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I had an amnio (for different reasons) with DD. It was actually pretty easy. I took it a bit easy for a couple days afterwards, but everything was fine. Good luck

My first was iugr, but my practice won't officially diagnose it until late in the 3rd tri. So I'm surprised that the ultrasound department would jump to that conclusion so early on. I have been monitored every 4 weeks this pregnancy, and this baby is starting to fall behind at 28 weeks, but the doctors have basically said they'll just continue to monitor his growth until I'm further along or he falls further behind.

My only thought here is that the asymmetrical nature has them worried about the placenta, but i don't know exactly what an amnio checks for? I'd think the protocol would be weekly bpps if the placenta was a concern.

As someone who clearly makes small babies too, I'm sure your baby is perfect!

I have no experience with any of this, and I'm sorry you're going through this, but just wanted to chime in because I recently read a book (Expecting Better) which said that the risks commonly reported from amnios are way too high as they are based on really old studies (where doctors didn't have current technology), and that amnios are much safer these days. I know that doesn't help with the growth worries, but thought it might make you feel better if you do decide to go forward with an amnio. Hugs.

Oh no! I honestly wouldn't worry too much about it, considering everything looked good on your scan and your other babies were small. Also, it's actually a good thing that the IUGR is "asymmetrical" with a larger head, but you probably know that from your other babies! If you're feeling uneasy about the amino, I'd wait for the follow up growth scan if that's what you prefer. Good luck!!

@QBbride: yes asymmetric is better than symmetric growth restriction apparently!

@PinkElephant: I forget dis you do maternity 21 or other testing? Is it too late for quad screening? Why jump to amnio?

@PinkElephant: I think having a detailed conversation with a geneticist is the best idea! Depending on growth parameters, they may also suspect some types of short-limbed dwarfism or other single gene conditions in addition to chromosomal abnormalities. Only chromosomal abnormalities are detected by cell-free DNA testing like Materniti21. You should get a list of single gene syndromes that they suspect, what genetic testing they would do, how long the results take and how likely it is to find a genetic cause if that disease is actually present.

@PinkElephant: To be honest, there is a lot unknown regarding in utero presentations of known genetic conditions. So I would just go into your meeting with the geneticist/genetic councilor with an open mind and hear what they have to say.

I do not believe that an good geneticist / genetic councilor believes all women should terminate their babies with genetic disease. They definitely want you to have all information that is relevant to you, and they understand that some women may not want any genetic information regarding their child. A geneticist I know is having a baby with Downs, so please believe me when I say they most likely only have you and your baby's best interest at heart. Feel free to wall me with anything.

@PinkElephant: I hope you get some answers and peace of mind this week. IUGR is such a complicated diagnosis, because I think there are so many reasons and non-reasons for it (it could be something or it could be nothing), and it presents in so many different ways that it's hard to draw any conclusions. so better to be armed with as much knowledge as possible i guess. FWIW, my daughter (and likely now my son's) IUGR was the opposite - the "bad" kind, because the head size was very very small and the rest was at or just below normal levels. so of course we were freaking out about what that meant, because it tends to indicate developmental issues. Until i thought about how hard it is for me to buy sunglasses to fit my little head, and realized I'm petite all over, but a small head is not all that surprising for my kids. my daughter has no issues whatsoever, so I'm trying to be confident the same will be true of my son. It's not easy, but just keep looking at your perfect kids as a reminder

@PinkElephant: Keeping you in my thoughts

@PinkElephant: good I'll be waiting to hear your positive update.

@PinkElephant: thinking about you and hoping everything comes back great. Waiting for amnio results is pretty awful so I hope you can take your mind off things. I spent a couple days reading trashy magazines and watching movies, while DD was at daycare.

Glad to hear such great news from the test!

Both of my kids were considered IUGR babies (DS was 4.13 at birth and DD was 5.4 at birth). Both were healthy in utero, but I was monitored weekly just in case by both my OB and MFM for fluid levels and growth watch. I delivered at 37 and 38 weeks, respectively as they didn't feel comfortable leaving them in longer as longer isn't always better. Both are thriving on the outside world and are just like any other kids their age. Just smaller, but hey! someone's gotta bring in the bottom percentile right? ha!

@PinkElephant: That is such great news!!