I had my monthly growth ultrasound yesterday and baby A is measuring 36oz and baby B is measuring 42oz.nbsp; The past 3 ultrasounds since 18 weeks they were always within a couple of ounces.nbsp; I was able to access my u/s report online and it said that perhaps the discordance is due to greater than average growth of baby B rather than stunted growth of A.nbsp; I don't see my OB again until next Monday and my question for you all is, would you ask for a f/u ultrasound sooner than 4 weeks assuming the OB doesn't mention it? I feel like the next four weeks are crucial for weight gain and I don't want to miss anything.nbsp; nbsp;I am having di/di twins and the only problems thus far have been PTL, elevated B/P at times and low platelets I have a hematology appt. tomorrow. nbsp; Things have calmed down the past couple of weeks and I was able to return to work and feel better than I did. I am not being followed by a MFM, the closest one is two hours away and the OB never mentioned it.nbsp; Any suggestions or experience is appreciated!nbsp; nbsp;
Edited to update: I just received a call from OB office they are referring me to a MFM at the University of Washington about 2 hrs away. So now my question is answered. Hoping to get the appt set up soon. Thanks again!
Re: 23 growth discordance?
Dx: balanced translocation and LPD
TTC since Oct 2011
BPF 02/19/12, EDD 10/31/12, natural m/c 02/28/12 (4w6d)
IVF (BCPs starting 10/30/12, ER 11/18/12, 5dt of 1 beautiful, healthy embryo 11/23/12)
BFP 12/02/12, u/s @ 6w,5d showed 2 HBs! Identical twins!!
Bed rest from 21w-35w due to short cervix, hospital bed rest from 23w-32w due to PTL
Our rainbows were born 07/19/13 (36w, 5d)
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I wouldn't worry about it. We had the same issue - our doc calculated 30%, mfm calculated 24% then redid some measurements and got 20%. Then, the next time who would have thought - the smaller one had magically met and surpassed the weight of the larger one! It is all such a guess. Additionally, the mfm told us that since B was transverse during the earlier calculations, that can produce skinnier head measurements that can skew the results. He was head down the next time when they said he caught up.
If you check out this article, they basically found that discordance in di/di twins is no big deal unless one of them is not growing properly. https://download.journals.elsevierhealth.com/pdfs/journals/0002-9378/PIIS0002937813001270.main-abr.pdf?jid=ymob
Wow, at my last growth scan (32 weeks) mine were 3lbs7oz and 3lbs8oz. I would definitely say that baby B is just growing more than average.
The scan before that, they had a greater discordance but leveled out again by the last one.
I would definitely talk to your MFM about it if s/he doesn't bring it up. Because I am the way I am, I would probably ask about a f/u u/s also. But that is just me.
I'd bring it up, but I don't know how concerned I'd be since they are di/di. But I know how hard it is not to worry.