34 weeks - growth discrepancy

kimberm0511 · November 2013

I had an u/s today and baby B isn't growing like he was. My twins are di di with no issues until now. B has always been smaller than A, but now he has dropped from the 40th percentile to the 17th. Baby A is in the 65th percentile. My ob is sending me to the MFM (i haven't seen her since I was 23 weeks since my ob does all the scans), so I will get to hear her thoughts. Just wondering if I should be concerned at all? I know I've made it pretty far and that's a good thing, but I haven't had any issues thus far so it's just worrying me

kgs0505 · November 2013

I suspect they will deliver you early if there is any concern. You'll probably be watched even closer. Have you had NST/BPP testing done? If not, they'll start that right away.

kimberm0511 · November 2013

Nothing extra...my ob doesn't treat me like a patient with twins. Except for the extra ultrasounds. I'm kind or glad I'm getting to see the MFM. Love her and will trust whatever she says.

10-4LilBuddy · November 2013

At my 35 week growth scan, my boy dropped from 22nd percentile to 13th. Since he was breech and his sister was sitting on him, my MFM and OB decided to do a C section at 36 weeks. All their NSTs and BPPs had been perfect the entire pregnancy. They were born crying, breathing room air, and needed no NICU time at all.

kimberm0511 · November 2013

That makes me feel a lot better! I'm trying not to stress about it too much, but that's great that yours was born with no issues! Hoping for a similar story! I wonder why my ob doesnt give me NSTs or BPPs. At least he didn't hesitate to send me on to the MFM when he saw an issue. I just feel like he's been too relaxed this whole pregnancy. But, it has gone very smoothly until this..so who knows.

LegalLadyBug · November 2013

Fingers crossed for you! That does seem a bit odd though. This is my first twin pregnancy but my OB told me it's standard for them to do weekly or biweekly NSTs starting at 32 weeks on twins.

kimberm0511 · November 2013

LegalLadyBug said:
Fingers crossed for you! That does seem a bit odd though. This is my first twin pregnancy but my OB told me it's standard for them to do weekly or biweekly NSTs starting at 32 weeks on twins.

Well that's what I had always heard. But my ob says that since they are di di, that they usually don't have complications like other twins so no reason for all of the extra stuff.

I'm so ready to have them so I can stop worrying if my OB is doing things correctly!

I literally haven't even seen him anymore than I went to the doc with my singletons. Its very frustrating.

10-4LilBuddy · November 2013

It is standard to start NSTs and BPPs around 32 weeks. I did not mention that I was on hospital bedrest from weeks 24 to 33, then at home bedrest until delivery at 36 weeks for a shortened cervix and contractions. My MFM and OB caught the complications. My babies were di di as well.

Mrs.Guz · November 2013

Around 34 weeks is when my baby A started showing a growth discrepancy and nt growing as fast as she should. I got out on modified bedrest and they just kept an eye on her. I ended up delivery via c/s at 37s4d (just a few days before my scheduled induction) due to her being IUGR, amongst other things. She ended up being a little bigger than they expected, still small though, but healthy and no time in NICU.

tootsscott · November 2013

What is involved in NST's? Just came to the hospital on Tuesday and am on strict bed rest with contractions. Do they just do the monitors more bc I haven't heard them mention ''NST' yet

megs2011 · November 2013

My OB treated me like a normal singleton pregnancy too. It was frustrating. He did start my weekly NSTs at 29 weeks but I'd only get BPPs if the NST wasn't looking good (girls never cooperated). At 34 weeks both my girls were 3 weeks behind in growth. I was scheduled for induction a week from that appt but ended up in an emergency c/s at 34w4d due to pre-e, HELLP and iugr. Girls came out screaming and stayed on room air. They were only feeder/growers in the scn.

megs2011 · November 2013

tootsscott said:

What is involved in NST's? Just came to the hospital on Tuesday and am on strict bed rest with contractions. Do they just do the monitors more bc I haven't heard them mention ''NST' yet

@tootsscott NSTs are just monitoring the babies heartbeats vs their activity in the womb. I was told from 32 weeks on they like to see 15 BPM increase with activity in the womb and want to see that increase for 15 seconds.
ETA: typing fail

kimberm0511 · November 2013

megs2011 said:
My OB treated me like a normal singleton pregnancy too. It was frustrating. He did start my weekly NSTs at 29 weeks but I'd only get BPPs if the NST wasn't looking good (girls never cooperated). At 34 weeks both my girls were 3 weeks behind in growth. I was scheduled for induction a week from that appt but ended up in an emergency c/s at 34w4d due to pre-e, HELLP and iugr. Girls came out screaming and stayed on room air. They were only feeder/growers in the scn.

Did you ever say anything to your OB about treating it like a singleton? I'm terrible with confrontation, but I'd like to know his reasons behind not giving NSTs or why only one u/s a month.. etc... His credentials are excellent, which is why I haven't said anything yet. But now I'm so frustrated. Also, what were the birth weights of your twins if you don't mind me asking?

kgs0505 · November 2013

I had lots of complications, but then again I had mo/di's. I started NSTs at 28 wks/2x week. Crazy amounts of doctor's appt's! My OB also started seeing me more frequently earlier in the prganancy than she would have normally. I think I started weekly visits around 30-31 weeks?

NST's when you aren't in the hiosiptal are mostly for a specific period of time that they like to see activity. There were several times I had to stay for a long time because one or both of the babies were asleep and had to be woken up (they stick a bibrator on your belly). BPPs are a quick ultrasound to check fluid levels and the blood flow through the cord.

Want a personalized experience?

34 weeks - growth discrepancy

Re: 34 weeks - growth discrepancy

Choose Another Board

Search Boards