Intrauterine growth restriction (IUGR)

Intrauterine growth restriction (IUGR), also known as fetal growth restriction (FGR) is a condition in which a baby's growth slows or stops during pregnancy.

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:

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.

You will be told to closely monitor your baby’s movements.

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.

Fetal movements

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.

More on growth restriction

Sources

  1. NICE (2008) Antenatal care: routine care for the  healthy pregnant woman. National Institute for Health and Clinical Excellence.
  2. NICE (2011) CG129 Multiple pregnancy: The management of twin and triplet pregnancies in the antenatal period, National Institute for Health and Clinical Excellence.
  3. Norman J (2011) Preterm labour, managing risk in clinical practice. Cambridge: Cambridge University Press.
  4. RCOG (2013) The Investigation and Management of the Small–for–Gestational–Age Fetus. The Royal College of Obstetricians and Gynaecologists.
  5. James D, Steer P (2011) High risk pregnancy, management options. Fourth ed, Elsevier Saunders.
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Last reviewed on October 3rd, 2016. Next review date October 3rd, 2019.

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Comments

  • 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

    Hi Zaynab,
    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.
    Best wishes
    Tommy's midwife

  • 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:-

    https://www.tommys.org/pregnancy-information/im-pregnant/antenatal-care/ultrasound-scans.

    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

    Take care
    Tommy's Midwife


  • 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

    Take care
    Tommy's Midwife

  • 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

    Hi Laura
    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
    Tommy's Midwife

  • 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

    Hi Nyasha,
    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.
    Best wishes
    Tommy's midwives

  • 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

    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?

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