by expert on call (297 Posts), Sun Feb 16, 2003 05:49 pm
Sorry to get back with you sooner. Your email arrived the day I left for a snowshoe trip. Please forgive the delay. Actually several days have gone by, I do hope all is well. You asked several important questions. First IUGR (Interuterine growth retardation) is an expected outcome of preeclampsia. The placentas tend to be small and the maternal arteries are not as large as a normotensive pregnancy. However, I would also like to give you great encouragement as even 3 pounds 2 oz is a nice size at 32 weeks with the complication of preeclamsia. It is wise and important to have frequent US and biophysicial profiles. As for being uncertain whether or not to call your doctor... CALL! Day or night. The reason why your pressure readings vary is because preeclampsia is a vasospasic disease which means the vessels spasm, therefore the B/P will vary. Call your doctor frequently and do not give into pressure or feelings that you are imposing. You can even ask for rationales for sending you home and for reassurance through lab testing (uric acid, blood counts, fibrinogen levels).
As for the nursery course of IUGR is also based on gestational age. At 33 weeks please expect that Molly will need oxygen support (usually by a special hood, but may require intubation (a breathing machine) for a few days. Intravenous access lines are usually placed through her umbilical cord for fluid and antibiotics to protect her from infections. Small babies tend to have some problems with blood sugars (corrected by the IV fluids) and have difficulty keeping warm (therefore placed in a warmed isolette).
After the initial shock and recovery from delivery IUGR babies do as well as others.
I hope that your last few days have not been too stressful. Please forgive my delay in writing. If we can be of any other assistance or answer ANY questions, please ask.
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