Fundal Height Question

[ConkyTonker]

After one term birth eleven years ago and two unexplained spontaneous abs within the past 18 mos, I am 25 weeks pregnant with a baby girl. At 9 weeks I had a low lying placenta, and at 18 weeks, a marginal previa. No bleeds yet, though. At my doc visit yesterday, my fundal height was 22 cm, which he conceded was "a little on the small side". I am to go back on 12/30 for another u/s to evaluate this situation further. My weight gain has been poor (5 lbs) despite eating well and a lack of n/v. My son was born at 40 4/7 wks at a robust 3827 grams, with a 41 lb weight gain on my part. I am a 33 y/o non-diabetic, normotensive ICU nurse with no significant medical history aside from the 2 spontaneous abs.

I'm trying not to borrow trouble, but after my run of bad pregnancy luck, it's hard. I worry about things like IUGR. At the 18 week u/s, she appeared grossly normal, weighed roughly 8 oz, and was about 8 1/2 inches long, which I understand is pretty good.

I guess my question is: how big a deal is it that my fundal height is off? Due to early u/s dating and serial HCG levels, the gestational age is pretty firm. I have a feeling that the next three weeks of waiting are going to drive me bonkers. I've already lost quite a few marbles in my time, sad to say .

[mommy2BCD]

Well, I am not an expert by any means, I can just speak from experience. My fundal height was off the whole pregnancy. One time I would go and they would say that I was "huge", the next time I was too small. I think that part of it is that it is hard to get an accurate measurement. Like I said I am no expert, but my doctor said something different everytime I went. I wouldn't worry if I were you until you figure out more at your next appointment. Congrats on your pregnancy!

After one term birth eleven years ago and two unexplained spontaneous abs within the past 18 mos, I am 25 weeks pregnant with a baby girl. At 9 weeks I had a low lying placenta, and at 18 weeks, a marginal previa. No bleeds yet, though. At my doc visit yesterday, my fundal height was 22 cm, which he conceded was "a little on the small side". I am to go back on 12/30 for another u/s to evaluate this situation further. My weight gain has been poor (5 lbs) despite eating well and a lack of n/v. My son was born at 40 4/7 wks at a robust 3827 grams, with a 41 lb weight gain on my part. I am a 33 y/o non-diabetic, normotensive ICU nurse with no significant medical history aside from the 2 spontaneous abs.

I'm trying not to borrow trouble, but after my run of bad pregnancy luck, it's hard. I worry about things like IUGR. At the 18 week u/s, she appeared grossly normal, weighed roughly 8 oz, and was about 8 1/2 inches long, which I understand is pretty good.

I guess my question is: how big a deal is it that my fundal height is off? Due to early u/s dating and serial HCG levels, the gestational age is pretty firm. I have a feeling that the next three weeks of waiting are going to drive me bonkers. I've already lost quite a few marbles in my time, sad to say .

[GooeyRN, ADN, BSN, CNA, LPN, RN]

Im not an expert either, but in school we were taught 2cms either way was ok. -4cms meant possible iugr. I was -2cms my whole pregnancy, and had a 5 lb 13 oz baby at 38 weeks. This was with a 57 lb weight gain too! (I was grossly underweight before pregnancy) congrats on the pregnancy! Let us know how things turn out at your u/s.