This past Thursday was my first meeting with the MFM. I had a full on anatomy scan to go with the growth scan, and they also checked my cord flow from the placenta to the baby, and my amniotic fluid levels.
Dr. C is awesome. He says that the most likely cause for the IUGR is my unicornuate uterus (as expected). My fluid levels are normal, blood flow to baby looks good, no markers for TORCH infections, no hypertension or diabetes, and completely normal-looking anatomy (so low risk for a chromosomal issue). I am relieved that everything looks good, but at 30w4d she weighs 2lb 12oz, which is the 3rd percentile. She’s incredibly small. The biggest risk here is stillbirth, which he says is a very small risk since I will be monitored so closely. I hope that’s true.
The plan is for me to have twice weekly non-stress tests (NST), once weekly ultrasounds to measure the flow to the baby from the umbilical cord, and to check my amniotic fluid levels, and every other week growth scans/appointments with him. He says even if she doesn’t grow, as long as everything still looks normal we plan for an induction at 37 weeks. He also said that if things still look good at 37 weeks we can discuss pro-longing the pregnancy. I am also able to try delivering vaginally if the baby stays head down (I think she will stay head down since I’m pretty sure she had no room to turn). However, IUGR babies tend to get stressed during labor so I may end up needing a c-section anyway.
I have had 2 scheduled NST’s so far and she passed both of them. For the first one I had contractions registering every 1-5 minutes the whole time, and I could even feel them all. I also went into labor and delivery last night because the baby had reduced movements all day. Luckily everything looked great on the NST there and she is moving back to normal today. I also had a few mild contractions I couldn’t feel. Apparently that’s my new normal.
So how am I feeling after all of this? Honestly, I’ve been a bit of a mess. I’m incredibly scared that my body will be unable to continue growing her and I’ll give birth to a tiny baby with a whole host of problems. I don’t think I could forgive myself if that happens. I just keep wondering if it was selfish for me to try carrying a pregnancy with this known uterine anomaly. But then I have to remind myself that we don’t know the outcome, and we took a calculated risk. I am just hoping for the best.
Thank you to everyone for your support. If all goes well I get to meet my little girl in about 6 weeks. I am so excited (and scared). A year ago, I could have never fathomed that.