Intrauterine growth restriction (IUGR) occurs in around 3 in every 100 pregnancies. Unborn babies with IUGR can grow so slowly in the womb that they are at risk of health problems. If the growth restriction is severe, the baby may have to be delivered, so it is also a cause of premature birth.
Causes of Intrauterine Growth Restriction
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
- Antiphospholid Syndrome
- genetic problems or a congenital anomaly in the baby
- pre-existing medical problems in the mother 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
- low pregnancy weight
- smoking or using drugs during pregnancy
- drinking alcohol during pregnancy.
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.
Signs and symptoms of Intrauterine Growth Restriction
IUGR is normally diagnosed during routine antenatal appointments. Your baby’s size is monitored throughout your pregnancy in your routine appointments. The midwife will palpate your stomach gently to feel the baby’s size, and they will measure the fundal height. The measure is then put on a chart that plots the growth. If there are any concerns the midwife will refer you for a scan. This does not necessarily mean something is wrong, but it is important to have the scan as more accurate way of assessing the baby's growth.
Management of Intrauterine Growth Restriction
There is no 'treatment' for IUGR. Instead you will have a management plan. If IUGR is suspected, you will have regular scans to look at the baby’s growth. The blood flow through the placenta will be checked with a uterine artery doppler test. If there is concern about growth then a plan will be implemented including regular scans, CTG monitoring and consultant appointments in antenatal clinic at the unit.
If the growth restriction is severe, your healthcare team will recommend additional scans for monitoring of growth and baby well-being. They may recommend delivering the baby early.
It is very important to be aware of your baby’s pattern of movements and monitor this for change if you have been diagnosed with suspected IUGR.
Shelley's baby Joseph was stillborn at 37 weeks. A post-mortem found that Joseph was suffering from intrauterine growth restriction
A growing bump is the sign of a growing baby. Your midwife should start measuring your baby from 24 weeks to make sure they are growing well.
- NICE (2008) Antenatal care: routine care for the healthy pregnant woman. National Institute for Health and Clinical Excellence.
- NICE (2011) CG129 Multiple pregnancy: The management of twin and triplet pregnancies in the antenatal period, National Institute for Health and Clinical Excellence.
- Norman J (2011) Preterm labour, managing risk in clinical practice. Cambridge: Cambridge University Press.
- RCOG (2013) The Investigation and Management of the Small–for–Gestational–Age Fetus. The Royal College of Obstetricians and Gynaecologists.
- James D, Steer P (2011) High risk pregnancy, management options. Fourth ed, Elsevier Saunders.
ℹLast reviewed on October 3rd, 2016. Next review date October 3rd, 2019.
By Bella (not verified) on 4 Jun 2019 - 00:51
Hello , I saw your replies and appreciate that you are giving time to people in need.
I went for scan at 28th week and got to know that my baby's growth is lagging behind by 3 weeks. AC was at 25th week. That time i wasnt feeling movements more than twice in 24 hours but my doctor wasnt worried. When this happened , she asked me to take insulin to control my high sugar levels as i have gestational diabtese. I dont have hypertension. I went for doppler 10 days after the 28th week scan. Out of 10 days , only 2-3 days my sugar levels were in control but i took good diet in those 10 days , loprin and rest at left lateral position. In doppler everything was normal , weight is a lilttle less than 50th percentile but is close to it and doctor said it is normal. But iam not getting the point that how come growth laggs and again started without i had cotrolled my levels? Scan was appropiate or not. I have doubts on it. As i have heared that IUGR cant be reversed. Please help me out. It is getting on my nerves. Baby's movements are good now. It is first one and i concieved with difficulty as iam a pcos patient.
By Israa (not verified) on 28 May 2019 - 17:07
I am seeking an advice regarding the IUGR case?
By Kriti (not verified) on 23 Mar 2019 - 06:57
Hi I am 6 weeks pregnant and conceive with the help of FSH injection. I was scanned at week 5 where only the sac was visible measuring5mm. At 6 week and 4 days doctor said there is abnormal growth and no heartbeat yet and she asked me come back after a week and if there is no improvement and also mentioned this may end in miscarriage . I am so depressed. Is it too early to do a scan or is there any chance that the baby would pick up the normal growth . Please kindly help me
By Sujaselva (not verified) on 30 May 2019 - 08:29
Ts same happened for me Saturday again scan what happened to u
By Glenn (not verified) on 19 Mar 2019 - 16:50
Hi my son is at 36/4 gestation and is weighing in at only 5lbs 1ozs and is small so its been decided my partner will have a blood test and go back for a scan in two weeks to see if he as grown and make a decision to be induced early... 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? These sort of things. Also what is normal afterwards as in how fast he puts on weight etc.very worried perents please help!!!
By Chris (not verified) on 26 Apr 2019 - 18:59
A low birth rate does not mean NICU. My grandson was born last year, induced early due to failure to thrive. He was born 2 wks early, weigh 4lb 10oz. All the tests at the hospital came back good, he never went to NICU, he was released from the hospital healthy after a normal stay. He will be 1 yo in June and is very healthy. His baby sister is due end of July, she is already showing a slow down in her growth and has already been labeled failure to thrive, so I'm expecting she will be induced early as well and she only has one functioning kidney at this point so we are praying, my daughter in law is now under a high risk specialist care. The most important things to remember - You must trust in your Dr's and care team, you must hold strong in knowing that God provides what we need and he does not give us more than we can handle. Prayers and Best wishes to you, your little and your family.
By Lou (not verified) on 10 May 2019 - 12:02
My son was 4 10 at 37 weeks he didn’t go to NICU, he stayed with me in hospital for 5 days while they checked on his blood sugars and ensured we’d learnt how to breastfeed together. He gained weight pretty quickly but he’s still a little small for his age but he’s absolutely fine he needed no extra care other than the blood sugar tests which were just 3 little her prick tests. Good luck and enjoy it! It is worrying but it is extremely exciting times! X
By Mpume (not verified) on 19 Jan 2019 - 14:20
Hi discovered blood spoting for 22 days and minor back pains then i went to my GP for checkup. I was done scan that showed 5wks 3 days and also done urine test that confirmed pregnancy. Doc says the dropping in blood count shows that baby is not growing well so i must be cleaned due to the blood spoting even now. Very worried and stessed, please help
By Sarah Soothoane (not verified) on 15 Jan 2019 - 12:02
I went to the sonographer and was told that my baby is not growing, I am supposed to be 24 weeks but he is reading around 20 weeks, I am really shuttered and asking if there is anything I can do? the baby was growing well, until week 22 when I started taking the prenatal vitamins from the gynea, and now, my gynea did not take this as emergency on the 3rd, and it was only picked up by the sonargrapher, I have been referred to the specialist but on the waiting list, is this curable? I am really shuttered
By Midwife @Tommys on 16 Jan 2019 - 16:15
If you fee like your questions have not been answered and are worried about fetal movements and growth, then I would advise you to go to your local maternity assessment unit/triage for urgent review and to discuss the sonographers findings with a midwife and obstetric doctor. They are best place to answer your questions as they will have full access to your medical and obstetric history and notes. All the best, Tommy's Midwife
By Mampho (not verified) on 16 May 2019 - 07:02
Same thing happened to me bt I'm not terminating my babies no
By Olu (not verified) on 13 Dec 2018 - 18:34
What can I do ? Though she spotted before but now, her stomach is swelling but no evidence of pregnancy after scanned several times.
By Midwife @Tommys on 14 Dec 2018 - 16:01
If they have scanned her several times then the only other thing they can do it do a blood test to check if she is pregnant. If this shows she is not pregnant then it could be a medical reason why her stomach is swelling so she would need to see a doctor.
By Susan (not verified) on 13 Dec 2018 - 16:56
I went for a routine scan on Tuesday and was told that my baby is small for gestational age. I am being sent for a more in depth scan on the 21st December.
I have high blood pressure (outside of pregnancy) and am taking medication for this, which has been very stable during this pregnancy (averaging around 125/75).
Could the blood pressure issue be the cause of it being small? Thankfully i get extra scans anyway due to the high BP and this was picked up.
I am trying not to worry but we had a miscarriage last year at 12 weeks and I just keep thinking about that.
I know its not long till the 21st, but is there anything I can do in the meanwhile?
I have an anterior placenta but the baby (we decided not to know the gender) has been very active of late, (i know that's a good sign) and is currently in a complete breach position.
Sorry, that's a lot of information.....
By Midwife @Tommys on 14 Dec 2018 - 15:59
Sorry you are experiencing such an anxious time at the moment. It could be due to high blood pressure, however this seems to be well managed so unlikely this would affect your baby's growth. Otherwise it is often difficult to know a reason as to why your baby is small. It is important to look at the pattern of growth rather than an isolated measurement. It is reassuring that they are bringing you back for another scan, it would not be a good idea to scan sooner than this as this would not leave enough time to measure any change in growth. They can also measure the blood flow through the cord to make sure this is sufficient for your baby.
It is great that your baby is moving well, do keep monitoring these movements.
By Carin (not verified) on 16 Jan 2019 - 20:47
Hi Susan - I'm doing research and came across this post. I would love to get some feedback on how you are doing. I am 27 weeks as of today 1/16/19. On December 20th, I was told my baby is small and I need to eat more. I have been eating a lot this entire pregnancy so I had a hard time believing that. We went back for an ultrasound yesterday and am now being told the baby is in the 3rd percentile. The intestines also showed highlighted on the ultrasound and we are being told it could be numerous things. My blood pressure has been up a bit at each appt. We go back tomorrow for another ultrasound to make sure the blood is flowing from the placenta to the baby as it should be. I feel lots of movement too. Can you give me some advice since you went through this a month before me? Thank you! I sure hope everything is good for you now. :)
By Taylor (not verified) on 13 Nov 2018 - 07:21
I'm currently 25 weeks I had another ultrasound and baby is still in the 3%ile. Doctor says shes only 3oz. We just got our amniotic fluid test results back and it came back shes missing chromosome 16. She also has cysts on her left kidney. We have never had problems with our other two kids. I go monthly to an ultrasound specialist to watch her kidneys and growth. My doctor says if she doesnt grow I'll probably have her at about 35 weeks.
By Midwife @Tommys on 13 Nov 2018 - 16:23
Hi - Thank you for your message. I'm so sorry to hear you've been having a worrying time with this pregnancy. If we can help or you would like any advice/information/support please contact us 08000147800 or email us on [email protected]
By Fatima (not verified) on 5 Nov 2018 - 17:49
Hi I'm 34+2 days pregnant. When my midwife measured my belly at 31+2 it was 29cm but now even after two weeks it's just 30cm. Midwife recommended a growth scan. What is it for? I'm so scared and stressed it's my first baby. What are the possible reasons y it's nt growing?Baby movements are fine.im suffering from severe pain in my groin area is it a pelvic girdle pain?
By Midwife @Tommys on 8 Nov 2018 - 15:15
Hi Fatima, Thank you for your comment.
It is normal practice that a midwife will refer you for a growth scan if you are measuring small for the gestation of your pregnancy. Try not to be alarmed as you may find that once you have had your scan your baby is growing well. The midwife refers for a scan just so that growth can be accurately checked. There are a number of reasons why a baby's growth can reduce but again this will only be investigated if you are found to have a small baby on scan. Try not to worry unnecessarily until you have your scan. It is very reassuring that your baby is moving well. With regards to the pain in your groin, we would suggest that you call your GP or midwife who will be able to assess you and if this pelvic girdle pain then they can refer you to a women's physiotherapist who will give you exercises so that you can feel more comfortable in your pregnancy. Hope this helps, Take Care, Tommy's Midwives x
By Zaynab (not verified) on 30 Oct 2018 - 21:09
Hi I'm 34+3 and my baby was measured 32cm. Is it normal?
By Midwife @Tommys on 2 Nov 2018 - 13:14
It will depend on the previous measurements and the pattern of the baby's growth. When your midwife measures your bump, it should be plotted on a chart with the other measurements, if sufficient growth is seen then this is fine. If the growth is shown to be slowing then your midwife should refer you for a growth scan. In the meantime if you notice a reduction in baby's movements or have any other concerns then do contact your midwife or maternity unit for a review.
By Scarlett (not verified) on 19 Oct 2018 - 09:39
I'm currently 22 weeks pregnant with baby no 3 and was told yesterday by the consultant at a follow up scan that baby measurements are under the 5th and confirmed growth restriction due to high resistance flow. In addition to this my blood pressure run on average just under 150/100 whilst on medication. Baby no 2 was born at 34 weeks due to pre eclampsia and only weighed 3lbs 15 and wasn't diagnosed as growth restricted until after she was born. I'm really worried this baby doesn't have a very good chance of survival... the doctors have just said "all we can do for now is watch baby"
I'm so scared for her... they've already said she will be early but I'm just wondering if it's likely she will even make it being diagnosed so early?
By Midwife @Tommys on 22 Oct 2018 - 16:30
Dear Scarlett, So sorry to hear this. It must be really worrying. I am afraid I can't tell you if your baby will make it far enough in the pregnancy to survive. However, please rest up as much as you can and if you have any increase in headaches, swelling, or pain please seek urgent medical care. The doctors are correct. If you get past 24 weeks the baby has a higher chance of survival and the further you get the better the chance. But, if you become acutely unwell the baby will have to be delivered to protect you both. Take good care of yourself and best wishes from Tommy's midwives x
By millie (not verified) on 10 Sep 2018 - 21:27
am supposed to be 8weeks pregnant today but my scan report has shown me that am 6weeks 3days pregnant. why is this difference??? is there any hopes of developing this pregnancy?? please advice, so much stressed.
By Midwife @Tommys on 12 Sep 2018 - 14:58
There could be several reasons why your baby's growth is less than your dates. One common reason is that calculating weeks of pregnancy by the 1st day of your last period may not reflect the true length of the pregnancy especially if you have a longer than average menstrual cycle.
The most accurate way to date a pregnancy is by the dating scan which is usually done between 11 & 14 weeks. Scans earlier than this may not be so accurate which may also explain the difference between weeks -the following link has more information for you:-
If the baby is still smaller than expected at the dating scan you may be referred for assessment by a fetal medicine specialist.
I hope that you have been referred to your maternity unit by now and have an booking appointment with your midwife so that you can start your antenatal care
By Rebecca R (not verified) on 7 Sep 2018 - 08:10
Hi I’m now 37+4 and have had 6 episodes of RFM. When I visited the hospital for the 5th episode they done the CTG which showed baby was fine but I had only felt 4 tiny flutters whilst being monitored (I normally have a very active girl). They booked me in for an urgent scan which ended up being booked for 5 days after. However the following day (this was yesterday) I still had RFM and so attended again. They done the scan straight away which showed her growth has now slowed down and she has dropped away from her line and only gained 200g in 2 weeks. I was also feeling poorly (nausea, headache, vision disturbance, sore tummy and lower back ache). They monitored my blood pressure and only once was it high, urine fine and temp fine. The dr mentioned I had fluid on my ankles and basically said I wasn’t feeling well as I’m doing too much but for the last few weeks I have done very little and accepted as much help as has been offered (I also have a 5 yr old and am a single Mam). The mw mentioned they may want to induce early due to slowed growth, continued reduced movements and my symptoms but the dr seemed to brush it all off and just booked me a scan for 39 weeks and said they would decide then. I’m trying not to worry but I am extremely worried about the baby now. Surely reduced growth and RFM are a sign that she isn’t happy even if the blood flow etc are all showing to be fine? Any advice would be greatly appreciated.
By Midwife @Tommys on 11 Sep 2018 - 16:31
I'm sorry to hear that you are having such a worrying time-it is understandable given that the baby's growth has slowed and the movements are less. Unfortunately without access to your maternity notes I'm not able to comment on the care you have been given. Perhaps you can discuss with your midwives if you can have the baby monitored with regular CTG's on the maternity Day Assessment unit or similar. You can also ask to see the doctor again before 39 weeks to discuss how worried you are.
Please contact your unit straight away if there are any further episodes of reduced movements or any other concerning symptoms such as headache,blurred vision, bleeding,the waters break, severe abdominal pain , itching or other concerns
By Mel (not verified) on 28 Aug 2018 - 17:51
Hi, I'm 34 weeks pregnant and saw the midwife today and she said the baby is measuring small for his gestational age at 31cm. Measurement was 33cm two weeks ago.
Movements are normal. But I am very worried as I have Relapsing Remitting M.S. and lost my first baby at 12 weeks. My growth scan was due for 11/09/18 but I have had it moved to 03/09/18 but couldn't get an appointment with the obstratrician any sooner than 11/09/18.
Any advice would be appreciated as my midwife said not to worry as the scan was so close but if something is wrong I would rather it be looked at and treated sooner rather than later!?
By Midwife @Tommys on 30 Aug 2018 - 14:53
Hi Mel, Thank you for your comment.
It is understandable that you are concerned after seeing the midwife but please feel reassured, if she was overly concerned then she would of referred you straight up to the maternity unit. Every midwife measuring a pregnant abdomen will slightly vary in length, but if your midwife is suspecting a slight decrease in your baby's growth then she has done the right thing and sent you for a growth scan. If there is anything that needs reviewing on the day of the scan then you will be referred straight away when you are in the hospital.
It is reassuring that your movements are normal so keep an eye on them and if you are worried at all then please call your maternity unit to be checked over. If you don't feel reassured by seeing your midwife then please call your maternity unit for more reassurance. Hope this has helped, take care, Tommy's Midwives x
By Laura (not verified) on 26 Aug 2018 - 16:29
Hi. I had a follow up growth scan at 39 w 4 d, i was initially referred for a growth scan due to increased fundal height. The previous growth scan was normal and estimated fetal weight was around 50th centile, the follow up was just routine. We went for our follow up growth scan on Friday and they obtained measurements for head and femur but couldn’t get an accurate measurement for abdominal circumference due to the way the baby was laid. The midwife sonographer ended up getting a second opinion and they decided on a measurements which ‘looked the best fit’ ... once these measurements were input into the system it brought my estimated fetal weight down to the 12th percentile and the abdominal circumference plotted as tailing off. Due to this the dr was suspecting fetal growth restriction but not enough concern to induce now but to induce at 40 + 7. The umbilical flow test was excellent and fluid measurement normal. Baby movements are normal. Our question/concern is what benefit would induction have when it’s based on a measurement that isn’t accurate and surely the doctor if concerned would monitor me closely or suggest an induction now ? What do you suggest I really don’t want to be induced and Would like to labour spontaneously if I can ... thank you
By Midwife @Tommys on 29 Aug 2018 - 15:43
It would be useful if you could call us (on 0800 0147800) to chat this through with you as there is a lot to this answer and i want you to have as much information as is possible. Also, these web pages are not monitored as frequently as the direct midwife email inbox and phone line are, hence the delay in getting a reply (our apologies). We are here Mon to Fri , 9 am to 5pm and we look forward to hearing from you.
All the best
By Nyasha Ham (not verified) on 24 Aug 2018 - 11:06
Hi. I am desperately looking for information on how to help a 23 week fetus diagnosed of IUGR and excess fluid in the brain. BPD is that of 30 weeks, Abdominal Circumference is 23 weeks and Femur Length is 17 weeks. Please help, even to link me to speiclaists
By Midwife @Tommys on 24 Aug 2018 - 13:16
I am so sorry to hear about this incredibly difficult time, I think this is better discussed via email so we can have a few more details as to where you are based and what care you are receiving at the moment. If you email us [email protected], we are here Monday to Friday 9-5pm and we can speak in more detail.
By Lisa (not verified) on 31 Aug 2018 - 01:25
When I was pregnant with my first my son had a fluid pocket in his brain they found it around the 25th week. I was also induced due to IUGR at 38 weeks. He's now super healthy and no growth problems whatsoever. The fluid pocket issue resolved itself.
By Krystal (not verified) on 8 Aug 2018 - 17:59
Hi, my baby measured spot on at 13 weeks. However during the 16+ 3 I was told I had low papa. Anyway to make matters more scary they said I was a 1/42 for downs etc. We cried and accepted we needed to know what was to expect. We got the all clear and told we have a son. . Every two weeks we’ve been in for a scan he’s wavered from his last line of means. They’ve grown the amino and have found no Chromosomal problems. You just might have a small baby.
Now at 25+ 5 I’ve been told I got to wait till Monday for a future scan as my son has a an inflamed bowel and is diverting his blood to his head and heart in order to survive. His plancenta is not working as well as it could. He’s on the 3rd centile now. I’m worried. He is struggling but they won’t get me in till Monday. Monday I get another scan and get to meet the nicu team so they can discuss what it’s like to care for such a small baby. . Hopefully I get admitted and they think about giving him a chance to live and get out. He’s told me Friday next week when I’m 27 weeks. I don’t want to take the chance. I wish it was my choice. He needs help now. I’m hoping he makes it. I’ve been told to prepare that he might have passed by the time I see them on Monday. My son is a fighter. He’s still kicking away. He is very small all round. He’s our rainbow baby as we lost our last at 12 weeks in jan. Any advise.
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
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
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
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
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
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
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.
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
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.
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
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.