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Mothering › Groups › May 2012 Birth Club › Discussions › Have I mentioned that I hate ultrasounds? :(

Have I mentioned that I hate ultrasounds? :(

post #1 of 16
Thread Starter 

I need some help, mamas. I think I mentioned that I had another ultrasound last week, because of my placenta, which continues to be "low lying."

I joked that every time I have an u/s they discover something new. This time around, in addition to my continued "low" placenta (in quotes because I feel like it's bs), my dr just called to tell me that they found I have a "slight excess of fluid."

WHAT?

I mean, I thought fluid was a good thing. And I asked the dr why/what were they worried about - she said that my glucose test came back great, so they aren't worried I have gestational diabetes, and the only other reasons for extra fluid could be 1) the placenta is very strong and healthy (not a bad thing, WTF?), and 2) the baby has some abnormality that is preventing him from swallowing well.  greensad.gif

 

OK ok. So about those femurs from the 20 week scan -- they are normal, above 50th percentile now... but recall that the "short femurs" was a soft marker for downs syndrome... and while excess amniotic fluid is not a soft marker for downs, of course my brain has gone there -- is there something wrong with my little (big, actually!) squirmy babe who on the u/s appears to be swallowing really well, shows no sign of distress, whose kidneys are working well, etc etc -- that makes him unable to swallow fluid.

 

OR, perhaps, am I just a pregnant woman who produces a lot of fluid.

 

The Dr did tell me not to worry about this too much because it wasn't THAT much of an excess.  I am such a combination of things right now - FURIOUS, SCARED, anxious, etc... I had just gotten to a place where I finally stopped worrying that babe has downs... and when I think all the downs syndrome scare was a result of was those darn femur measurements -- and now those are no longer short WTF.

It all seems so completely ridiculous, but also scary.

 

 

post #2 of 16

I had extra fluid, quite a bit, though I can't remember the measurements, with my second 6 years ago. They had scared me early on in the pregnancy by requiring extra u/s because they thought that she wasgrowth restricted. By the end, I transferred to a german doctor ( from the American military base), and they were much less alarmist by her size.She was perfectly healthy, and I had no health issues going on. So once, we were confident that she was healthy, but they did scare me a bit by telling me that it gave us a higher chance of cord prolapse jaw2.gif, if my water broke first. It did break first, and my German doctor thought it was much less of a big deal than the Americans had made me to feel that it was.Because of the extra fluid, they did do an u/s when I checked into the birthcenter to make sure that the cord wasn't in danger of prolapse (it wasn't) and the u/s did still say she was measuring very small for dates ( 33wks at 38 wks)....but then she came out at 7 lbs....so really, stupid, stupid u/s.

  It was actually my easiest birth, and I wonder if all that water ( which made pregnancy even more uncomfortable at the end) actually added some extra cushion that made labor smoother.

 I am sorry that they are putting you through all of this worry. I am also dealing with medical providers that seem to be constantly overreacting or underreacting too, and it adds a ridiculous measure of stress. So, I know from experience that polyhydramnios does not have to be a sign of anything wrong. Positive thoughts for you.hug2.gif

post #3 of 16

Ya know what, sounds like your doc needs to take a step back and learn some bedside manners. 

 

Fluid level, like weight estimates are just that, estimates.  And can be DRASTICALLY wrong.  They are completely dependent upon the position of the baby and the person doing the scan.  A "slight excess" shouldn't even be something to stress you about, IMO.  There is nothing that can be done about "excess fluid", other than watch and wait.  And you have no way of knowing if the measurement was even accurate. 

 

You have a couple choices here - you can either be confrontational with him, schedule an appt and tell him that his manner of reporting these anomalies is extremely stressful and he needs to take into consideration the actual risks and the stress he's putting the parents under before adding more.  Or you can write a letter to the office manager detailing the same, and wait to mail it until after the baby arrives (working on the assumption that if you don't want to confront him in person you will want to wait until after you're out of his care).  Or, you can always change providers, or bite your tongue and say nothing.  But I can guarantee you that if this is how he's treating you, there are other moms in his practice that are getting the same non-care, many of whom may not have the wherewithal to do the research you have been able to do and just take everything he says at face value. 

 

hug2.gif

 

This is a tough position to be put into, but I think you really need to work on releasing your fears as best you can, so that you can enjoy the rest of the pregnancy to the best of your ability.  Ultimately, there is nothing you can do about these things your doctor keeps dumping on you, other than finding your peace.  

post #4 of 16
Thread Starter 

Thank you lovingthis. It's so good to hear from others who had similar experiences. I honestly wonder if I had excess fluid in my first pregnancy as well. I was huge then too but the baby ended up being 8 lb 10.5 oz - not small, by any means but also not huge... and I swear that my water broke and gushed and broke and gushed repeatedly while I was in labor.

Who knows.

 

All I know is that I never should have googled this... Because now I am beyond worried that my baby isn't swallowing properly. Man, May can't come fast enough -- done with the insanity of American prenatal care.

post #5 of 16

 

hug2.gif hugs mama, it sounds like they are being overly cautious, like really OVERLY cautious! Maybe they feel like they have to disclose every little millimeter "off" from the "norm"....which is ridiculous.... so many docs being sued and their insurance  for malpractice being so high, it's no excuse for for them but I think it causes some docs to lose their bedside manner.You are not a number and you babe is not a ml or cm or an inch  off etc...KWIM? your LO will be just fine, they need to realize all that "scare" and worry about it could be this or it COULD be that to a mum just makes you stressed for no reason. Hang in there...

post #6 of 16
Thread Starter 

cristeen, I don't know how I could get through this prenatal experience without you, seriously. You are such a wonderful support. Thank you.

I think I am going to be mildly confrontational. I actually have a regular appointment scheduled for Thursday, and I"m going to give some serious feedback. I just can't believe I have YET ANOTHER u/s in 4 weeks where I'm sure something else will be wrong. (sorry for the defeatist attitude)
 

Quote:
Originally Posted by cristeen View Post

Ya know what, sounds like your doc needs to take a step back and learn some bedside manners. 

 

Fluid level, like weight estimates are just that, estimates.  And can be DRASTICALLY wrong.  They are completely dependent upon the position of the baby and the person doing the scan.  A "slight excess" shouldn't even be something to stress you about, IMO.  There is nothing that can be done about "excess fluid", other than watch and wait.  And you have no way of knowing if the measurement was even accurate. 

 

You have a couple choices here - you can either be confrontational with him, schedule an appt and tell him that his manner of reporting these anomalies is extremely stressful and he needs to take into consideration the actual risks and the stress he's putting the parents under before adding more.  Or you can write a letter to the office manager detailing the same, and wait to mail it until after the baby arrives (working on the assumption that if you don't want to confront him in person you will want to wait until after you're out of his care).  Or, you can always change providers, or bite your tongue and say nothing.  But I can guarantee you that if this is how he's treating you, there are other moms in his practice that are getting the same non-care, many of whom may not have the wherewithal to do the research you have been able to do and just take everything he says at face value. 

 

hug2.gif

 

This is a tough position to be put into, but I think you really need to work on releasing your fears as best you can, so that you can enjoy the rest of the pregnancy to the best of your ability.  Ultimately, there is nothing you can do about these things your doctor keeps dumping on you, other than finding your peace.  



 

post #7 of 16

Oh dear, I know how much doctors sometimes can scare you, even if they tell you that everything will be fine, we just want our babies to be perfect and we worry. I went through a similar experience with a short femur and long torso child, which turned out to be perfectly fine.

 

The good thing, your placenta is low, but fine. The glucose test was great. Your doctor is not worried either. And a bit more and less fluid is so hard to measure, you drink more or less and the fluid levels rises, plus the whole measurements are not at all that accurate. And a healthy placenta is a good thing. All it means right now that there is more fluid than for the average pregnant woman. Given that most of us often don't drink enough, maybe that's even a good thing. Don't worry too much. Normal has such a wide range.

 

Hang in there, go for a walk and be gentle with your soul.
 

 

post #8 of 16

Ooh, I've gotta run out the door but I had to respond. -- like cristeen said, ultrasound measurement of any kind are not exact -- they are estimates. For example, my sister had a baby recently and they told her that they needed to induce her 2 weeks early because her ultrasound showed that the baby was already over 9 pounds and if she went until her due date, he would be over 10 pounds and too big to deliver vaginally. It was her 1st baby and she was scared so she went to the hospital, got induced, got an epidural, pitocin, etc. and after a grueling labor, gave birth to a little boy that was 7 pounds even. So, the doctors were over TWO POUNDS off!! 

 

They found something new and awful at each one of my ultrasounds too and I was a nervous wreck until I just decided that was it - - no more ultrasounds! I certainly understand how upsetting it can be to hear the doctors guesses at what might possibly be wrong with you baby. Odds are, your sweet baby is just fine :-) 

Hang in there mama! grouphug.gif

 

 

 

post #9 of 16

I wish I could bring Cristeen in my purse to my appointments. Hang in there Rozziemama- I don't have a lot to add because I know nothing about this but I LOVE what belltree said, "be gentle with your soul". Such beautiful advice. Lots of hugs:)

post #10 of 16
Quote:
Originally Posted by LinnieThree View Post

I wish I could bring Cristeen in my purse to my appointments.


 

LOL! 

 

The horrible part is that I know all these things, but when it comes time to stand up for myself, it's massive FAIL!  I think the most fighting I've done was refusing the GTT with my first pregnancy - and I seem to have used up all my fight with that.  Although I will say that these last 2 times I've chosen providers who I don't need to fight with, which in and of itself is part of the battle. 

 

post #11 of 16
Thread Starter 
Wow, what a dr visit I had. It was my favorite dr this time (there are 5), and she was really on my team. She actually seemed frustrated with the fluid "diagnosis" - said that my hospitals policy is actually not to measure it - just to look at it - and so the result is totally subjective. She said it is clearly not a problem because ive no symptoms, and she also said that the femur issue shouldn't have been a problem either. Because at 18 weeks when they reported "slightly short femur" on the results, the measurements were somewhere between 30-40th percentile... And now, the femur is measuring a higher percentile than the head is!
She was like, "we could measure you every day and get a different result each time"

She told me it really seemed like I am someone who tends to have more fluid than less, and it is likely due to a healthy placenta, which is a good thing. She said they did a high level ultrasound and the result is that everything is working - baby's GI tract - throat, stomach, kidneys, bladder, all seemspertinently healthy and strong and so she doubts the fluid is due to anything having to do with the baby, and I have to believe her. The whole system of monitoring and measuring is so messed up. But it makes me furious because it plays into our fears and anxieties that are there anyway - without this nonesense.

I found photos of my belly with DS1 and I looked exactly the same. I am sure I had "excess fluid" then too. This is all bs. Makes my blood boil.

Ok, enough rant. Time to find some peace and trust that my little one is a beautiful strong healthy baby.
post #12 of 16
Quote:
Originally Posted by MeredithA View Post

Ooh, I've gotta run out the door but I had to respond. -- like cristeen said, ultrasound measurement of any kind are not exact -- they are estimates. For example, my sister had a baby recently and they told her that they needed to induce her 2 weeks early because her ultrasound showed that the baby was already over 9 pounds and if she went until her due date, he would be over 10 pounds and too big to deliver vaginally. It was her 1st baby and she was scared so she went to the hospital, got induced, got an epidural, pitocin, etc. and after a grueling labor, gave birth to a little boy that was 7 pounds even. So, the doctors were over TWO POUNDS off!! 

 

They found something new and awful at each one of my ultrasounds too and I was a nervous wreck until I just decided that was it - - no more ultrasounds! I certainly understand how upsetting it can be to hear the doctors guesses at what might possibly be wrong with you baby. Odds are, your sweet baby is just fine :-) 

Hang in there mama! grouphug.gif

 

 

 




I have a friend who is preggo and petite like me-- and she was just telling me about her daughter, who is school-aged, but how she was induced early because the mama is petite and they didn't want the baby to be "too big."  She finished the story by saying how *tiny* she was... like 6 lbs. 

 

And with this baby she is preggo with she is already scheduling an induction early for the same reason nut.gifduh.gif

 

I know everyone is different and their are medical reasons for induction, c-sections, etc. but this was like wacky. I know she could induce for other reason she didn't want to share, but ...

 

I agree--baby is likely fine and the body is amazing when it comes to birth... you don't need to go and borrow trouble and stress!  Stress is no good for babies.

post #13 of 16

To chime in on the ultrasound sizes are freaking wrong rant:

 

The DAY my daughter was born, I had an ultrasound and was told that she was 10lbs 5oz. I was nervous, but still prepared for a vaginal birth. The doctors vetoed that because of her being breech.

 

SOOOOO I had the C-section and ended up with a 5lbs 15 oz baby who wasn't 3 weeks early... she was 5 weeks early...

 

Ultrasounds are NOT accurate.

(A few weeks later, my OB; not the one who did the surgery, said that an ultrasound weight estimate is like looking at a person's picture and telling them how much they weigh!)

post #14 of 16

RozzieMama...that sounds just like my labor with her ! It was like water just flooding off of the bed...lots and lots of water, but a beautiful healthy baby.

post #15 of 16

Rozzie...big hugs to you. I don't really know what to say (I'm no Cristeen, damnit lol) but I have been following along and hoping I would find something good to say to help you. I didn't really, but wanted to let you know that I'm sorry this crap went on.

post #16 of 16
Thread Starter 

Thanks mamas. You are such a great support network... I really can't wait until May - I want so badly to be able to put all of this crap behind me and just hold my sweet babe in my arms.  I wish I'd gone about my prenatal care differently... I can't tell you how badly I wish that... Midwife, home birth - rather than this over-monitoring and borderline hysteria I've faced  instead. greensad.gif

 

It's so sad because I made the decision based on what I thought would be easier for me during the prenatal time - plus the Brigham in Boston is a great hospital, our pediatrician will go there once the baby is born, it all seemed to make logical sense.

 

Lesson learned.  Too bad I'm not planning on having another baby after this one....  Though I did have a moment yesterday when I thought about changing course now - at 30 weeks - but that seems like more hassle than I can handle right now.  And then we have the whole low lying placenta issue to still figure out... Oy.

 

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