Here is the story:
We were scheduled to be induced for a vaginal delivery on 06/06 at 7:30 am and got to the hospital about that time. They set us up in the room and hooked us up to monitors. Immediately they were concerned that her heartrate was staying exactly the same the entire time. There was no variability in her heartrate at all. It's not really an emergency type of concern, but just a concern. It just shows that she is not necessarily happy where she is. She also slightly decelerated once without any provocation. Finally, I was concerned because I felt like her movement over the past 24 hours had decreased. On Tuesday evening, I mentioned to Brad that I felt like she had not moved as much as she usually did and on Wednesday morning before the induction, I was feeling the same. She just wasn't moving as much. Based on those factors, our doctor told us that he thought it would be better to just have a c-section because the likelihood of her actually getting into distress and then having an emergency c-section would have been quite high. We agreed and we were put on the "urgent, but not emergent" list for surgery. I was wheeled away and given my spinal, prepped for surgery, and was staring at the ceiling of the OR suite all in less than an hour.
Amelia was born at 11:11 am. Her initail Apgar score was 3 (although 5 minutes later it was 8). She was a little blue and wasn't really crying at all. And she was tiny - very very tiny. 3 lbs 12 oz tiny. 18" tiny. But she perked up a little bit and had a little cry and was breathing fine on her own. They still took her to the intermediate care nursery to live for the next couple of weeks.
We do have a quasi-maybe answer for the IUGR though. During the surgery, the OB and resident asked me if I knew if I had a fibroid as big as the baby's head. I was shocked to hear this and said 'no, I did not know." About a minute later they realized that they weren't looking at a fibroid. My uterus apparently has a very thin section and in that section my placenta attached. When it grew, it made my uterus jut out (kind of like a mickey mouse ear), which, I guess, looked like a fibroid upon first impression. So, the uterus did not give good blood flow to the placenta which did not give enough nutrients to the baby, which could very well be a cause of IUGR. Unfortunately, the thin uterus is definitely a problem and the OB said that if I had gone into labor or tried to induce that my chance of uterine rupture would have been incredibly high and if that had happened, things could have been horribly bad. So, I do feel fortunate that I had a c-section: we found a cause (perhaps) and I didn't die during labor. So good news all around:-)
We do have a quasi-maybe answer for the IUGR though. During the surgery, the OB and resident asked me if I knew if I had a fibroid as big as the baby's head. I was shocked to hear this and said 'no, I did not know." About a minute later they realized that they weren't looking at a fibroid. My uterus apparently has a very thin section and in that section my placenta attached. When it grew, it made my uterus jut out (kind of like a mickey mouse ear), which, I guess, looked like a fibroid upon first impression. So, the uterus did not give good blood flow to the placenta which did not give enough nutrients to the baby, which could very well be a cause of IUGR. Unfortunately, the thin uterus is definitely a problem and the OB said that if I had gone into labor or tried to induce that my chance of uterine rupture would have been incredibly high and if that had happened, things could have been horribly bad. So, I do feel fortunate that I had a c-section: we found a cause (perhaps) and I didn't die during labor. So good news all around:-)
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