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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For Abnormality In Child During Pregnancy?

I am currently 36 weeks 0 days pregnant. My baby isn t growing properly. She weighs 3 lbs 9 oz. In the last 4 weeks she has gained 6 oz. She s measuring around 31 weeks right now. In the NST she s been great, very active, heart rate raises and drops correctly. In ultrasounds, the blood flow to her brain and from the umbilical cord is border line. The doctors are debating on taking her early. Now they are consulting another doctor in Milwaukee, WI that specializes in prenatal nutrition. They told me to have my bags packed for when I come back on Thursday. For the past 2 weeks I ve been seeing the doctors twice a week. What are the risks of taking her early? Do you think it will be a wise choice to leave her in the womb, or take her? What are the specifications for bringing a preemie home? Is a weight requirement, or is it based on the individual?
Tue, 29 Mar 2016
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OBGYN,  's  Response
Hello,
Yes,you are carrying a small for date fetus with a growth lag of 5 weeks.
All parameters mentioned by you are within normal limits,except Doppler flow,which shows a reduced blood flow. At present,this is a confusing status for your OBG also. In one hand,there is a risk of prematurity if they consider for an early delivery;on the otherhand ,yes,there is risk of inutero death as he/she is not gaining weight any more.
You need to stick to your doctor's group.That is the right and only choice. They will determine the deivery time by doing a regular CTG and biweekly Doppler to look at the fetal blood flow.
Meanwhile, keep a record of fetal kick count which should be a minimum of 10-12 per day. If there is any less movement,urgently contact your OBG consultant.
sincerely
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What To Do For Abnormality In Child During Pregnancy?

Hello, Yes,you are carrying a small for date fetus with a growth lag of 5 weeks. All parameters mentioned by you are within normal limits,except Doppler flow,which shows a reduced blood flow. At present,this is a confusing status for your OBG also. In one hand,there is a risk of prematurity if they consider for an early delivery;on the otherhand ,yes,there is risk of inutero death as he/she is not gaining weight any more. You need to stick to your doctor s group.That is the right and only choice. They will determine the deivery time by doing a regular CTG and biweekly Doppler to look at the fetal blood flow. Meanwhile, keep a record of fetal kick count which should be a minimum of 10-12 per day. If there is any less movement,urgently contact your OBG consultant. sincerely