@newbabyyy2019, I hope all goes well at your next scan.
I’m 27+4 today and, on Wednesday, will be having my 6th scan in 8 weeks. I was always due to have 4 weekly growth scans as expecting twins but, at my 20 week scan twin 2’s femur length was on the short side and their abdominal circumference was under the 5th centile so I needed referring to Fetal Medicine consultant unfortunately, because of plans that could not be changed, I was not able to be seen by them for 2 weeks. I also had to have a repeat anomaly scan as they weren’t able to visualise all the cardiac structures and great blood vessels.
First Fetal Medicine scan was positive with twin 2 measuring approximately on the 15th centile while bigger twin measured on the 50th. Two weeks later at the growth scan, t2’s measurements were down again so another referral to Fetal Medicine for 26 weeks but, as estimated weight, abdominal circumference and femur length were now all low, I was also transferred to ‘small for gestational age’ clinic. At the 26 week scan the disparity between the twins is now around 30% and t2’s growth has significantly slowed in comparison to t1 (t1 gained 259g in 14 days and T2 gained 83g in 14 days).
Consultant did Doppler studies and measured liquor levels round both babies which are, for now anyway, ok. She discussed amniocentesis test with us but said the risk of extreme preterm labour it presents currently outweighs the benefit of knowing the results. She also discussed that, the most likely cause of the growth problems is placental insufficiency most probably related to my age!
For now everything hinges on how things are at each scan, whether T2 shows any signs of compromised health due to the placenta, how the Doppler studies and fluid volumes are and, as a side point, how T1 is getting on. The hospital’s current goal is to get both twins above 1kg (2 weeks ago they were estimated at 922g and 652g) and to 30 weeks. They will review those goals this week!!
If you ever want to chat by pm you’re more than welcome to message me xx