thread: Low papp-a - bubs smaller than average - anyone else experience this?

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  1. #1
    BellyBelly Member

    Jan 2010
    2,793

    Well I had another scan today. It'll be interesting to hear the report when I see my ob next week. From what I could tell from the quick look at the charts I got, stomach circumference is now less than the 5th percentile. The sonographer said that head circumference was still close to normal. The growth charts seemed to indicate that bubs is still growing, but has dropped down them more, so isn't growing at an average rate. It'll be interesting to hear actual percentiles at my appointment. Hopefully my ob is happy with growth and we can get at least a few more weeks of growing before coming out.

    EDIT - (and I know this is totally jumping ahead but just wanted to ask) Does anyone know whether I'm likely to be advised to have a CS if my ob decides bubs needs to come out? Or is an induction more likely? I'm not sure what they advise for bubs that are not growing properly.

  2. #2
    Platinum Subscriber

    Apr 2010
    coastside, Vic
    2,172

    Chody I would say yes about the CS for a number of reasons, mainly a smaller bub has less reserves to cope with labour and would get into distress more easily,is often not head first yet and also to induce a labour earlier than term is often very difficult as your body isn't ready and would most of the time end up a failed induction/ CS.
    Often a slow growing baby has a placental issue, so the stress of labour on a not-quite-100% placenta would be too much.

    Anyway, good luck and I hope this isn't an issue, but its good to be informed of the possible outcomes, so you don't get shocked if the Dr suggests CS!

    You might at least get a few more weeks with regular scans.

  3. #3
    BellyBelly Member

    Jan 2010
    2,793

    Saffy - Your thoughts are along the lines of what I was thinking. I know bubs is head down, but I was wondering about bubs ability to cope with labour. I hope it doesn't come to that, but ultimately I will do whatever my ob recommends as they are the doc and I trust their judgement. I might try and do a bit of reading about CS just to prepare myself 'just in case'. At least that way I am informed.