Fetal Growth Delay: Tips for Expecting Mothers - Obstetrics and Gynecology

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Growth retardation


The last menstrual period was on November 19, 2015, and the doctor estimated the due date to be September 3, 2016.
During the 20-week prenatal check-up, the doctor mentioned that the baby was measuring over a week smaller, so the due date was adjusted to September 13, 2016.
Yesterday, during a high-level ultrasound, the doctor indicated that the due date should actually be August 25, 2016, and that your current gestational age is over 23 weeks.
However, the baby is measuring at 20 weeks, leading the doctor to suspect growth restriction.
They recommended a self-paid test for placental function issues (related to preeclampsia) for 3000 NTD, and the results came back abnormal.
The doctor prescribed aspirin to be taken before bedtime and advised additional Vitamin A and E supplements.

I would like to ask, besides following the doctor's advice, which includes exercising to improve placental blood flow, what other measures can I take to improve the situation? P.S.
I am recording my blood pressure every night.

nicole, 20~29 year old female. Ask Date: 2016/05/03

Dr. Lü Lizheng reply Obstetrics and Gynecology


Please communicate and discuss more with the physician.
If necessary, a consultation can be arranged with Dr.
Lu Li-Cheng at Taoyuan Medical Center.

Reply Date: 2016/05/03

More Info


Fetal growth delay, also known as intrauterine growth restriction (IUGR), is a condition where a fetus does not grow at the expected rate during pregnancy. This can lead to various complications, and it is crucial for expecting mothers to understand how to manage and improve fetal health during this time. Based on the information provided, here are some strategies and considerations for expecting mothers dealing with fetal growth delay.


Understanding Fetal Growth Delay
Fetal growth delay can be caused by several factors, including placental insufficiency, maternal health issues (such as hypertension or diabetes), nutritional deficiencies, and genetic factors. In your case, the abnormal placental function report raises concerns about potential complications like preeclampsia, which can affect both maternal and fetal health.


Medical Management
1. Regular Monitoring: Continue to have regular prenatal check-ups. Your healthcare provider will monitor the growth of the fetus through ultrasounds and other assessments. This is crucial for identifying any changes in fetal health.

2. Medication: Following your doctor's advice regarding medications like aspirin can help improve blood flow to the placenta, which may enhance nutrient delivery to the fetus. Additionally, taking vitamins A and E as prescribed can support overall fetal development.

3. Blood Pressure Monitoring: Since you are already monitoring your blood pressure daily, keep a detailed record of these readings. High blood pressure can complicate pregnancy and affect fetal growth, so it’s essential to keep it under control.


Lifestyle Modifications
1. Nutrition: A well-balanced diet rich in essential nutrients is vital. Focus on foods high in protein, healthy fats, and complex carbohydrates. Incorporate plenty of fruits and vegetables, and consider consulting a nutritionist for a tailored meal plan that meets your specific needs.

2. Hydration: Staying well-hydrated is important for maintaining good blood flow and overall health. Aim to drink plenty of water throughout the day.

3. Physical Activity: As your doctor suggested, moderate exercise can improve circulation and placental blood flow. Activities like walking, swimming, or prenatal yoga can be beneficial. However, always consult your healthcare provider before starting any new exercise regimen to ensure it is safe for your specific situation.

4. Stress Management: High levels of stress can negatively impact pregnancy. Engage in relaxation techniques such as deep breathing, meditation, or gentle prenatal yoga to help manage stress levels.


Additional Considerations
1. Avoid Harmful Substances: Stay away from tobacco, alcohol, and recreational drugs, as these can adversely affect fetal growth and development.

2. Educate Yourself: Understanding the signs of complications, such as decreased fetal movement or unusual symptoms, can help you seek timely medical attention if needed.

3. Support System: Surround yourself with supportive family and friends. Emotional support is crucial during this time, as it can help alleviate anxiety and stress.

4. Follow-Up Tests: Be open to further testing if your doctor recommends it. This may include additional ultrasounds or tests to monitor fetal well-being and placental function.


Conclusion
Fetal growth delay can be concerning, but with proper medical care and lifestyle adjustments, many mothers can positively influence their pregnancy outcomes. It is essential to maintain open communication with your healthcare provider, follow their recommendations, and take proactive steps to support your health and that of your baby. Remember, every pregnancy is unique, and what works for one person may not work for another, so personalized care is key.

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