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tishy View Drop Down
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    Posted: 02 April 2008 at 3:32pm
Are there any others out there?

Aoife & Eimear were born at 35w4d due to Aoife being small for dates and some other problems also.
She was 3lbs10oz/1.6kgs when born (Eimear was 5lbs/2.2kgs).

At 2 months now she's 7lbs14ozs/3.55kgs and in the 3rd percentile while Eimear is in the 50 percentile.

She's tiny but perfect in every way. I get the impression we still need to wake her every 5hours at night time still ( she can and has slept longer than this before) until she gets bigger.

We've also got plenty of follow up appointments with the hospital to monitor her progress. Eimear gets checked up as well just for the sake of it

I'm just wondering at what stage do they stop monitoring the baby so closely?

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Bobbie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bobbie Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 4:53pm
Rowan was an IUGR baby but only just (born 2.5kg at 38 weeks). We were not allowed to stop waking her every 3 hours for feeds until she hit the 3kg mark. Then we were able to demand feed at night but still had to do 3 hourly in the day.

But as I say she wasn't THAT small by comparison to other IUGR babies so there wasn't a lot of monitoring or intervention.

A rambling way to say that I think it may go by weight?

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BellaBoo View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote BellaBoo Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 5:23pm
Bella was an IUGR baby. We were induced and she was 5lb 7oz and 50cm when born but had 9 and 10 Apgars and blood sugars were great. Nobody told me to do anything different but in saying that she put on weight very quickly and has caught up (and then some in her length!). She now weighs 6.5kg and is 66.5cm long.
I would continue 3hrly feedings during the day and just let her sleep for as long as she wants at night-afterall she needs sleep to grow too. Just my opinion as I am no expert.
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emz View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote emz Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 5:25pm
Jack was IUGR, but luckily had a growth spurt (stopped cutting off his umbilical cord silly boy!) at about 39 weeks, so was eventually born 40w3d at 3.48kg. He dropped from the 75th% to 35th% in 7 weeks, and just kept dropping. They were meant to induce at 37, 38, 39, 40w but the hospital was far too busy to worry about a baby that was being deprived

I think they go by weight. We had to do 3-hourly feeds and demand feeding until he could drink 120ml at most of his feeds (was about a month old). He's still not growing fast, would have grown faster if he got out early but his tummy which was 4 weeks behind still has some catching up to do He's getting there though.

My cousin is oz had twins just 2 weeks after me and there was about a lb difference in size so she was induced. Apparently its quite common for twins?

Aoife's doing so well! You must be stoked!
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emz View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote emz Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 5:27pm
I have a feeling if they whip them out earlier than letting them go full term (like they did with me) that the babies put on weight quite quickly. If you leave them too long they don't - hence Jack's slow growth now too.

I second what Topsy said - maybe you could set an alarm and if she hasn't woken after 5 or 6 hours you could feed her? That's what I had to do for Jack (mostly demand-fed, but yeah if he went over 5 or 6 hours I had to get him up).
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sally belly View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sally belly Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 5:49pm
Liam was born 6 days early weighing 5lb 1oz (2.3kg). It was only when I was at home reading over my hospital discharge papers that I saw they had IUGR written on them.

No one ever mentioned to me that I had to do anything differently due to his small size (my MW wasn't the most helpful after I gave birth though). But Liam has absolutely thrived since birth & has gained weight since day 1. He's now in the 50th weight percentile, up from the 3rd percentile at birth.

I too would say they'll keep monitoring until she reaches a specific weight. Her weight is comparable to a newborn who would definitely be waking up overnight for food. So it sounds to me that you're doing the right thing for her.
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BellaBoo View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote BellaBoo Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 7:29pm
Funny that all the replies are December babies!
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sally belly View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sally belly Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 7:34pm
I was thinking that very thing
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Kazzle View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Kazzle Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 8:20pm
well i will just have to change that...lol

When Rhiannon was born at 38 wks, she was 2.4kgs (5lbs 40z) and i knew before her birth that she was IUGR as she has stopped growing at 35wks.

I had to feed her every 3 hours 24/7 the first 4 wks she only put on 200gms, i stopped breastfeed, as she was obviously starving and within 4 days of being on formula she had put on 500gms...and has thrived ever since....


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Bobbie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bobbie Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 9:08pm
Rowan's still small - around 5 1/2 kg and 58cms. She looks like a chub though.

Speaking of which - I better get her weighed and measured again. I just realised it's almost been a month since I did it last (hence the estimates)

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Post Options Post Options   Thanks (0) Thanks(0)   Quote jack_&_charli Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 9:56pm
what is IUGR?

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Bobbie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bobbie Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 10:39pm
Intra- Uterine Growth Retardation (I think). It means the baby isn't growing properly in the womb.

Oh and I meant to say before - they're all the Dec babies because they were being considerate and getting out so the mummies could have New Year's drinks

Edited by Bobbie

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tishy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tishy Quote  Post ReplyReply Direct Link To This Post Posted: 02 April 2008 at 11:10pm
Haha! Considerate Dec babies!

Aoife was 42.5cms when she was born, she's now about 47cms I think. She scrunches up into a tiny ball when you hold her so she looks even smaller.

We were discharged from Neonates after 10 days with 2 teeny babies. Was never so scared in my life. Both girls were just back to birth weight. We had to top them up with EBM after every feed to fatten them up.

We're still feeding every 3 hours during the day which is why I think they last longer at night time. We're going with 5 hours for the moment and will see from there.

emz - I think it's pretty common. When my Mum had me and my twin sister there was 3lbs between us. I'm pretty sure if I'd gone to term I'd have had about the same difference.

We're back for another Neonatal follow up at 12 weeks so I'm sure they'll let us know then if they're happy.
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BellaBoo View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote BellaBoo Quote  Post ReplyReply Direct Link To This Post Posted: 03 April 2008 at 9:06am
Your doing a fabulous job Tishy! I really dont think I would cope with two. You are a
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monster View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote monster Quote  Post ReplyReply Direct Link To This Post Posted: 03 April 2008 at 9:22am
That's interesting Sally Belly - same for me - I just read it in my notes (IUGR/SFD). However since my boy was born at 39 weeks and was 7lb 1oz I don't think we really qualify compared with all these other wee babes.
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Bobbie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bobbie Quote  Post ReplyReply Direct Link To This Post Posted: 03 April 2008 at 12:07pm
Just took Rowan into plunket today 5.56kg and 58 1/2 cms so my estimates above were almost bang on!

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tishy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote tishy Quote  Post ReplyReply Direct Link To This Post Posted: 03 April 2008 at 1:36pm
Good guessing Bobbie!

sally belly - I think that's the hike in weight that the doctors would like to see from Aoife. I get the impression that if she hasn't left the 3rd percentile at our next appointment ( @ 12weeks old) that he'll be suggesting a formula feed.
Not that I have a problem with using formula, I'd probably welcome the excuse
However I believe that as long as she's gaining weight at a steady rate that she's fine as she is.
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emz View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote emz Quote  Post ReplyReply Direct Link To This Post Posted: 03 April 2008 at 2:30pm
I think its the rate of growth that we as mothers are more concerned about, like you said. While most babies are classed as IUGR/SFD if they are a certain size, there are others (like Jack) who were a normal size yet were IUGR. I was just lucky (or unlucky because of the stress) that the growth was monitored so I knew why he wasn't growing so fast. My boy's still in the 35th% but is growing at a steady rate so the nurse isn't worried.

I think you're doing such an amazing job Tishy. I fully commend parents of twins - I have 2 cousins that have twins and see some of what its like - you guys must be amazing at multi-tasking lol!
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sally belly View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sally belly Quote  Post ReplyReply Direct Link To This Post Posted: 03 April 2008 at 3:31pm
Well done Rowan (& Bobbie for your guesses).

Does anyone know if you have one IUGR baby are you more likely to have another? I remember my MW saying to me that I'd be likely to have another small baby. I never thought much of that at the time... But next time I'll definitely be insisting on a growth scan(s) so any probs could be picked up. Although like emz eluded to, is it really worth the stress of knowing your baby isn't growing?? I think I'd like to know all the same.

Tishy, I second (or third) what the others have said about you doing a wonderful job with your precious little girls. Parents of twins deserve gold medals

Edited by sally belly
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Bobbie View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bobbie Quote  Post ReplyReply Direct Link To This Post Posted: 03 April 2008 at 5:04pm
My mum and my gran both had small babies. Rowan was doing fine up until the end when suddenly the bloodflow through the umbilical cord dropped and she was at the bottom of the percentile range.

I reckon that probably it's a hereditary thing in our family and just wasn't picked up in previous generations. So yep I think Rowan's sibling will probably be small as well.

But I have no idea if there's any scientific evidence.

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