I knew when we decided to conceive I would be high risk. I am 35, hyper vascular and had a uterine surgery in January of 2015. I have been under the care of my OB surgeon who performed my myomectomy last January as well as the high risk group of doctors at my delivery hospital. I had pre-term labor at 26 and 29 weeks and it was successfully halted both times. Since the first hospitalization at 26 weeks, I have had a weekly appointment with maternal fetal medicine consisting of an NST, ultrasound and physical exam as well as bi-weekly appointments with my OB. Today at my mfm appointment during the ultrasound the tech sees my baby girls foot and says 'Would you like to know if she has big feet?' I laugh and say yes because I have HUGE feet. She measures and makes a face and says 'how far along are you?' I tell her 33+5 as she is looking it up on my chart. She then says 'that is a VERY small foot.' So of course I am having a mini meltdown inside and when I see my high risk doctor, it's always changing because there are 10 doctors, he asks 'why weren't you given a growth ultrasound at 31 weeks?' I say 'I don't know! I don't work here!' I'm in tears. He is shaking his head and says we will get a growth scan done next week and go from there. The last growth scan I had was at 20 weeks and she was in the low 30's. He asks about my contractions which have been happening for two and a half weeks and I tell him they are the same. He just nods. I'm sent on my way after making an appointment for next week. I already have to have a C-section at 37+1 because of my rupture risk and now I'm worried she is going to be worse off if she is underdeveloped. I'm sick about this. Shouldn't there have been some kind of follow up or alert for a growth scan? Is it my responsibility to know I needed one? I'm feeling like I should have known. It's eating me up.