ozmidwifery] IUGR

[Kelly @ BellyBelly]

Thank-you very much Christine and Mary. She’s
been hoping to be able to go into labour spontaneously for the first time, so
we’ll find out more soon I guess. Thank-you!

 



Best Regards,

 

Kelly Zantey











From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Mary Murphy
Sent: Tuesday, October 10, 2006
9:39 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] IUGR



 

The important measurement here is the abdominal
circumference.  4 weeks below gest age indicates IUGR.  The next
important measurement is U/S Doppler flow.  This, + Amniotic fluid levels
are the most reliable indication of baby’s health.  Reverse Doppler
flow the most ominous.  MM

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Christine Holliday
Sent: Tuesday, 10 October 2006
6:14 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] IUGR



 

The BPD is Bi-Parietal Diameter and is the width of
her baby’s head.  She should really ask her midwife what this means
as I believe this would indicate IUGR and that close observation is wise
including a follow up USS in a few weeks to monitor growth as this may have
slowed.  On the bright side the baby may have been breathing in when they
measured it which gives a false reading, I presume thought that they watched
for a while before taking the measurement to try and ensure this was not the
case.  It is difficult to give advice with just a snapshot of a
woman’s pregnancy and I may have a different opinion if I knew the woman
and her whole history.  Hope this helps.

Christine

 

 

-Original
Message-
From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Kelly @ BellyBelly
Sent: 10 October 2006 18:34
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] IUGR

 

A mum
and dear friend I am supporting is due on November 9th and has had
two previous IOL for IUGR. At her scan today, she said:


”Head Circ around 31cm just a couple of days off Gestational Age... aka
perfect
Leg bone length - Perfect about 4 days off Gest Age
BPD (not sure what that is) - Approx a week under Gest Age
Amnio Levels - Perfect 
Blood flow through cord - Perfect
AC (stomach circ) - 4 weeks below gestational age - she checked it 3 times. 

So they graphed it and the computer automatically plotted it and gave a weight
reading. 

4lb 11oz the computer was saying
give or take 13% on each side of that. So looks like another tiny baby on my
hands. Now we have to sit and wait what they say at my next antenatal
appointment, at my last she said if there is an issue she may call me in early.

They checked this scan against Kameron and Lachlans too at the same gest age
and Ashton is not far off what they were predicted for both the boys. Lachlan at 35wks 1 day they predicted 4lb 9oz. I am 35wks
5 days today. So pretty much the same, so I am expecting a 6lb something to be
born.”

 

Can anyone offer and insight into this – is it an indicator
that IUGR may be diagnosed again?

 

Best
Regards,

 

Kelly Zantey

 

 

RE: [ozmidwifery] IUGR

[Mary Murphy]

The important measurement here is the
abdominal circumference.  4 weeks below gest age indicates IUGR.  The
next important measurement is U/S Doppler flow.  This, + Amniotic fluid
levels are the most reliable indication of baby’s health.  Reverse Doppler
flow the most ominous.  MM

 









From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]
On Behalf Of Christine Holliday
Sent: Tuesday, 10 October 2006
6:14 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] IUGR



 

The BPD is Bi-Parietal Diameter and is the width of
her baby’s head.  She should really ask her midwife what this means
as I believe this would indicate IUGR and that close observation is wise
including a follow up USS in a few weeks to monitor growth as this may have
slowed.  On the bright side the baby may have been breathing in when they
measured it which gives a false reading, I presume thought that they watched
for a while before taking the measurement to try and ensure this was not the
case.  It is difficult to give advice with just a snapshot of a
woman’s pregnancy and I may have a different opinion if I knew the woman
and her whole history.  Hope this helps.

Christine

 

 

-Original
Message-
From: owner-ozmidwifery@acegraphics.com.au
[mailto:owner-ozmidwifery@acegraphics.com.au]On Behalf Of Kelly @ BellyBelly
Sent: 10 October 2006 18:34
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] IUGR

 

A mum
and dear friend I am supporting is due on November 9th and has had
two previous IOL for IUGR. At her scan today, she said:


”Head Circ around 31cm just a couple of days off Gestational Age... aka
perfect
Leg bone length - Perfect about 4 days off Gest Age
BPD (not sure what that is) - Approx a week under Gest Age
Amnio Levels - Perfect 
Blood flow through cord - Perfect
AC (stomach circ) - 4 weeks below gestational age - she checked it 3 times. 

So they graphed it and the computer automatically plotted it and gave a weight
reading. 

4lb 11oz the computer was saying
give or take 13% on each side of that. So looks like another tiny baby on my
hands. Now we have to sit and wait what they say at my next antenatal
appointment, at my last she said if there is an issue she may call me in early.

They checked this scan against Kameron and Lachlans too at the same gest age
and Ashton is not far off what they were predicted for both the boys. Lachlan at 35wks 1 day they predicted 4lb 9oz. I am 35wks
5 days today. So pretty much the same, so I am expecting a 6lb something to be
born.”

 

Can anyone offer and insight into this – is it an indicator
that IUGR may be diagnosed again?

 

Best
Regards,

 

Kelly Zantey

 

 

Re: [ozmidwifery] IUGR

[Judy Chapman]

Is it really IUGR Kelly? Maybe like a greyhound, healthy but no
spare fat. At 36 weeks babies are taking on their genetic
predisposition to weight and this baby's may be small, like its
siblings. 
Serial US, some say they can cause IUGR!!! 
Cheers
Judy

--- "Kelly @ BellyBelly" <[EMAIL PROTECTED]> wrote:

> A mum and dear friend I am supporting is due on November 9th
> and has had two
> previous IOL for IUGR. At her scan today, she said:
> 
> 
> "Head Circ around 31cm just a couple of days off Gestational
> Age... aka
> perfect
> Leg bone length - Perfect about 4 days off Gest Age
> BPD (not sure what that is) - Approx a week under Gest Age
> Amnio Levels - Perfect 
> Blood flow through cord - Perfect
> AC (stomach circ) - 4 weeks below gestational age - she
> checked it 3 times. 
> 
> So they graphed it and the computer automatically plotted it
> and gave a
> weight reading. 
> 
> 4lb 11oz the computer was saying give or take 13% on each side
> of that. So
> looks like another tiny baby on my hands. Now we have to sit
> and wait what
> they say at my next antenatal appointment, at my last she said
> if there is
> an issue she may call me in early.
> 
> They checked this scan against Kameron and Lachlans too at the
> same gest age
> and Ashton is not far off what they were predicted for both
> the boys.
> Lachlan at 35wks 1 day they predicted 4lb 9oz. I am 35wks 5
> days today. So
> pretty much the same, so I am expecting a 6lb something to be
> born."
> 
>  
> 
> Can anyone offer and insight into this - is it an indicator
> that IUGR may be
> diagnosed again?
> 
>  
> 
> Best Regards,
> 
>  
> 
> Kelly Zantey
> 
>  
> 
>  
> 
> 




 
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RE: [ozmidwifery] IUGR

[Christine Holliday]

The BPD is
Bi-Parietal Diameter and is the width of her baby’s head.  She should really ask her midwife what
this means as I believe this would indicate IUGR and that close observation is
wise including a follow up USS in a few weeks to monitor growth as this may
have slowed.  On the bright side the
baby may have been breathing in when they measured it which gives a false
reading, I presume thought that they watched for a while before taking the
measurement to try and ensure this was not the case.  It is difficult to give advice with just a snapshot of a
woman’s pregnancy and I may have a different opinion if I knew the woman and
her whole history.  Hope this
helps.

Christine

 

 

-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On
Behalf Of Kelly @ BellyBelly
Sent: 10 October 2006 18:34
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] IUGR

 

A mum
and dear friend I am supporting is due on November 9th and has had
two previous IOL for IUGR. At her scan today, she said:


”Head Circ around 31cm just a couple of days off Gestational Age... aka perfect
Leg bone length - Perfect about 4 days off Gest Age
BPD (not sure what that is) - Approx a week under Gest Age
Amnio Levels - Perfect 
Blood flow through cord - Perfect
AC (stomach circ) - 4 weeks below gestational age - she checked it 3 times. 

So they graphed it and the computer automatically plotted it and gave a weight
reading. 

4lb 11oz the computer was saying
give or take 13% on each side of that. So looks like another tiny baby on my
hands. Now we have to sit and wait what they say at my next antenatal
appointment, at my last she said if there is an issue she may call me in early.

They checked this scan against Kameron and Lachlans too at the same gest age
and Ashton is not far off what they were predicted for both the boys. Lachlan
at 35wks 1 day they predicted 4lb 9oz. I am 35wks 5 days today. So pretty much
the same, so I am expecting a 6lb something to be born.”

 

Can anyone offer and insight into this – is it an indicator that
IUGR may be diagnosed again?

 

Best
Regards,

 

Kelly Zantey

 

 

[ozmidwifery] IUGR

[Kelly @ BellyBelly]

A mum and dear friend I am supporting is due on November 9th
and has had two previous IOL for IUGR. At her scan today, she said:


”Head Circ around 31cm just a couple of days off Gestational Age... aka
perfect
Leg bone length - Perfect about 4 days off Gest Age
BPD (not sure what that is) - Approx a week under Gest Age
Amnio Levels - Perfect 
Blood flow through cord - Perfect
AC (stomach circ) - 4 weeks below gestational age - she checked it 3 times. 

So they graphed it and the computer automatically plotted it and gave a weight
reading. 

4lb 11oz the computer was saying
give or take 13% on each side of that. So looks like another tiny baby on my
hands. Now we have to sit and wait what they say at my next antenatal
appointment, at my last she said if there is an issue she may call me in early.

They checked this scan against Kameron and Lachlans too at the same gest age
and Ashton is not far off what they were predicted for both the boys. Lachlan at 35wks 1 day they predicted 4lb 9oz. I am 35wks
5 days today. So pretty much the same, so I am expecting a 6lb something to be
born.”

 

Can anyone
offer and insight into this – is it an indicator that IUGR may be
diagnosed again?

 

Best Regards,

 

Kelly Zantey

 

 

[ozmidwifery] IUGR/stillbirth

[Mary Murphy]

Women who have delivered a 
small-for-gestational-age (SGA) infant are at least twice as likely as other 
women to experience a stillbirth in subsequent pregnancy. Nonetheless, the 
absolute risk of stillbirth is relatively low, according to a report published 
in The New England Journal of Medicine for February 19. Reuters Health 
Information 2004

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. 
  > 
  
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Re: [ozmidwifery] IUGR

[Judy Chapman]

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. 
> 

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Help STOP SPAM: Try the new MSN 8 and get 2 months FREE* 
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Re: [ozmidwifery] IUGR

[Andrea Quanchi]

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

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Re: [ozmidwifery] IUGR

[Pinky McKay]

Hi Lieve,
When I was pregnant with second baby (born 1976) - now a tall healthy man)
Dr told me he had stopped growing for a month during pregnancy -concerns
about placenta so I peed in a bottle and did weekly oestriol tests tests
were fine. Baby was born 2 weeks past "due dates' weighing more than 9 1/2
pounds!

At teh time I followed diet advice of Adele Davis "Lets Have Healthy
Children" Although I didnt drink all the cow milk she advised, I ate whole
unrefined foods and believe the supplements - Zinc/ Vit C and pantothenic
acid / E / fish oils, calcium magnesium in a balanced dose plus the diet
additions like brewers yeast(yuk!!) and wheatgerm (for B6) also helped with
collagen / stretching - 1 1/2 hr easy labour.  I am not sure whether it
helped with placenta function, but I also took all the same supplements and
rested quite a bit early  as I was threatening to miscarry with larissa (3rd
baby) .I bled til 7 months this time. but after the bleeding stopped I did
lots of walking to "fitten up" and increase circulation. Another short easy
labour. When born, the cord actually broke from placenta which was very
scarred and at teh time the midwife was amazed that I had such a big healthy
baby (4kg again.)

Later I read the Bettter Babies series by Francesca Naish and Janette
Roberts which is much clearer and up to date for modern mums, the supplement
regime is similar but the food recommended is less likely to sensitise the
baby to allergies (ie lots of cow milk isnt a requisite). They also adivise
herbs and.naturopathic supplements and advocate keeping the kidneys healthy
for placenta function (sometimes affected by pre-eclampia/ elevated blood
pressure).

Best wishes
Pinky
- Original Message -
From: "Lieve Huybrechts" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Saturday, January 11, 2003 1:12 AM
Subject: [ozmidwifery] IUGR


> 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 <http://www.acegraphics.com.au> to subscribe or unsubscribe.
>

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[ozmidwifery] IUGR

[Lieve Huybrechts]

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

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