Doctor wants to deliver at 38 weeks | ExpatWoman.com
 

Doctor wants to deliver at 38 weeks

10
Posts
EW NEWBIE
Latest post on 09 February 2012 - 09:15

Hi,

Any advice on this would be most welcome! At 35 weeks the doc says baby weighs 3kg and I have too much amniotic fluid...due to gestational diabetes, which I am diet controlling. If baby doesn't make an appearance by 38 weeks, she says I must elect for a c-section - I cannot be induced, due to previous section and I was hoping for a VBAC.

I know that it's very difficult to accurately estimate the baby's weight,but there's no swaying my doctor past 38 weeks. It seems like such a hassle to think about looking for a new doc now, but I really don't want to be forced into a section again!

Please help!!!!!

10
Posts
EW NEWBIE
Latest post on 14 February 2012 - 18:07
It seems my gut feeling was right! I now have the results from a second opinion, and it seems my current doctor has misinformed me! After a detailed appointment and 3D scan with measurements, my baby is measuring completely normal weight from head, femur and abdominal measurements and my fluid levels are also completely normal, about 11, so nothing close to high! Also, with my diet controlled GD, my sugar levels put me in the category of a normal pregnancy. To top it off, I was advised that I am a very suitable VBAC candidate, with no cause to deliver at 38 weeks. I saw Dr. Raj at the AH. Am seeing my original doctor in the morning...will be interesting to hear what she says...
10
Posts
EW NEWBIE
Latest post on 09 February 2012 - 15:04
Wow, I really appreciate all your responses! This is definately a decision that should be made 'with me,' the mum, and not just dictated by the doc, and this is why I'm feeling pressured, because there simply hasn't been any discussion. I am with Dr. Luthra, and whilst I do not doubt her ability to be a good OB, she doesn't exactly give me any time to discuss things...it sort of feels like a production line going in and out of appointments. Of course the health of my baby is of the utmost importance to me, but there is a difference delivering naturally and by CS, and I have done both. My first baby was delivered with no meds, naturally, on his due date. My second baby was delivered 2 weeks late by CS, and was an awful experience, what with losing 1/2 my blood, transfusions, and a slip in the incision which unnecessarily severed many blood vessels. I have read some very helpful and interesting comments and advise from you all, and would love to get a professional second opinion, especially a check on the amount of fluid, weight of baby etc. So, can any of you lovely ladies suggest an OB they can recommend?... and I will contact Dr. Raj, as suggested. Thank you X
2782
Posts
EW EXPERT
Latest post on 09 February 2012 - 14:13
There is no reason to make this decision before you get to 38 weeks and before you have the c-section I would hope that you had a radiologist estimate the weight and amniotic fluid rather than just the OBGYN doing it. C-section is not the end of the world though so if it turns out that you do need one, you'll be fine.
1403
Posts
EW OLDHAND
Latest post on 09 February 2012 - 13:53
Sorry to hear you're stressing about this as I'm sure it cannot be easy, but only YOU can make this decision about what to do. You either have full trust in your OB or you don't. If you don't then you must get a 2nd opinion. As long as you do what is best for you and your baby then that is all that matters. No doubt in a few weeks time you'll be cuddling your little one and be totally in love with your baby that this will all be a distant memory, hopefully. All the very best!
2340
Posts
EW EXPERT
Latest post on 09 February 2012 - 11:59
I agree...your OB's insistence is clearly not sitting well with you so it would give you great peace of mind to seek another opinion. Perhaps ask here about OB's who are supportive of VBAC, and see if you can talk to one of them. I'll second everything caduku said about measurements, weight etc and if your GD is under control and everything else is going well, suggestion of a 'big baby' is not cause for a definite CS. Just in case...start wrapping your head around the idea of a CS. Good OB's will do what they have to do to end up with a healthy baby and a safe Mum. Don't be pushed into something you don't want if your gut is telling you that you can have a natural birth, but be prepared that you may not get the birth you wish for if OB's consistently agree that CS is the way for you. Take care of yourself and look forward to holding that precious wee baby in your arms.
56
Posts
EW NEWBIE
Latest post on 09 February 2012 - 11:49
I gave birth at 40w+ 4d, baby was 3.8 kg, had gestational diabetes, C-section. If you have any doubts on what the doctor is suggesting, I believe it is better to get another opinion before deciding on anything.
319
Posts
EW EXPLORER
Latest post on 09 February 2012 - 11:39
I think it probably comes down to the trust you have in your OB. Whilst I haven't had either of these issues, I have had friends that have had very bad cases of gestational diabetes, and have had to be delivered early by c-section (and at the 38 week mark - so this doesn't sound outside of usual protocol - but it is completely dependant on how 'bad' your case is, as to how far they will let your pregnancy progress). It is quite common for a baby with a mother suffering from gestational diabetes to be measuring 'large' - it is one of the issues associated with GD. I am only a week ahead of you, and DD was measuring 2.7kgs last week - which is quite a 'solid' weight, for this stage - normal, but a good weight. Another .3kgs may not sound like a lot, but you need to remember that until the 35/36 week mark, you baby isn't actually putting on much weight - this comes in the last few weeks of your pregnancy, so the fact you are already outside of 'normal' ranges could indicate your baby will put on a lot of weight in the next 5 weeks. From this point, 'normal' weight gain is approximately 250grams per week - so you would be looking at a 4.25kg baby - working on the assumption your baby is putting on a 'normal' weight, but with GD they tend to put on more. It also sounds like you have the added complication of excessive amniotic fluid - which can also cause problems for you, resulting in emergency c-sections being performed. I happened to look up the fluid information the other day because I was curious that the OB kept on saying mine was in normal range, so was wondering what would happen if it wasn't... From what I understand, if you have excess fluid there can be problems with the umbilical cord, or you can have problems with your placenta when your waters break - both are serious enough to warrent an emergency c-section, which is why they tend to book a c-section in advance prior to your waters actually breaking to avoid you have any serious health complications. Personally, on the face of it, it does sounds like your OB is weighing up both your complicating factors and giving advice to ensure your safety and the healthy delivery of your baby, but again, it depends on the faith you have in your Doctor. If you are really doubting her sincerity, you could either a) call her office and find out what the fluid measurement is, and do a quick online check of normal ranges - along with the weight measurement that you know; or b) go and get a second opinion just for your comfort, but you will probably want this to be with someone you can 'trust' in case there is conflicting information. I know it is extremely disappointing to have a plan of what you want to happen taken from you (I can imagine if I was told I couldn't have a natural birth this time after having one last time, I would asking a lot of questions), but ultimately, you just want to ensure that both you and your baby are safe. I hope that helps!
105
Posts
EW NEWBIE
Latest post on 09 February 2012 - 09:46
The gestational diabetes is something I know very little about and obv I am not a medical professional but IMHO I would: Seek another opinion despite the hassle.. Ultrasounds are NOT conclusive in predicting baby's weight.. 3kg is not massive... 4kg is not massive so I don't know why I often hear docs over here getting their knickers in a twist about 'big babies'... who knows how big your baby actually is exactly nor how big on delivery. I had a VBAC and I fought hard to get it. I would go research other doc's opinions, Try Dr Oksuz at Healthbay or Dr Raja at American . Wishing you lots of luck and keep on top of that diet control of the diabetes cos it will be the biggest area they will refer to with concern to go for a c-section... You could even try to hire a doula? x
 
 

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