IUGR w/ DS and TTC #2

KikiCohen

Hi, ladies!

Though we're not currently TTC #2, we will be shortly and I need to decide if I should seek more advice from my OB and/or MFM before starting.

I was diagnosed with IUGR at 35 weeks and delivered via c/s at 37.  At 32 weeks, my MFM noticed a steady growth decline and sent me for weekly NSTs and bimonthly growth scans.  After the diagnosis, they continued those tests, plus added biweekly biophysical profiles.  DS basically had no growth from 35-37 weeks.  He was estimated at 4lbs 4oz and we were shocked when he was only 3lbs 7.8oz.  Thankfully, he didn't require any special care, just an extra long hospital stay (11 days).  He's currently 8 months and close to 18lbs, so he's definitely caught up!  

The only "reason" that has been suggested to me for having IUGR is that I have an autoimmune disorder called Raynaud's Syndrome.  Basically, my blood vessels in my toes restrict blood flow when they're cold.  My MFM did an autoimmune workup on me, which really didn't show much.  My case is so mild that I've never been medicated. At my follow ups with my OB, she suggested that I go on Lovenox for future pregnancies.  I didn't have any follow ups with MFM.

My questions:

1. Do any of you have experience with Lovenox?  Would baby aspirin be an alternative?  The thought of daily injections doesn't sit well with me, but I will obviously do it if need be.

2. Should I schedule an appt with MFM prior to TTC #2?  I never found out if DS' case was asymmetrical or symmetrical or whether or not that matters for future pregnancies.

Thank you so much!

(For those currently dealing with IUGR, if you have questions, I'd be more than willing to answer them!)

rainydayluck

DD had IUGR and this LO is going down the same path

I can't help with question #1, but with question #2, I think your OB will refer you to the MFM if she/he thinks you will need to see them again. I wouldn't schedule one with the MFM since (typically) decisions will be made by your OB.

I just have/had a lot of monitoring and growth ultrasounds with this pregnancy due to the previous IUGR. We shall see how the rest of the pregnancy plays out.

KikiCohen

rainydayluck said:

DD had IUGR and this LO is going down the same path

I can't help with question #1, but with question #2, I think your OB will refer you to the MFM if she/he thinks you will need to see them again. I wouldn't schedule one with the MFM since (typically) decisions will be made by your OB.

I just have/had a lot of monitoring and growth ultrasounds with this pregnancy due to the previous IUGR. We shall see how the rest of the pregnancy plays out.

I'm sorry to hear you're dealing with IUGR again.  It was so stressful to me and I don't wish it on anyone.  Thank you for your reply!