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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Causing Abdominal Shrinkage Of My Fetus?

Good Morning

I am 33 weeks pregnant today. I am currently having scans every 2 weeks due to complication with my first child (early onset pre eclampsia with HELLP at 24wks). I had a scan yesterday, all measurements are fine apart from baby abdomen measured smaller yesterday than 2 weeks ago. I have been booked into the day unit at my local hospital tomorrow and monday for monitoring and again on wed with another scan.

What could be the problem as i was not really told anything?

I am also measuring 30weeks with the midwife?

Thank you in advance

Helen
Mon, 30 Nov 2015
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OBGYN,  's  Response
Hi Helen,

I have read through your query and feel that, the smaller abdominal circumference and smaller baby size indicate that the baby is having intra uterine growth restriction. The babies special sonography called Doppler studies needs to be done to know the type of blood flow into the placenta. This could be due to your previous history of Pre-eclampsia and HELLP , women with these are known to have more likelyhood of smaller babies in future pregnancies. Along with regular Doppler and fetal heart rate tracing of the baby, your BP and urine albumin need to be measured as it is likely that you can get pre-eclampsia again.
If the Doppler studies indicate abnormal blood flow and ultrasound show that the baby is not growing as expected and the fluid around the baby is getting less, early delivery may have to be considered.

Hope this helps.
Regards.
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What Is Causing Abdominal Shrinkage Of My Fetus?

Hi Helen, I have read through your query and feel that, the smaller abdominal circumference and smaller baby size indicate that the baby is having intra uterine growth restriction. The babies special sonography called Doppler studies needs to be done to know the type of blood flow into the placenta. This could be due to your previous history of Pre-eclampsia and HELLP , women with these are known to have more likelyhood of smaller babies in future pregnancies. Along with regular Doppler and fetal heart rate tracing of the baby, your BP and urine albumin need to be measured as it is likely that you can get pre-eclampsia again. If the Doppler studies indicate abnormal blood flow and ultrasound show that the baby is not growing as expected and the fluid around the baby is getting less, early delivery may have to be considered. Hope this helps. Regards.