Archive for March, 2010


I was told at my 36 week ultrasound that the baby wasn’t quite as big as she “should be”.

So, who came up with this term: AGA – Appropriate for Gestational Age? And WHO decides what that should be? I am a small, petite woman – About 5 feet and not pregnant I weigh around 115. Why should my babies be 8 or 9 pounds?

 In my research, I’ve read that a normal, full-term baby is about 7 1/2 pounds, that is what is considered AGA for a newborn. A premature baby is naturally smaller, but still considered AGA because the size is appropriate for the length of time in the womb.

SGA means small for gestational age. This is an infant below the 10th percentile on a standard growth chart.

IUGR means intra-uterine growth retardation and is often used instead of SGA. People may think it’s the same thing, but it’s not. An IUGR baby is less than the 3rd percentile and there is often abnormal genetic or environmental influences affecting the baby’s growth.

This make all IUGR babies SGA, but NOT all SGA babies are IUGR.

In my case, two of my babies were SGA, NOT IUGR. However, nobody was able to determine this in time. In this last pregnancy, I was told at 36 weeks the baby measured 34 weeks. She was in the 15th percentile. 2 weeks later, I went back for another ultrasound. I was 38 weeks and she measured 35 weeks, so she was now in the 10th percentile.

It wasn’t so much that she was on the small side, but it was that she was “falling”. And for this reason, I was advised to be induced. And because everyone was nervous, I went ahead with the inductions.

With my fourth child, she weighed only 5lbs 1oz. The placenta was calcified and my doula told me it was the thinnest cord she had ever seen. I do believe inducing was the right thing to do with her. She was small and something was up with that placenta and cord.

However, with my fifth child, she weighed 6lbs 3oz, the placenta was fine, and I heard that the cord was a little thin, but not bad. One of the nurses said that she showed signs of being an IUGR baby, that her proportions were “off”. I didn’t see it. Was it “new baby syndrome”? Maybe. Still when I look back at pictures, nothing seems wrong. Maybe I should have gotten another opinion? Maybe I should have waited a few more days? Maybe I should have tried the castor oil?

*SIGH* I can’t keep harping on what I should have done or could have done though. I must move on. If we had another child and the same thing came up, I would definitely look into it more. That’s all I want anyone to do, research it.


Low Lying Placenta

There is so much information out there about low lying placentas and none of it was right for me. I wanted to share my experience for those of you looking for help and information.

At my 18 week ultrasound, I was told my placenta was about 2cm from my cervix. Nothing to worry about, they said. It will migrate up. Placentas almost always migrate up. Okay, no problem, no worries. I, for once, didn’t worry. Everything I read online said most likely my placenta would migrate up.

Imagine my surprise when I went for my 28 week ultrasound and found that my low lying placenta was now 2.1cm from my cervix. Oooohhhh… a whole .1cm of movement. And then, my family doctor was so worried she insisted I see an OB.

They said if I have a low lying placenta, I could bleed in labor and delivery. I could hemorrage. This worried me. But, I kept the faith. I kept hoping that it would change. I prayed.

I went for another ultrasound when I was 36 weeks. Finally, improvement! The prayers had worked. My placenta was now over 4cm away from my cervix!! This was perfect! Of course, they did find that the baby wasn’t as big as they’d like her, ending up labelling her “IUGR” and that led to a whole other set of problems… but the placenta problem had resolved.

If the ultrasound technician hadn’t told me to get another ultrasound when I hit my 3rd trimester, I would have waited until I was closer to my due date to have it, sparing myself the weeks of worrying after that 28 week ultrasound.

So, for all those wondering if your placenta will migrate later on in pregnancy, I am proof that it IS possible. It can migrate after 28 weeks. Don’t let an early ultrasound prevent you from delivering at home or even vaginally. Insist on having an ultrasound around 37 weeks instead.