Fetal Growth Disorders

One of the ways we monitor you during your pregnancy is with by measuring your uterus over time (“belly checks”). If your uterus seems too small or too big, we usually follow up with an ultrasound to check your baby’s growth. We also might check growth by ultrasound periodically if you have a condition that puts you at risk for a big baby (such as diabetes) or a small baby (such as hypertension).

Babies who grow too big because of diabetes, excessive maternal weight gain or genetic conditions may have delivery complications. They may also have newborn complications such as being unable to keep their blood sugar or temperature up. And there’s growing evidence that these babies may be at higher risk for metabolic problems later in their life. For these reasons, it’s important to follow a good diet, and in the case of diabetes to have excellent control.

Babies can be too small for many different reasons, including
• A genetic problem or birth defect
• A problem with the placenta
• The mother has a medical condition that can affect blood vessels such as lupus, high blood pressure or kidney disease

Babies who are under-grown need very close follow up because they’re at higher risk for stillbirth. Using ultrasounds and NSTs we’re able to determine the safest time to deliver your baby and if needed, to prepare for an early birth.