XP: Did anyone experience placental insufficiency? — The Bump
Preemies

XP: Did anyone experience placental insufficiency?

Has anyone dealt with this, especially early on?  If so, do you have any words of wisdom or experiences to share?

I am 17w but Baby is measuring 14w.  After an amnio to eliminate chromosomal defects, this is what we're left assuming.

TIA!

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Baby Boy born sleeping at 20 weeks.

Re: XP: Did anyone experience placental insufficiency?

  • I did, but didn't know it. How is your fluid level do far?  Do you have any specific questions we might be able to help you with?  Mine appears to have been caused by a partial abruption that we think happened at 27 weeks. 
    Born at 31w3d due to severe IUGR & Placental Insufficiency--2lbs 3ounces
    image

    We'll miss you sweet Debbie Girl (4.21.12) and sweet Cindy Girl (8.9.12)
    Lilypie Premature Baby tickers

  • imagekatie4253:
    I did, but didn't know it. How is your fluid level do far?  Do you have any specific questions we might be able to help you with?  Mine appears to have been caused by a partial abruption that we think happened at 27 weeks. 

    Honestly, I just want to find some success stories.  I'm terrified. 

    I guess I wonder if Baby is still getting some nutrients from the placenta, or if there is any way to tell.  His h/r is right on track, so I assume so.  The doctor has said there is nothing I can do, but I'm wondering if others did anything that they believe made a difference.  I've read about a high-protein diet, tons of water, etc.

    I know my situation is a little different since it is much earlier than normal.

    Thanks for your response. :)

    image
    Baby Boy born sleeping at 20 weeks.
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  • imageILoveRedVino:

    imagekatie4253:
    I did, but didn't know it. How is your fluid level do far?  Do you have any specific questions we might be able to help you with?  Mine appears to have been caused by a partial abruption that we think happened at 27 weeks. 

    Honestly, I just want to find some success stories.  I'm terrified. 

    I guess I wonder if Baby is still getting some nutrients from the placenta, or if there is any way to tell.  His h/r is right on track, so I assume so.  The doctor has said there is nothing I can do, but I'm wondering if others did anything that they believe made a difference.  I've read about a high-protein diet, tons of water, etc.

    I know my situation is a little different since it is much earlier than normal.

    Thanks for your response. :)

    I think drinking a lot of water, heating lots of lean protein, fruits, veggies (healthy diet).  Could be helpful.  Basically being as healthy as you can be and resting as much as possible are the right things to do.  For me, bed rest helped my fluid level.  However, it was discovered late and I only made it far enough to get my steroid shots.  

    Are you seeing a high risk doctor?  Maybe get a second opinion about what you can do.  It might be nothing, but our perinatologist said that bed rest is proven to help with fluid levels (abruption usually leads to lower fluid).  

    I would definitely say I am a success story.  My IUGR was caused by a clotting disorder.  When you have your baby, ask for all of the clotting disorder tests.  They'll make you wait about 8 weeks before you can get them.  Clotting disorders often go undetected until pregnancy.   

    Born at 31w3d due to severe IUGR & Placental Insufficiency--2lbs 3ounces
    image

    We'll miss you sweet Debbie Girl (4.21.12) and sweet Cindy Girl (8.9.12)
    Lilypie Premature Baby tickers

  • I did...it caused IUGR in DS and he was only 2 lbs. 9 oz. at 32 weeks.  We did not find out there was a problem though until 31 weeks when my belly measured small for the first time.  At my last prior u/s at 17w6d he was measuring in the 50th percentile, so somewhere between 18 & 31 weeks something unknown happened to stunt his growth...the doctors don't know why. 

    I am happy to report that DS is doing fantastic now at 5 1/2 months...he is meeting his milestones for his adjusted age! 

    I was given steroid shots at 31 weeks and he had no problems breathing from the time he was born...he was really just small and needed to grow.  They decided to deliver him via c-section at 32 weeks because of the placental issues (reverse flow through the cord) because they believed the placenta was dying, and then I got severe pre-e so I really had no choice. 

    I did drink a lot of water during my pregnancy (before I even knew there was any problem) and I'm sure that helped him...his hb always looked great on the monitors.  It does sound like maybe you should seek someone who deals with high risk...I have already been told if we have a second baby I will be considered high risk next time. 

    IMG_0293

    Mr. & Mrs. 10/2/10 | Dx w/PCOS March 2011
    BFP - 7/25/11 | EDD 4/3/12 | C-section 2/7/12 @ 32 weeks 
    BFP - 1/07/14 | EDD 9/20/14

    Baby Birthday Ticker Ticker

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  • Mine was a result of pre-e. at my a/s, they noticed compromised cord flow and uterine notching. When DD was born at 31w, she was the size of a 26/28 weeker, and my placenta was very small and had a bunch of clots. 


    BFP #1 via IUI ~ L (Fatal Birth Defect) 4/7/10
    BFP #2 via IUI ~ m/c

    BFP #3 via cancelled IUI ~ C (2lb 3oz; HELLP) 5/16/11

    BFP #4 via the natural (free!) way ~ E (8lb 11oz) 9/13/12

    image







  • My situation is quite different but my docs were between TTTS and placental insuffiency/unequal share or both with my twins.  We didn't notice the issue until 22 weeks.  Baby A had low fluid and was measuring behind and B had high fluid and was on track.  Are they checking umbilical cord dopplers on you?  They measure the amount of resistance of blood flow.  Absent flow is a yellow flag and should be watched closely whereas reverse flow is a red flag and is very dangerous. 

    I was admitted at 24 weeks when my doc thought A's was in reverse end diastolic flow.  Turns out it was only reverse at times, but mostly absent.  He was moderately growth restricted because of this.  When I reached 28 weeks he hadn't grown but a few oz and was in reverse flow so they made the call to deliver that day.  In my case rest and nutrition helped the fluid levels.  Best wishes to you!

  • Yes, I did. We knew early on he was measuring behind, and it got progressively worse. They did constant growth scans, and in a 2 week period, he had only gained an OUNCE! I was put on bedrest at 24 weeks and I decided to up my protein to 100g+ a day. The next growth scan 2 weeks later he gained 7 or 8 ounces! Big improvement. 

    He was 2 pounds 4 ounces at birth (32 weeks... he was having heart decelerations) and is doing great at 6.5 pounds and 3 months of age!  

    One more thing - is it assymetrical (where the head is on target for the week, but the body is behind) or symmetrical. Assymetrical is better... the doctor told me it's because the fetus was shunting all the nutrients to his brain.  

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  • imagepinotgirl:

    Yes, I did. We knew early on he was measuring behind, and it got progressively worse. They did constant growth scans, and in a 2 week period, he had only gained an OUNCE! I was put on bedrest at 24 weeks and I decided to up my protein to 100g+ a day. The next growth scan 2 weeks later he gained 7 or 8 ounces! Big improvement. 

    He was 2 pounds 4 ounces at birth (32 weeks... he was having heart decelerations) and is doing great at 6.5 pounds and 3 months of age!  

    One more thing - is it assymetrical (where the head is on target for the week, but the body is behind) or symmetrical. Assymetrical is better... the doctor told me it's because the fetus was shunting all the nutrients to his brain.  

    Very good point!  That is a great question for her to ask. 

    Born at 31w3d due to severe IUGR & Placental Insufficiency--2lbs 3ounces
    image

    We'll miss you sweet Debbie Girl (4.21.12) and sweet Cindy Girl (8.9.12)
    Lilypie Premature Baby tickers

  • imagekatie4253:
    imagepinotgirl:

    Yes, I did. We knew early on he was measuring behind, and it got progressively worse. They did constant growth scans, and in a 2 week period, he had only gained an OUNCE! I was put on bedrest at 24 weeks and I decided to up my protein to 100g+ a day. The next growth scan 2 weeks later he gained 7 or 8 ounces! Big improvement. 

    He was 2 pounds 4 ounces at birth (32 weeks... he was having heart decelerations) and is doing great at 6.5 pounds and 3 months of age!  

    One more thing - is it assymetrical (where the head is on target for the week, but the body is behind) or symmetrical. Assymetrical is better... the doctor told me it's because the fetus was shunting all the nutrients to his brain.  

    Very good point!  That is a great question for her to ask. 

    I've got it on my list of questions.

    Thank you all so much!

    image
    Baby Boy born sleeping at 20 weeks.
  • imagekatie4253:
    imagepinotgirl:

    Yes, I did. We knew early on he was measuring behind, and it got progressively worse. They did constant growth scans, and in a 2 week period, he had only gained an OUNCE! I was put on bedrest at 24 weeks and I decided to up my protein to 100g+ a day. The next growth scan 2 weeks later he gained 7 or 8 ounces! Big improvement. 

    He was 2 pounds 4 ounces at birth (32 weeks... he was having heart decelerations) and is doing great at 6.5 pounds and 3 months of age!  

    One more thing - is it assymetrical (where the head is on target for the week, but the body is behind) or symmetrical. Assymetrical is better... the doctor told me it's because the fetus was shunting all the nutrients to his brain.  

    Very good point!  That is a great question for her to ask. 

    Yes that too!  Owen's head was always measuring normal but his stomach and especially his limbs were small.  The same was true when he was born - normal head size for gestation, weight was wabout 15th percentile but his length was like 5th percentile.  He's still very small for age but growing and doing well.

  • We had a symmetrically small baby....so he was the same size all around.  The doctors warned us that this could be a red flag for chromosome disorders, but we had an amnio to rule all of that out.  I consider my story a success story because DS is doing so well, but it was by no means a great pregnancy. 

    The OB noticed the growth restriction at 19 weeks and we were referred to the MFM specialists.  I only made it to 25 weeks, was hospitalized for 3 weeks due to reverse cord flow, and delivered at 28 weeks when they found DS has only grown 3 oz in 3 weeks. DS was only 1 lb, 3 oz at birth...so the size of a 23 weeker.  We are on week 9 in the NICU, but he is doing really, really well, probably because we hung in there long enough for two rounds of steroids.

    The silver lining to your situation is that you know about it well in advance, like we did.  It makes for a heck of a stressful pregnancy, but at least now you can be monitored by the specialists very closely.  A lot of preemie moms don't get any warning, and I thank God every day we weren't blindsided like that.  At least we were able to get mentally prepared (as much as you can for something like this!)

    I'm sorry you're dealing with this.  Good luck and keep us posted!

  • Oh and by the way - I tried the high protein diet.  It did absolutely nothing for me.  When I asked the docs about it, they didn't seem to think it would help either.  They just said to keep eating normally and healthy.  By the end, I was eating so much crap just to try to get DS to gain weight, but all it did was go to my own butt!  :-)  But it never hurts to try the protein thing!

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