Type II IUGR, seeking help...

Dear all,

SUMMARY:

This query is to know what level of concern a pregnant women should be
doing if she is detected Type II IUGR [intra uterine growth
retardation] at 6 months of pregnancy.

And to know if there is anythink we can do before entering into panic
mode.

IN DETAIL:

My wife had her last sonography, which was at completion of her 6
months of pregnancy. And was remarked as 'Type II IUGR suspected' in
sonography results. She did not experience any wait gain in about 20
days prior to this sonography and about 15 days after the sonography.
Noting this observation and Type II IUGR suspicion results, doctor
said that 'it is ok if there is no wait gain in this period'. And that
'there shall be further wait gain in the 7th month'. If we continue to
see 'no wait gain' problems, then we shall have doses for to counter
that effect or shall have to give glucose'. He did not wanted to go
for those medicines as those have what he said as 'side effects'. The
weight of baby predicted in this sonography was 900 gm, which others
said is less than somewhat expected [we are Indians, so expected
weights shall be less than Western standards and we two parents
further are just 55 Kg and 42 Kg respectively]

Doctoer further told us to do another sonography next week and wait
for results thereof before concluding.

We were however quite concerned because:
1 We thought he is not hurrying in making his observations and that
next sonography which is 8 days ahead shall be late.
2 If these IUGR effect-reducing medicines do not work then he shall
end us suggesting some critical step to us. And we would then have
lost time before going to other doctor.
3 We think that sonography results may have their limitations in
correctly bringing the gravity of IUGR, which may be higher than
reported.

Can anybody guide us if we should take a second opinion of another
doctor in this regards at this stage of 6 months? Is 3-D sonography,
which somebody recommended shall be able to show more results
accurately ?

Please let us know. We think time is running out for us.

Thanks much for your time.

- Anonymous ( )

God they scare the hell outta you! I had a serious IUGR with one of my sons
when pregnant, I had weekly sonograms to monitor his growth when they
decided if he wasn't born he would die! So I agreed to the induction, which
was a 48 hour ordeal (baby was stuck I begged the midwife to get a Dr but
they refused) followed by a PPH, and my baby boy was 6lbs 4.
He does now have problems, he had developmental delay, and apraxia which I
am sure was caused by the birth.
If I could go back in time I would have let nature take it's course, and I
wouldn't have let the hospital frighten me into something I didn't want.

--
Andrea mom of 5 - latest addition Kamron David 16lbs 2 (7lbs 9 and a half
born).

"Kedar Agarkar" wrote in message
om...
Dear all,

SUMMARY:

This query is to know what level of concern a pregnant women should be
doing if she is detected Type II IUGR [intra uterine growth
retardation] at 6 months of pregnancy.

And to know if there is anythink we can do before entering into panic
mode.

IN DETAIL:

My wife had her last sonography, which was at completion of her 6
months of pregnancy. And was remarked as 'Type II IUGR suspected' in
sonography results. She did not experience any wait gain in about 20
days prior to this sonography and about 15 days after the sonography.
Noting this observation and Type II IUGR suspicion results, doctor
said that 'it is ok if there is no wait gain in this period'. And that
'there shall be further wait gain in the 7th month'. If we continue to
see 'no wait gain' problems, then we shall have doses for to counter
that effect or shall have to give glucose'. He did not wanted to go
for those medicines as those have what he said as 'side effects'. The
weight of baby predicted in this sonography was 900 gm, which others
said is less than somewhat expected [we are Indians, so expected
weights shall be less than Western standards and we two parents
further are just 55 Kg and 42 Kg respectively]

Doctoer further told us to do another sonography next week and wait
for results thereof before concluding.

We were however quite concerned because:
1 We thought he is not hurrying in making his observations and that
next sonography which is 8 days ahead shall be late.
2 If these IUGR effect-reducing medicines do not work then he shall
end us suggesting some critical step to us. And we would then have
lost time before going to other doctor.
3 We think that sonography results may have their limitations in
correctly bringing the gravity of IUGR, which may be higher than
reported.

Can anybody guide us if we should take a second opinion of another
doctor in this regards at this stage of 6 months? Is 3-D sonography,
which somebody recommended shall be able to show more results
accurately ?

Please let us know. We think time is running out for us.

Thanks much for your time.

- Anonymous ( )

Hello Andrea,

Thanks for your experience.

However, I may have slightly misunderstood your words.

Can I take the summary as:
"Doctors unnessesarily give you too much tension when in many cases of
IUGR, there is no reason to be panicky?"

I am condsidering that IUGR Type II would simply mean 'underweight
baby' rather than anything more dangerous for baby----hopefully.

Thanks anyway for your time.
Regards.

-Anonymous

"Andrea" wrote in message ...
God they scare the hell outta you! I had a serious IUGR with one of my sons
when pregnant, I had weekly sonograms to monitor his growth when they
decided if he wasn't born he would die! So I agreed to the induction, which
was a 48 hour ordeal (baby was stuck I begged the midwife to get a Dr but
they refused) followed by a PPH, and my baby boy was 6lbs 4.
He does now have problems, he had developmental delay, and apraxia which I
am sure was caused by the birth.
If I could go back in time I would have let nature take it's course, and I
wouldn't have let the hospital frighten me into something I didn't want.

--
Andrea mom of 5 - latest addition Kamron David 16lbs 2 (7lbs 9 and a half
born).

"Kedar Agarkar" wrote in message
om...
Dear all,

SUMMARY:

This query is to know what level of concern a pregnant women should be
doing if she is detected Type II IUGR [intra uterine growth
retardation] at 6 months of pregnancy.

And to know if there is anythink we can do before entering into panic
mode.

IN DETAIL:

My wife had her last sonography, which was at completion of her 6
months of pregnancy. And was remarked as 'Type II IUGR suspected' in
sonography results. She did not experience any wait gain in about 20
days prior to this sonography and about 15 days after the sonography.
Noting this observation and Type II IUGR suspicion results, doctor
said that 'it is ok if there is no wait gain in this period'. And that
'there shall be further wait gain in the 7th month'. If we continue to
see 'no wait gain' problems, then we shall have doses for to counter
that effect or shall have to give glucose'. He did not wanted to go
for those medicines as those have what he said as 'side effects'. The
weight of baby predicted in this sonography was 900 gm, which others
said is less than somewhat expected [we are Indians, so expected
weights shall be less than Western standards and we two parents
further are just 55 Kg and 42 Kg respectively]

Doctoer further told us to do another sonography next week and wait
for results thereof before concluding.

We were however quite concerned because:
1 We thought he is not hurrying in making his observations and that
next sonography which is 8 days ahead shall be late.
2 If these IUGR effect-reducing medicines do not work then he shall
end us suggesting some critical step to us. And we would then have
lost time before going to other doctor.
3 We think that sonography results may have their limitations in
correctly bringing the gravity of IUGR, which may be higher than
reported.

Can anybody guide us if we should take a second opinion of another
doctor in this regards at this stage of 6 months? Is 3-D sonography,
which somebody recommended shall be able to show more results
accurately ?

Please let us know. We think time is running out for us.

Thanks much for your time.

- Anonymous ( )

Hello Andrea,

Thanks for your experience.

You're welcome.

However, I may have slightly misunderstood your words.

Can I take the summary as:
"Doctors unnessesarily give you too much tension when in many cases of
IUGR, there is no reason to be panicky?"

Yes. In many cases IUGR is diagnosed by using sonagrams, which can be very
inaccurate, as it was in our case. We were told our son would be 4lbs and
would need special care, but her was induced 3 weeks early and was 6lbs 4
and stayed with me in a heated incubator for a few hours to warm him up
after a traumatic delivery. That's not to say all cases are not serious.

I am condsidering that IUGR Type II would simply mean 'underweight
baby' rather than anything more dangerous for baby----hopefully.

It stands for inter-uterine growth retardation, so it's poor growth and poor
weight gain.
Here is a useful webpage on the subject

http://www.ccspublishing.com/journals_6a/iugr.htm

Thanks anyway for your time.
Regards.

-Anonymous
--
Andrea mom of 5 - latest addition Kamron David 16lbs 5 (7lbs 9 and a half
born).

"Kedar Agarkar" wrote in message
om...

"Andrea" wrote in message
...
God they scare the hell outta you! I had a serious IUGR with one of my
sons
when pregnant, I had weekly sonograms to monitor his growth when they
decided if he wasn't born he would die! So I agreed to the induction,
which
was a 48 hour ordeal (baby was stuck I begged the midwife to get a Dr
but
they refused) followed by a PPH, and my baby boy was 6lbs 4.
He does now have problems, he had developmental delay, and apraxia which
I
am sure was caused by the birth.
If I could go back in time I would have let nature take it's course, and
I
wouldn't have let the hospital frighten me into something I didn't want.

--
Andrea mom of 5 - latest addition Kamron David 16lbs 2 (7lbs 9 and a
half
born).

"Kedar Agarkar" wrote in message
om...
Dear all,

SUMMARY:

This query is to know what level of concern a pregnant women should be
doing if she is detected Type II IUGR [intra uterine growth
retardation] at 6 months of pregnancy.

And to know if there is anythink we can do before entering into panic
mode.

IN DETAIL:

My wife had her last sonography, which was at completion of her 6
months of pregnancy. And was remarked as 'Type II IUGR suspected' in
sonography results. She did not experience any wait gain in about 20
days prior to this sonography and about 15 days after the sonography.
Noting this observation and Type II IUGR suspicion results, doctor
said that 'it is ok if there is no wait gain in this period'. And that
'there shall be further wait gain in the 7th month'. If we continue to
see 'no wait gain' problems, then we shall have doses for to counter
that effect or shall have to give glucose'. He did not wanted to go
for those medicines as those have what he said as 'side effects'. The
weight of baby predicted in this sonography was 900 gm, which others
said is less than somewhat expected [we are Indians, so expected
weights shall be less than Western standards and we two parents
further are just 55 Kg and 42 Kg respectively]

Doctoer further told us to do another sonography next week and wait
for results thereof before concluding.

We were however quite concerned because:
1 We thought he is not hurrying in making his observations and that
next sonography which is 8 days ahead shall be late.
2 If these IUGR effect-reducing medicines do not work then he shall
end us suggesting some critical step to us. And we would then have
lost time before going to other doctor.
3 We think that sonography results may have their limitations in
correctly bringing the gravity of IUGR, which may be higher than
reported.

Can anybody guide us if we should take a second opinion of another
doctor in this regards at this stage of 6 months? Is 3-D sonography,
which somebody recommended shall be able to show more results
accurately ?

Please let us know. We think time is running out for us.

Thanks much for your time.

- Anonymous ( )

Yes. In many cases IUGR is diagnosed by using sonagrams, which can be very
inaccurate, as it was in our case. We were told our son would be 4lbs and
would need special care, but her was induced 3 weeks early and was 6lbs 4
and stayed with me in a heated incubator for a few hours to warm him up
after a traumatic delivery. That's not to say all cases are not serious.

equally sonograms can be unnecessarily reassuring, everyone who examined
me was slightly concerned about the size of my baby, an ultrasound totally
disagreed, placeing him on the 75th percentile. When he arrived he was 5lb
13oz, so small, but not too small (he arrived at 37+4, so smaller for
gestation than Andrea's baby that everyone was so concerned about). I
might be wrong, but it's not entirely the actual size that matters, but
the rate at which it changes, as weight gain which slows, can mean
placenta problems and be a genuine case of better out than in, but slow
continuous growth can mean a small baby, but better in than out.

Thanks Andreas and Anne for both of yours contributions.
Best regards,
- Kedar A.

Anne Rogers wrote in message ...
Yes. In many cases IUGR is diagnosed by using sonagrams, which can be very
inaccurate, as it was in our case. We were told our son would be 4lbs and
would need special care, but her was induced 3 weeks early and was 6lbs 4
and stayed with me in a heated incubator for a few hours to warm him up
after a traumatic delivery. That's not to say all cases are not serious.

equally sonograms can be unnecessarily reassuring, everyone who examined
me was slightly concerned about the size of my baby, an ultrasound totally
disagreed, placeing him on the 75th percentile. When he arrived he was 5lb
13oz, so small, but not too small (he arrived at 37+4, so smaller for
gestation than Andrea's baby that everyone was so concerned about). I
might be wrong, but it's not entirely the actual size that matters, but
the rate at which it changes, as weight gain which slows, can mean
placenta problems and be a genuine case of better out than in, but slow
continuous growth can mean a small baby, but better in than out.