Tuesday, November 8, 2011

My "oops" baby

As in, their big fat fucking oops.

My OB noticed the same issue this morning. (I did do the virus testing just in case, and asked for a full copy of my records.)

Atticus is totally fine. He is awesome, in fact.

And yes, he's in the 14%ile, which is small, but not SEVERE IUGR, as is written alllllllllllllllll over the ultrasound report.

I understand that mistakes can happen. I totally do. And a typo or a mis-read lab report or whatever--happens all the time, I'm sure.

Why I have zero confidence in these people, and thus an ultrasound with a new MFM group in an hour and a half, is because...rather than seeing a huge drop in growth and going, "Oh wow, that's alarming, let's double check it"...they went, "Oh wow, that's alarming, let's deliver 2 micropreemies STAT."

And here's what should have raised eyebrows:
BPD 5.18cm, 21w5d
HC 19.38cm, 21w4d
AC 16.62cm, 21w4d
FL 3.76cm, 22w1d
US gest age 21w3d (how is his age smaller than *all* of his measurements?)
EFW 450g--which they have WRITTEN as "4%ile" but is actually '14%ile". Incompetent jerks.

I mean, seriously? Yes, those measurements are all small, but not a SINGLE one is smaller than 10 days behind. And you want me to deliver? Fuck that noise. Especially after I said, "but he's always been small"...and a simple glance at my chart would confirm that 2 weeks ago, his BPD was 4.6 (20w0d, so a growth of 12 days' worth in 14 days), his HC was 17.8 (20w2d, so a growth of 9 days' worth in 14 days, which is probably the most concerning), his AC was 14.7 20w0d, growth of 12 days again), and his femur was 3.4, for a total growth of 11 days. And weight went from 344 g to 450 g.

My baby didn't stop growing. He did, perhaps, slow down a bit, but not outside of measurement-error range. Certainly not into "deliver now or he will die" range.

And it turns out my Damien's weight is an estimated 609 g. His measurements are all right on track.

I am alternating between extreme joy and extreme fury. And extreme need to go to this follow-up ultrasound, just to be sure.

10 comments:

michelle said...

I'm so relieved for you! I go in for my 24w growth scan this friday (though I'll be 24w7d). I'm going to ask about the measurements you mention. Did they take you off bed rest?

Willow said...

OMG, I can't believe they made a mistake that big! I'm glad it was just a mistake of course, but how horrifying that they put you thru all this for no reason! So glad you are going to a different doc today. Here's to good--& accurate!-- results there!

Guinevere said...

I'm delighted and a bit infuriated on your behalf!

Chickenpig said...

OOOOOO those idiots! If only you had a person who would have stepped in and verbally smacked the other person in the head like I did. Grr..... It's enough to make you want to sue them for pumping up your blood pressure. Gah!

Needless to say, I'm soo happy that it was an "oops" and not an OMG!!!

Lulu said...

WOW. Incompetence of that sort should NOT be allowed in this situation. So glad that everything is okay, but also angry on your behalf. <3<3<3<3<3

PS- you are SUCH a good mom already!! All those numbers went right over my head!

Baby Hopes said...

Oh, I think I would be all over their case on this one. That is so incredibly dangerous in so many ways. Incompetence at its worst.

Sarah said...

WOW. Seriously? Um SO happy Atticus is fine but SO FURIOUS that they could mess up that badly!!!

Kelly said...

So glad that you are getting another opinion...I mean seriously?!?!?! I'm with you on mistakes can be made but you don't just instantly jump to delivery of tiny babies off of ONE ultrasound! I do ultrasound and it is so operator dependent. If that had been me I would have had someone else come in and measure the babies behind me just to be sure...another set of eyes is always a good thing! We do that all the time where I work even with things that are not nearly as important!!!!!

So sorry you are having to go through this...

And I agree with Lulu..you are such a great mom!!!!

Gurlee said...

Yes, delighted and furious. Wtf? That grave error does not bode well for your confidence or their competence. I hope the other MFM gives you some piece of mind.

TeamBabyCEO said...

Just catching up but I am with you on the eff that noise approach. I'm not sure what mfm group you are with but if they are wanting to deliver you now, I would seriously consider changing-recommend an academic mfm group...seriously unbelievable. Iugr is somewhat exected in twins, these people are morons.