View Full Version : Measuring small at 21 weeks
Ajizzy
Aug 15, 2014, 03:29 AM
Hi I have had 3 other kids all of them never measured right for their weeks and my dates where never changed but this time the hospital are chnageing my dates even though they are only two week. Out which is normal and they don't care about my history nothing if they do this my baby will be 43 plus week before I can ask to be induced which isn't fair on my baby how can I make them see I just have small kids
CravenMorhead
Aug 15, 2014, 06:22 AM
What makes you think that they're wrong? Why do you think you will be induced? Why do you want to be induced? The initial ultrasounds and most predictions can be out as much as 2 weeks. It could be that the initial scan was wrong and you're actually 2 weeks earlier than you thought. Also realize this, you have brought to term and delivered 3 kids. They've cared for and delievered easily a hundred times if not a thousand times that number. They know more about this than you do even though you've been through this multiple times before. Have faith in their skills and knowledge.
Ajizzy
Aug 15, 2014, 02:02 PM
Well I have a history of very small babies this hospital won't request my history so they don't know nothing and yes I do know a thing or two I am a third year nursing student so yeah this baby is measuring way bigger then my other three so I have changed dr and going to see if they listen to me
DoulaLC
Aug 15, 2014, 02:03 PM
Try not to worry as they will likely do another scan in several weeks to compare. Two weeks behind is not necessarily unusual. It's actually pretty common.
Did you have a scan early in pregnancy? If so, that would be a better indicator for dating your pregnancy.
Ajizzy
Aug 15, 2014, 02:17 PM
Well I have a history of very small babies this hospital won't request my history so they don't know nothing and yes I do know a thing or two I am a third year nursing student so yeah this baby is measuring way bigger then my other three so I have changed dr and going to see if they listen to me I have be told for every baby I had after my first it would be a induction as I have extreme PPH to the point I need blood products to stop it so yeah I have to have my baby in a hospital not on the side or the road or at home as my labours r very short 20 minutes to an hours and since. I live more then 3 hours away that would never happen
Yes I have had quite a few scans and this hospital is refusing to use them they want to use my scan from 21 weeks
And to add to is crap three people did my scan and they all got different answers so yeah I don't really trust what they have to say if they say the computer set the weeks then way did they all get different dates the first was 19 w 6 d ,20 w 3 d , and 19w 3 d
DoulaLC
Aug 15, 2014, 02:57 PM
It is unusual to change your due date at this stage, especially if your pregnancy was already dated from an early scan.
It sounds as though this is the first time having a scan done at this hospital? Were these technicians performing the scan? Did your actual doctor go by the results he/she was given or did they see the scan in person and make the decision to move back your due date?
Any mention made of a follow up scan in several weeks to compare?
J_9
Aug 15, 2014, 03:03 PM
Actually, those gestational dates aren't that far off to be concerned about.
19w 3d is only seven days earlier than the 20w 3d dating, so I guess I am unsure as to why they are changing the dates this late in the game.
Out of curiosity, what was your first due date and what are they changing it to?
CravenMorhead
Aug 15, 2014, 03:08 PM
Hi I have had 3 other kids all of them never measured right for their weeks and my dates where never changed but this time the hospital are chnageing my dates even though they are only two week. Out which is normal and they don't care about my history nothing if they do this my baby will be 43 plus week before I can ask to be induced which isn't fair on my baby how can I make them see I just have small kids
So tell me in here were you said you needed to be induced the previous three pregnancies? Your hospital isn't requesting information for your previous pregnancies and births? That you're a third year nursing student? That you have extreme PPH? That you have short labours?
I don't see it? Do you? Oh wait, they're in this post you put down later. How are we supposed to know this if you don't tell us? I don't know you from any other woman on the street. No one here knows more than what you say. So calm your attitude and reread what you post.
Well I have a history of very small babies this hospital won't request my history so they don't know nothing and yes I do know a thing or two I am a third year nursing student so yeah this baby is measuring way bigger then my other three so I have changed dr and going to see if they listen to me I have be told for every baby I had after my first it would be a induction as I have extreme PPH to the point I need blood products to stop it so yeah I have to have my baby in a hospital not on the side or the road or at home as my labours r very short 20 minutes to an hours and since. I live more then 3 hours away that would never happen
Yes I have had quite a few scans and this hospital is refusing to use them they want to use my scan from 21 weeks
And to add to is crap three people did my scan and they all got different answers so yeah I don't really trust what they have to say if they say the computer set the weeks then way did they all get different dates the first was 19 w 6 d ,20 w 3 d , and 19w 3 d
Since you're a nursing student you know a little about genetics don't you? Everyone one of your children have a different genetic makeover that is dependent on you and your partner(s) genetics. So you've taking a bit of embryology right? You understand that the genetics of the embryo plays a huge part in the growth through out your pregnancy. So for example if your first three children had your genes for a lot of the pregnancy growth and this child has your partner's genes instead, it could grow differently. Your health, diet, stress levels, and other environmental factors could cause differences in growth rates.
As a nursing student, who knows so much more than everyone else here that it is a wonder that you lower yourself ask us ignorant fools your precious question, you must understand these factors and others that can cause differences between pregnancies thus the expression, "Every pregnancy is difference."?
So I reiterate. Why do you think that they're wrong when previous history can only suggest present growth rates? And with the previous statements in mind this is why the ultrasound dating can be out by as much as two weeks. Regardless of your history they're going to treat this as they would the thousands of others pregnancies and births that you see. How do you know that you're at 21 weeks and not 20 or 19? What if this time around you ovulated at the end of your cycle and not the mid point?
Before you go on and be snotty and give people bad rep, think of why we're asking the questions. Most of the time it is because you didn't give us the proper information.
Why did you have to move hospitals? Can't you switch back to your previous one?
J_9
Aug 15, 2014, 03:28 PM
This labor and delivery nurse (yeah me), is now waiting for her "inaccurate."
I am sure you realize, since you are a nursing student, that with a history of PPH pregnancy should be avoided due to the increased risk of increased blood loss with each subsequent pregnancy.
You may be a nursing student, but you have three excellent resources right here. A Doula (yes she's for real), a biologist (Craven), and a Registered Labor & Delivery Nurse (me).
Ajizzy
Aug 15, 2014, 06:53 PM
Ok 23 dec 14 to 16 jan 15 15
I can go to my other hospital as it is in Townsville
I am also half the size I was with my other three kids by 15 kgs And was having chemo before I found out at 14 weeks
And my first two scan both said 23 and this hospital is refusing to use and my dr is only going on what the ultrasound lady told her over the phone they give me no photos only a piece of paper saying I had to go back as they wanted to change my dates as baby is measuring small
And contraception doesn't work I have asked my obgyn to tie my tubes but she won't so yeah
DoulaLC
Aug 16, 2014, 03:46 AM
Your doctor should have your history and if she won't refer to it in conjunction with her own examinations, along with listening to your concerns, you may need to consider a different doctor. Hopefully that would be something you have at least an option of if you continue to feel that you aren't being heard.
In pregnancy and birth you want care providers who will listen and who you will have confidence in. They don't have to agree with what you may want, but you should be confident in their reasoning and the care that they are providing.
Have you had the opportunity yet to share your concerns with your doctor as you have here? If not, this may all be for naught as she may very well take everything into consideration.
When you had previous inductions, when did that occur in your pregnancy? Has this doctor mentioned when she would plan to have you induced?
Again, was there a mention of a follow up scan? Do you have a fairly good idea of when you most likely conceived... and if so, how do dates measure up? Normally some altering of dates doesn't change much, and again it doesn't often happen at this stage. A concern for a suspected smaller than expected baby usually would result in a follow up scan to watch for continue growth to see if there was a possible concern. However, as has been said, two weeks is not unusual at all and dates are not normally adjusted for that, but with your medical history, I can understand your concerns.
When your doctor would plan an induction can make a considerable difference in the situation.
What reason was given for not performing a tubal ligation? Was this her personal reasons or a medical reason? What about a vasectomy for your partner? That would be far easier as well.
Ajizzy
Aug 16, 2014, 05:05 PM
I have had follow up scans and there is still only 14-15 days difference from the date I was giving at my first scan I have spoken to a different midwife and she agrees with me but I have already paid quite a lot for my private midwife my other inductions were at 38 weeks and 39 weeks they were doing this induction at 39 weeks as I have a bleed up near my placenta on my hine wall and this other midwife did a scan on me and said my real due date is the 26 of dec not the 23 and yeah I know when I conceived as my husband was only here for 4 days then went back to his job in mount isa
Ajizzy
Aug 16, 2014, 05:11 PM
They said no to the tubes and vasectomy as we r to young that was the only reason
J_9
Aug 16, 2014, 05:13 PM
I can't add more than what Doula has said. However, in some locations tubal libations will not be performed on women under a certain age.
Ajizzy
Aug 16, 2014, 05:30 PM
But the same dr told me having another baby could possible kill me yet they won't do it I even had an abortion once and ended up in the hospital to get a blood transfusion as I lost a lot of blood I want my tubes done
DoulaLC
Aug 16, 2014, 06:13 PM
Often a medical reason would take precedence over age, especially since you have had several children as well.
You might be able to consult with a GYN after your have recovered from this birth or for your husband to have a doctor's consultation given the circumstances.
Another option for this birth... ask your midwife to plan the induction for once you hit 38 weeks by her calculation, or even see if she would be willing to go with 37.5 weeks. If your original date was closer, you would only be slightly passed that, which would be perfectly normal. If her calculation is closer, you still wouldn't be too early as to be considered a risk to baby.
You never know, babies have been known to have a jump in growth in the next several weeks, so it is quite possible that your dates will match up once again....or at least the span will decrease.
Short of seeing another midwife or OB, I don't know what other options you have.