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My daughter began measuring small in the mid 30-week range and was diagnosed with IUGR towards the end of my pregnancy (37-38 weeks).
The growth scan showed her as being 4lbs 10oz or so for the last remaining weeks of my pregnancy with no change in growth (it looked like she had stopped growing). I was induced at 38w5d and she ended up coming out at 5lbs 5oz, but otherwise completely healthy.
There was no real reason for her small size determined. I was also suffering from hydronephrosis during my pregnancy and the doctor mentioned that the stress from that may have effected her growth. However, I was also a small baby (5lbs 3oz at 37weeks) so I believe it might also be genetic! Probably a little of both.
Once she was outside the womb she had no trouble at all gaining weight. She never really lost a lot of weight after she was born, and gained very quickly (now tripled her weight at 6 months).
Ok, seriously, I have a really long and detailed response written out.
My last baby was born at 37w 4d after the growth scan showed IUGR, but mostly because she failed the NST/BPP. She was measuring gestationally between 28 and 35 weeks. At the 31 week growth scan, she was within normal ranges. She was born via c-section, weighing 4lbs, 9 oz.
The diagnosis was IUGR as a result of placental infarction (old placenta). She was completely healthy at 37w 4d, just tiny. She's still small, but healthy.
I should mention the irony that my premie was my biggest baby and my longest pregnancy baby was my smallest. All three of my kids have always been on the smaller end of the weight charts, but healthy.
Mom to M (6), K (4), and little rose (18 months)