Fetal Well Being

QUESTION

Dear Midwife,
This is my first pregnancy, I am 36 weeks pregnant. During the ultrasound iat 32 weeks it was detected that the fetal abdominal circumference was towards lower side but my ob/gyn said that it was above 10th percentile so not to be tense but to keep a track on growth I should repeat a scan after 3 weeks.

I repeated the scan at 35th week which shows all the biometric values with in normal range but AC was less i.e (27.5cm @35GA) which was 2 weeks smaller.The color doppler done to determine placental function shows everything in normal range. The estimated fetal weight also lied in normal range and above 10th percentile.

Is my baby experiencing asymmetric growth restriction?

My B.P at each visit is normal. Are there any risk to baby?

ANSWER

It sounds like you are getting good care, and they are keeping a good eye on things. It also sounds like the best thing you can do for your baby (which is really hard advice) is to RELAX and have fun with him/her. Play some games, listen to music together, read him/her some stories. Worry is not good medicine for babies!

-- Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.