Editing Pregnancy (section)

=== 32w Ultrasound ===

Because we had an IVF pregnancy, we have to do a 32w ultrasound. At this point, there are a couple of effects that are occurring because of the risk factors.

# GHT causes intrauterine growth restriction
# GDM causes macrosomia

Essentially, the hypertension causes vasoconstriction of placental blood vessels causing less nutrients to be supplied, and the diabetes causes more sugar to be supplied. So they work in opposite directions.

In our case, the 32 w ultrasound revealed that our baby is at the 15th percentile for weight at 1690 g  ± 247 g. The consulting obstetrician said that this isn't significant on its own: the baby could just be small.

By the time I was born, I was actually about twice this at 3.2 kg. We'll go with the obstetrician, but the difference did seem concerning.