Fetal growth restriction (Intrauterine growth restriction)

Fetal growth restriction (FGR) is a condition where a baby is smaller than expected or when a baby's growth slows or stops during pregnancy. It is also called intrauterine growth restriction (IUGR).

Babies are sometimes called small for gestational age (SGA) or small for dates (SFD). Most babies that are smaller than expected will be healthy. But up to 10% of pregnancies will be affected by FGR and will need close monitoring during pregnancy. In some cases, you may need to give birth earlier than expected.

What causes FGR?

FGR can happen when the placenta is not working well enough to provide the baby with the nutrients they need to grow normally. However, we don’t always know why FGR happens.

Sometimes it can be caused by other conditions, such as chromosomal problems or infections, such as cytomegalovirus or toxoplasmosis.

Is there anything that increases the risk of FGR?

There are several things that can increase the risk of FGR. The most common risks are:

If you have any bleeding during your pregnancy, with or without pain, it’s very important to get it checked out.

What does FGR mean for my baby?

If your baby has FGR, there is an increased risk of complications in pregnancy. Sadly, this can include stillbirth. But your healthcare team will monitor the baby’s growth and wellbeing closely to reduce the risk of this happening. They will also talk to you about the best time for you to give birth. This is likely to be earlier than your due date.

Being born early and small can also lead to complications after birth. This includes a higher risk of high blood pressure, coronary artery disease, type 2 diabetes and thyroid disease in later life. Some babies may need to spend time on a specialist baby unit (Neonatal Intensive Care Unit or NICU).

However, after your baby is born, their growth will not be typically different from other children. Having FGR does not mean they will be smaller than other children when they are school age.

Can I do anything to reduce the risk?

We don’t know why some pregnancies are affected by FGR and some are not. But it is unlikely to be related to anything you have done before or during pregnancy. It is important not to blame yourself.

“I was told by well-intentioned but not medically trained friends to eat more calories, sleep as much as I could and stop worrying, because the worry would be having an impact on my baby’s personality and growth! To my knowledge these comments offer no real help to anyone experiencing this. The best thing to do is to listen to the medical professionals in charge of your care.”

Laura

Some things that increase your risk of having a small baby can’t be changed. But there are some things you can do to reduce the risk, including:

If you are overweight, you are more likely to develop high blood pressure, which can cause complications leading to problems with the baby’s growth. It can help to maintain a healthy weight before and during pregnancy.

High levels of caffeine in pregnancy has been linked to low birthweight, as well as miscarriage. Try to limit your caffeine to 200 milligrams (mg) a day. This is about the same as 2 mugs of instant coffee. Use our caffeine calculator to check your caffeine intake.

If you are considered at risk of FGR

If you are considered at risk of being affected by FGR , your healthcare team may recommend that you take low-dose aspirin (150mg) at night from 12 weeks of pregnancy until 36 weeks.

How will I know if my baby isn’t growing well?

If you have no risk factors for FGR identified in early pregnancy, your midwife will start to measure your bump from 24 weeks, during your routine antenatal appointments, to check that your baby is growing well. This is a simple test using a tape measure. They will measure your bump from the top of the uterus (womb) to your pubic bone. The measurement should then be plotted on a growth chart in your personal maternity record. If your midwife has any concerns about the baby’s growth from this measurement, you will be referred for an ultrasound scan within 72 hours. This does not necessarily mean something is wrong. The scan is just a more accurate way of assessing the baby's growth.

If you have any risk factors for FGR, the growth of your baby will be monitored by ultrasound scans instead of using a tape measure.

Depending on your medical and pregnancy history, you may also be referred for an ultrasound scan to measure the blood flow to your placenta (this is known as the uterine artery Doppler). This measurement is done at 20–24 weeks of pregnancy. It will determine how often you will need to have ultrasound scans during your pregnancy.

What do I do if I’m worried that my bump isn’t getting bigger?

Baby bumps come in all different shapes and sizes. Although it can be difficult, try not to compare your baby bump to anyone else’s. No two women or two pregnancies are the same. If you are concerned, you can call your midwife at any time.

What happens if my baby is small or not growing?

If your midwife or doctor thinks your baby might have FGR, you will be referred for an ultrasound scan to assess the growth of your baby. During this scan, there will be other tests to check the wellbeing of your baby. These include an assessment of the blood flow through the umbilical cord between the placenta and the baby (umbilical artery Doppler) and an assessment of the fluid around the baby (liquor volume).

Following this assessment, you will be advised how your baby is growing. If it is confirmed that your baby has FGR, you will need further scans to monitor the pregnancy more closely until your baby is born. The frequency of these scans will depend on the size of your baby and blood flow measurements in the umbilical artery. You may also be asked to have a tracing of your baby’s heart rate, known as a cardiotocograph (CTG). Your healthcare team may also discuss the benefit of delivering your baby before your estimated due date (EDD).

If the umbilical artery Doppler test is abnormal, you may also be referred for a more detailed scan with a fetal medicine specialist.

Monitoring your baby’s movements

It’s very important to monitor your baby’s movements during pregnancy. Most women usually begin to feel their baby move between 16 and 24 weeks of pregnancy. A baby’s movement can be described as anything from a kick, flutter, swish or roll. There is no set number of normal movements. If you think that your baby’s movements have slowed down or stopped, it is important that you contact your maternity unit immediately. There is always a midwife available 24 hours a day. Do not wait until the next day to seek advice. This is particularly important if there are concerns about your baby’s growth during pregnancy.

Find out more about your baby’s movements in pregnancy.

Will FGR affect how I give birth?

The majority of women who want one will be able to try for a vaginal birth, if there are no other complications. But it is likely that you will be advised to give birth early. This may just be a week earlier than your expected date of delivery or it may be several weeks before, depending on how your baby is. Some babies may be too small to go through labour and a vaginal delivery, so you may be advised to have a caesarean section. Your healthcare professional will talk to you about what they think is best.

You may be advised to have your baby in a hospital where there is a specialist baby unit (Neonatal Intensive Care Unit or NICU). This is because your baby may need extra care, especially if they are very small and born early (prematurely). Not all small babies will need to go to NICU.

Depending on when and how you are going to have your baby, you may be offered steroids to help your baby’s lung development and reduce the chance of breathing problems after birth. You may also be offered magnesium sulphate, which is a medicine given before delivery to reduce the risk of cerebral palsy.

Will FGR affect my next pregnancy?

If you get pregnant again, the risk of having a small baby again is slightly higher. But you may be able to reduce your risk by trying to live a healthy lifestyle.[SS28]  It can help to:

In your next pregnancy, your doctor may recommend that you take low-dose aspirin (150mg) at night from 12 weeks of pregnancy.

Try not to worry too much if you want to get pregnant again. Your care will likely depend on what risk factors you have, but if you’ve had a small baby before, your healthcare team will monitor you closely during your next pregnancy.

If you need someone to talk to, call our midwives pregnancy line on 0800 014 7800 (Monday to Friday, 9am to 5pm), or email [email protected].

Stories about fetal growth restriction

Sources

Nardozza, L.M.M., Caetano, A.C.R., Zamarian, A.C.P. et al. Fetal growth restriction: current knowledge. Arch Gynecology and Obstetrics 295, 1061–1077 (2017). https://doi.org/10.1007/s00404-017-4341-9 https://link.springer.com/article/10.1007/s00404-017-4341-9

Royal College of Obstetricians & Gynaecologists (2013) The Investigation and Management of the Small-For-Gestational-Age Fetus https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_31.pdf

The Shrewsbury and Telford Hospital NHS Trust. If your baby is not growing as well as expected. (Last reviewed December 2014 Next review due December 2017)

NHS Choices. Should I limit caffeine in pregnancy? https://www.nhs.uk/common-health-questions/pregnancy/should-i-limit-caffeine-during-pregnancy/ (Last reviewed 02/05/2018 Next review due 02/05/2021)

NICE (2015). Antenatal care for uncomplicated pregnancy. National Institute for health and care excellence https://www.nice.org.uk/guidance/cg62

Southend University Hospital NHS Foundation Trust. Small baby and intrauterine growth restriction (Last reviewed October 2015 Next review due October 2017)

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    Last reviewed on May 29th, 2020. Next review date May 29th, 2023.

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    Comments

    Please note that these comments are monitored but not answered by Tommy’s. Please call your GP or maternity unit if you have concerns about your health or your baby’s health.
    • By Midwife @Tommys on 13 Aug 2018 - 12:08

      Dear Krystal, I hope all will be well with your son. You are in good hands and I am sure that the doctors and midwives will do their best for you both. The NICU team will also explain everything and although the machines look scary at first you will soon get used to the place. Please let us know how you get on and we wish you all the best. Tommy's midwives x

    • By Julie (not verified) on 1 Aug 2018 - 14:23

      Hi there.
      28 weeks tomorrow with fraternal twins. I went for scan and told one twin just outwith normal range for growth. The consultant has set up scan for two weeks and a Doppler/blood flow for next week. She did not seem too worried. Very blasé. I asked if I should worry and she said we will just keep doing what we are doing. Is this a worry as I got no answers from her? Blood flow and fluid around baby is fine. I can’t relax. Please provide any insight you have for me. Thanks Julie

    • By Midwife @Tommys on 1 Aug 2018 - 15:19

      Hi Julie
      Congratulations on your twins. I know being given very few details is frustrating and not ideal (by the doctor) but the fact that they are following up the growth in two weeks time with another growth scan and dopplers, is very reassuring. It's unlikely that they would need to do this any sooner as the babies need time to grow, so two weeks is the right time frame to re-check this. If however, their movements change in terms of frequency or type of movement felt, please do go to be checked out by a midwife and doctor at your maternity unit asap.
      All the best
      Sophie,Tommy's Midwife

    • By Emma Charmock (not verified) on 7 Aug 2018 - 05:16

      Hi, I'm 27 weeks with identical twins and I've been told that one is around the 50th and one is nearly at the 5th percentile. One has always been smaller than the other, they did worry about T2T for a while but said it wasn't, ones just growing at a different rate. I have scans every 2 weeks and now having doppler checks in between. They did say if he dropped below the 5th then they would prefer to get him out but then that puts my other baby at risk when he growing absolutely fine, I don't want to choose between them. Is there anything I can do to help with this? I don't smoke, drink, am trying to stay active and eat healthy. My BMI is higher than it should be and my work can be a little stressful and I do a bit of travelling, could this be causing it? Thanks xx

    • By Midwife @Tommys on 8 Aug 2018 - 16:16

      Hi Emma
      There is nothing that you can do to help the babies to grow. They are taking all that they need from you. The doctors plan is sensible. If the smaller twin's growth rate is slowing rapidly, then it is safer to get the babies out. I know you do not want to prioritize one baby over the other, but the smaller twin will be at more risk than the larger twin and so it is about making a decision which benefits the most vulnerable twin to ensure both babies are born healthily.
      Please take good care of yourself
      Tommy's Midwife

    • By Rinu (not verified) on 28 Jul 2018 - 09:27

      My friend is on second month of Pregnancy and she did one scan yesterday the doctor said there was no growth for the baby so should be do the abortion. What is the treatment for this. She is very depressed. Please help us

    • By Midwife @Tommys on 30 Jul 2018 - 15:02

      Very sorry for your friend's distress. I am afraid that I don't have enough information to help you. Please ask your doctor to explain what is happening and if there is anything that you can do. Take care

    • By Oza (not verified) on 27 Jul 2018 - 01:55

      Hi!! I'm so not okay, i went for my 1st scan yesterday @ 13 weeks and my Gynae told me there's no development in the baby the scan shows that I'm 10wks 5dys and when i wanted to know what's going on/ could be the problem he just told me it's scary but instead sent me for blood tests, also again after 2 weeks why can't he tell me from the 1st results why should i go for other results without knowing from the 1st one? I'm so annoyed and thinking of going to another Gynae, what should I do please help cause stress is not good for the baby too & i do everything right, eat healthy food and rest enough

    • By Midwife @Tommys on 27 Jul 2018 - 13:20

      Hi Oza,
      I am sorry to hear that you are experiencing a difficult time in this pregnancy, and things seem very uncertain. It is usual practice to wait two weeks between scans to give enough time to see if the baby is growing, any earlier than this then it is more uncertain to know what is happening. Again the blood test, I assume is checking your HCG level, in which case, again this needs to be done twice a few days apart to seeing if the level is rising sufficiently, a one off test does not provide this information as the range of 'normal' is large. I understand this is a very difficult time for you and you feel like you are in limbo just waiting, please do continue to look after yourself.
      Best wishes
      Tommy's midwife

    • By Suzanne Hardy (not verified) on 24 Jul 2018 - 20:32

      Hi, I had my son nearly 2 years ago, I had gestational diabetes and mild preeclampsia (preeclampsia diagnosed at 36 weeks) At my 36 week scan they said he hadn’t grown since my 34 week scan and on that basis said he was IUGR and to expect him to be around 4lb, he was 5lb 10 when born after being induced at 36+5 due to the IUGR and preeclampsia. Does his birth weight mean that he maybe wasn’t IUGR or does it not matter? I am pregnant with my second and with so many problems last time it makes me worried that I will have the same problems again! It was a very stressful experience. Thanks

    • By Midwife @Tommys on 27 Jul 2018 - 11:49

      Hi Suzanne,
      IUGR is more about the pattern of growth rather than the actual size, i.e. if the growth is tailing off rather than just being a small baby, this can be linked wit h pre-eclampsia, however it would be difficult to know exactly why his growth reduced towards the end of the pregnancy. I understand that this next pregnancy is a little worrying for you thinking about what happened last time, and it is difficult to now what will happen, whether you may or may not get pre-eclampsia again and how your baby's growth will be. You do not say how many weeks you are at the moment, however this pregnancy you will be monitored and be under consultant care with regular scans. Your midwife will also be supporting you with your pregnancy care but also your emotional well being, if you are feeling anxious so speak with them and getting some support. Please do not hesitate to be in touch with us if we can support your further.
      Best wishes
      Tommy's midwife

    • By Shante (not verified) on 25 Jun 2018 - 03:28

      Hello I am now at 11 weeks but last week I was 10 weeks and had an ultrasound during the ultrasound we didn't hear a heartbeat or we didn't see our baby the doctor said that my hormone pregnancy hormone level was low have anyone ever experienced that and will I be able to have a healthy pregnancy or should I just be mindful that I may have a miscarriage

    • By Midwife @Tommys on 27 Jun 2018 - 12:47

      Dear Shante,
      I'm really sorry that you didn't see your baby's heartbeat on your 10 week scan. Was this your first scan and what is the plan now? Do you have a repeat scan booked? I also wonder if you had bloods taken on this date which was why your doctor stated that your pregnancy hormone level was low.
      If you were sure of your dates at 10 weeks then your baby and your baby's heartbeat would have been visible. Please get back in contact to let us know how you are.
      Warmest wishes
      Anna-Tommy's midwife

    • By Mavis (not verified) on 5 Jun 2018 - 05:37

      I'm 31 weeks pregnant. Foetal scan shows cisterna magna, full bladder and kidneys. Also the foetus is not growing well...what will my baby go through?

    • By Midwife @Tommys on 6 Jun 2018 - 14:35

      Hi Mavis
      I am afraid that this is outside of our remit as midwives. The best professionals to ask about your scan is the Sonographer who did the scan or your obstetric consultant who can help you to understand and interpret the results in relation to your pregnancy health and medical conditions.
      I really hope everything goes well for you and baby.
      Please take care
      Sophie,Tommy's Midwife

    • By Niya (not verified) on 23 May 2018 - 13:29

      Hi,
      I am from India , 30 years old and I am 38 weeks pregnant . At my 19 week scan fetal femur length was 2.6 cm that is at the fifth percentile . I had interval growth scans and the femur is growing at the same rate, always at the fifth percentile . All my fetal long bones are also growing at fifth percentile. There is no other abnormality in scan . I am 5'2 and my husband is 5'5 . May I have your opinion on this

    • By Midwife @Tommys on 24 May 2018 - 11:54

      Hi Niya, Thank you for your comment.
      From what you have explained, it sounds like your baby's growth over all is following to 5th percentile for this pregnancy. This is on the smaller side of normal so hopefully you will be having repeat growth scans and dopplers to check the blood flow through the umbilical cord. You may even be under the fetal medicine team for these scans. We would suggest that if you have any concerns then please contact your Midwife or Doctor who is looking after you and they will be able to look at your notes and scans and give you more reliable answers to your questions. Keep monitoring your baby's movements as well and if you are worried just call the hospital to be seen. Hope this helps, Take Care, Tommys midwives.

    • By Mina (not verified) on 26 Mar 2018 - 13:58

      Hello I was told that my baby's legs aren't developing. I'm 11 weeks and one foot isn't showing on the ultrasound and the other they are saying, looks abnormal. I don't understand this and I have given it to God. They suggested terminating the pregnancy from fear of severe health problems but I said that I'm not going to do that. I just wanted to know if anyone has had this problem before.

    • By Midwife @Tommys on 26 Mar 2018 - 15:53

      So sorry to hear this Mina, I am not able to comment as I don't have access to all the information, but we wish you well and if we can be of any support please don't hesitate to contact us. Take care.

    • By Baby boy (not verified) on 21 Mar 2018 - 15:24

      Hi my son is at 36/4 gestation and is weighing in at only 4lbs 2ozs so its been decided i will have a csection in a week. My question is what am i looking at as far as care for him afterwards? How long of a nicu stay? What determines how long he stays in the NICU? Thise sort of things. Also what is normal afterwards as in how fast he puts on weight etc.

    • By Midwife @Tommys on 22 Mar 2018 - 15:07

      Hi, Thank you for your comment.

      As you have a few questions that you would like us to answer, please can you email the Tommy's Midwives on [email protected] we will be able to give you an up to date detailed answer to all of your questions so that you can feel a little bit more prepared for the arrival of your little boy. Looking forward to hearing from you, Tommy's Midwives x

    • By Anonymous (not verified) on 11 Mar 2018 - 17:05

      Hi, i lost my baby boy after 3 days in the world, after being delivered via classical c section at 26 weeks due to severe iugr over christmas. What are the chances of this happening in future pregnancies? Also, how do I get referred to the rainbow clinic at tommys for my next pregnancy?

    • By Midwife @Tommys on 12 Mar 2018 - 12:35

      So sorry to read this. We really hope that you are recovering and slowly getting your strength back. I can't give you a prognosis for future pregnancies without knowing your history, but referral to the Rainbow clinic is certainly an option for you if you are able to get to Manchester. Your GP will be able to refer you and will send your details to them. If you have any problems or just want to talk, call us on 0800 0147 800. Take care of yourself. Best wishes from Tommy's midwives x

    • By Seon (not verified) on 22 Jan 2018 - 04:18

      Hi please help. My pregnancy was good since 34 weeks but tape measurement was showing 31 cm at 34 weeks and 37 weeks so i had growth scan 34 weeks scan was 72percentile but 37 weeks scan dropped to 31 percentile. They recommended me to induce on 38 weeks. I am concerned that recently i had a pile i couldnt eat properly for a week and i had to take iron tablet and i am just 40 years old. I wonder if these affect baby growth drop and are there any way to increase the baby weight?

    • By Midwife @Tommys on 22 Jan 2018 - 16:47

      Hi, Thank you for your question. The fall in your baby's growth is outside of your control and is not something that you can change by altering your diet. Just keep monitoring the baby's movements and if you have concerns that they are slowing or changing ,please contact your maternity department immediately. Best wishes

    • By Girl (not verified) on 20 Jan 2018 - 04:07

      I have NF1 and I was just wondering if that is why I had an IUGR pregnancy? My little one is doing amazing but very small for her age. Not in the right clothing for her age but that is okay. We would like to try for baby no. 2 but not sure what to expect.

    • By Midwife @Tommys on 22 Jan 2018 - 16:39

      Hi, As you probably know NF1 is a genetic condition which can be passed on. This doesn't necessarily mean that it is the cause of the IUGR but it may be appropriate for her to be tested for the condition. This would involve a blood test to check her DNA for the faulty gene. You could also be referred to a genetic specialist for advice about future pregnancies. The NHS has good advice about this. https://www.nhs.uk/conditions/neurofibromatosis-type-1/diagnosis/

    • By Anonymous (not verified) on 11 Dec 2017 - 20:04

      Hi all.

      We had our beautiful baby girl in April and she was diagnosed with IUGR. After delivery (planned section because she was breach) I was told that they would monitor us more closely if we went on to have more children. They couldn't find a cause although my umbical short. I suffer from fibromyalgia could this have been a cause?
      We spoke to health visitor who said it wasn't in our notes.?!
      We are trying for another baby because it took us a while to conceive.

    • By Midwife @Tommys on 13 Dec 2017 - 14:52

      Hi, Thank you for your comment.

      If your fibromyalgia was a cause then the Doctors looking after you would have suggested this to you so that there would be a plan of care in future pregnancies. As your little girl had IUGR, then you should expect to have more growth scans in your next pregnancy so that if baby is on the smaller side, they can keep a close eye on the growth. If you are unsure about this then I would go and speak to your GP, he may be able to refer you up to the hospital to speak to one of the consultants about care in a future pregnancy, this is called preconception counselling. There is no harm in being prepared and you will feel reassured that you will be monitored and looked after. Hope this helps, if you need any further information, please email Tommy's Midwives on [email protected] or call us on 0800 0147 800 Monday to Friday 9am-5pm. Take Care, Tommy's Midwives x

    • By Anonymous (not verified) on 10 Oct 2017 - 18:00

      Hi, I’m 31 weeks pregnant and my fundal height has been measuring at 27cm since I was 26 weeks. Had 2 growth scans and baby is on 23rd percentile and growing but midwife has booked me in for another scan to be on the safe side. Should I be worried about IGUR or is it ok if the baby isn’t measuring small for dates?

    • By Midwife @Tommys on 11 Oct 2017 - 14:29

      Hi, It is good that the baby is growing. Around 10% of babies are measured as small with only approx. 3% diagnosed as IUGR. The next scan will help to confirm whether your baby is growing well or not. Please be vigilant in monitoring the fetal movements and let your midwife or maternity unit know if you are concerned. Best wishes

    • By Anonymous (not verified) on 9 Oct 2017 - 02:02

      Hi, I'm currently at 40 weeks and 2 days. My baby was growing almost perfectly in the middle of the 10th percentile lines all the way through out the pregnancy whenever checked.
      I went for my antenatal appointment at exactly 40 weeks (because I missed mine at 37 weeks and my last one before that was at 35 weeks) and was asked if I wanted a membrane sweep which my midwife was quite jokey about and saying she didn't recommend me having one. Then they started the check ups and she completely changed her mind after my measurement, recommending I had the sweep. My baby's growth dropped to just below the 10th percentile. They said she is SGA in my notes. I need to go for an assessment but am worried that it is something I have done or am doing which has affected my baby. What are the problems that cause that to happen later in pregnancy?

    • By Midwife @Tommys on 9 Oct 2017 - 16:16

      Hi
      There are many risk factors for SGA as you have read on this page. Some of them are within your control like smoking, but others are related to conditions that you cannot change or affect. The most important thing is to ensure that you attend your appointments and that you are aware of baby's movement patterns. I have no doubt that your baby will be born very soon x

    • By Anonymous (not verified) on 7 Oct 2017 - 15:26

      Hi please help. I had my 2nd scan done today and was told my sac hasn't grown since the last week and no heart beat was showing. Am I too early. I am 6 weeks and 6 days pregnant today. PLEASE help

    • By Midwife @Tommys on 9 Oct 2017 - 16:04

      It is usually possible to see a heart beat at 7 weeks. Unfortunately I can't comment on your scan having not seen it but if you would like to contact us you can call 0800 0147 800 to speak to a midwife. Best wishes x

    • By Anonymous (not verified) on 20 Sep 2017 - 13:48

      Hi. I previously had an IUGR baby. He weighed 3lb15, this was 2 years ago now. He is healthy and growing now. I am looking at trying for another baby and the consultant has suggested baby aspirin (75mg) from finding out about pregnancy until 13 weeks, in the hope that this will prevent IUGR again. They didn't also send my placenta off in previous pregnancy and found to be diagnosed in that pregnancy with maternal vascular underperfusion syndrome. I was just wondering have you got any evidence/stories of someone taking aspirin in the first 12 weeks to prevent IUGR. Thank you

    • By Midwife @Tommys on 21 Sep 2017 - 12:42

      Hi, Thank you for your comment.

      There are on going studies looking into the effectiveness of aspirin and what benefits it has on the outcome of a pregnancy. Some consultants do recommend aspirin for certain pregnancies depending on medical history. Some women may take aspirin if they have had pre-eclampsia in the past, having this condition may result in having smaller babies. If you would like to email [email protected] then we can try and give you more information and advice about this. Take Care Tommy's Midwives x

    • By Laura (not verified) on 31 Aug 2018 - 19:38

      Hi, how many weeks was he when born at 3lb15. Mine was 3lb13 at full term and I have since realised that she really should have been taken out earlier, given how poorly she was.

    • By Penny (not verified) on 29 Aug 2017 - 15:50

      Hi, we paid for a private scan to get some ore pictures of our baby (20 week scan had no photos). As part of the scan we discovered than he is measuring below average on all of his growth measurements, but particularly his femur length (55cm). I have of course been googling like mad, which isn't helpful, but is there anything I can and should be doing to help him grow a bit more? I have increased my calorie intake, with dairy/ calcium rich foods in particular, but I am having to wait a while for follow up appointments as I am being seen at a tertiary centre and am understandably quite worried and concerned. I am 5ft 1 so not big, but I am so worried there is something wrong with him.

    • By Midwife @Tommys on 30 Aug 2017 - 13:27

      Hi Penny
      It is great that they picked up the femur length was below average growth as they can now keep a close eye on the babies rate of growth. If both you and your partner are small, then it is unlikely that you will have a very large baby. However, it is safe for you to be offered more frequent growth scans to keep an eye on this.
      There is nothing that you can do to increase the baby's growth rate. The doctors and sonographers will be scanning you more frequently to ensure that the placenta is functioning at its absolute best . If they are concerned that the placenta is not functioning at its absolute best, they they may suggest an induction of labour to deliver baby earlier.
      You are best to get an urgent midwife or obstetric appointment to go through your options with them and what might be best for you and your baby. If you are concerned about baby's movements in the meantime though, i would suggest that you take yourself into your local hospital to be reviewed by a midwife and obstetric doctor. Please don't panic about this, you have plenty of options and your carers should help go through this with you asap.
      Please feel free to call us if you need further advice.

    • By Zenifer (not verified) on 27 Aug 2017 - 21:39

      Hi..,I am 32yrs old lady & going through second pregnancy with 10 weeks. During my first pregnancy, I came to know I have double uterus. By God's grace my first baby born through C-section with a weight of 2.5 kg. After 3 yrs of first baby, I am pregnant again. from the scanning, I came to know my baby is not growing till 10 weeks of pregnancy. And I am also supposed to have twins both not growing totally (according to the report) . What am I supposed to expect now - meaning am I going to have successful pregnancy even with this complications in growth or is there chances for miscarriages?

    • By Midwife @Tommys on 30 Aug 2017 - 13:10

      Hi Zenifer
      It is difficult to know exactly how to answer your question as i do not have access to your medical and obstetric history. Your midwife and doctor will be best placed to answer your questions- as they are quite difficult to answer with the information you have given me. Please do go to seek medical review/advice from your GP, midwife or obstetric asap to go through these with them. I do not want to give you the wrong advise as i do not know your full history. Please take good care of yourself.

    • By Anonymous (not verified) on 22 Jul 2017 - 18:26

      Hi, I'm 13 weeks and 2 days pregnant. I lost my first at 8 weeks and my second at 16 weeks found out at 20 weeks. All pregnancies I have suffered with hg sickness so I thought was a good sign of a healthy pregnancy. I have started getting a lot of uncomfortable pain all around my lower and upper belly do you think this could be stretching pains? I had a scan recently on Wednesday due to brown spotting last weekend . Kind regards, Veronica

    • By Midwife @Tommys on 24 Jul 2017 - 15:09

      Hi Veronica. You must be very anxious after your last pregnancy. Was the scan last week reassuring? Mild cramping and stitch like pains are common in early pregnancy but if the pain in your abdomen persists or if you have any signs of bleeding, you should contact your doctor or midwife. Best wishes to you x

    • By Anonymous (not verified) on 22 Jun 2017 - 09:51

      Hi I would like to know I'm 30 weeks. On my last appointment (2weeks ago ). My doc said the baby is very under weight. And his pulse was No Accurate my belly isn't growing much I'm trying a lot of healthy foods and healthy m resting my self alot please advise me what more can I do.

    • By Midwife @Tommys on 22 Jun 2017 - 12:20

      Hi, It can be a shock when you go to your hospital appointment and receive news like you have, that your baby's isn't growing as much as it should. This can be for a number of reasons, some of which you don't have any control over but what is most important is that now your doctors are aware that your baby is small, they can monitor you as closely as possible. It sounds like you are doing all the rights things that we would advice for your baby, you are eating well and resting when you can. Keep monitoring your baby's movements and if you feel like they have changed at all then please call your maternity day assessment unit so that the midwives can check you over. You should expect to been seen at the hospital more regularly now, so that your baby's growth and development can be monitored, so please attend all you appointments. You should have a follow up appointment at the hospital soon if your last one was 2 weeks ago, if you haven't, then please call the antenatal clinic at your local maternity unit and explain your circumstances, they should be able to book you in to see your Obstetrician as soon as they can. Hope this has helped, take care Tommy's Midwives x

    • By Midwife @Tommys on 13 Jun 2017 - 12:47

      Hi, thank you for your comment and I am so sorry to hear that you have lost three babies. It would be great to speak or if you could email us here at Tommy's with more information we might be able to help.
      Our number is 0800 0147 800 and there are midwives available weekdays 9-5 pm or email us [email protected]
      We hope to be in touch again soon
      Anna-Tommy's Midwives Team

    • By memi (not verified) on 13 Jun 2017 - 08:05

      I have lost 3baby "not growing in my womb what I do plesss help me

    • By Arun Biradar (not verified) on 1 Apr 2017 - 18:39

      Hello Sir/Mam, my name is Arun Biradar. We are staying in chennai from last three years. We are facing problem in my wife pregnancy. On first pregnancy we found fetal growth is too small as compared to current weeks and finally doctor adviced us to do abortion. We lost our child in first pregnancy. The same thing happened in next pregnancy exactly after 1 year. Now we are in a situation to do medical abortion again..please let me know the reason for low fetal growth during pregnancy and what should we have to do to avoid this in future..?

    • By Midwife @Tommys on 3 Apr 2017 - 10:00

      Hi Arun,
      it is very difficult to comment on the care that you are receiving in Chennai as we are a U.K based charity. I am ever so sorry to hear about the loss of one of your babies, and now the prospect of a second loss too.
      The majority of cases of IUGR are caused by failure of the placenta but there are also several other factors that could cause a baby's growth to be restricted-multiple pregnancy/infection/Antiphospholid Syndrome/genetic problems or a congenital anomaly in the baby.
      Some Pre-existing medical problems in the mother can also contribute to this, such as high blood pressure, kidney disease, diabetes, heart disease, lung disease, chronic anaemia
      certain prescribed medications such as warfarin, some but not all anticonvulsants, and some anticancer drugs.
      Having alow pregnancy weight/smoking or using drugs during pregnancy/drinking alcohol during pregnancy can also contribute.
      Around 10 in every 100 babies are small for gestational age. Most of these are small for normal reasons, such as the mother’s size and ethnicity, but around a third will be due to intrauterine growth restriction.
      Make sure you discuss all of your possible options with your wife's doctor before you both go ahead with any procedures. Please take good care of yourselves!

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