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Anyone NOT want to see their baby via u/s? - Page 2

post #21 of 34

Looking back at it now as much pressure as they put me under to do these things, in the end it is up to you.  It is your body, your child, and you have the power to say what you want or don't want.  Will she throw you out of the practice if you decline?  If there's only one midwife in the country I can't see that she could even do that.  Though maybe it depends on the country.

post #22 of 34
Quote:
Originally Posted by typebug View Post


I feel the same way about the 20 week one. I have declined the 8 week and am declining the 12 week one but my midwife wants to do the 20 week scan. I just don't get it. Nothing I've read from any midwife I trust has given me any reason to do this scan. There's only one midwife in the country so I have no other option. Very frustrating.

 

I don't feel comfortable doing scans either. With my first pregnancy I did everything they recommended and saw how much DS hated it in-utero - he'd wriggle away each time, and once the u/s tech actually had me walk away and take a moment to "calm down the baby" because he was too jumpy for her to see anything.

 

This time around, I want no scans at all, because I don't see much point to them if we are going to continue with the pregnancy no matter what. My OB though, says it could help discover conditions which may need super-speciality care at birth that could make all the difference. She's fine with me declining all the scans except the 20 week one. But it's just this sort what-if fear based thinking that I don't want to base my decisions on. I'd rather respond to events as and when they happen, instead of subjecting the baby to ultrasounds whose "safety" is at best dubious and which cannot 100% predict any outcomes. I think I'll be giving my doc a printout of that article in negotiating for no scans.

 

Here's a great post by a doula where she talks about the kind of false sense of security they give: http://vancouverdoula.blogspot.in/2007/03/window-childrenwith-protective.html

post #23 of 34

i didnt have a US with DD nor this one.  had absolutely no interest at all
 

post #24 of 34
Quote:
Originally Posted by keeptryst View Post

 

I don't feel comfortable doing scans either. With my first pregnancy I did everything they recommended and saw how much DS hated it in-utero - he'd wriggle away each time, and once the u/s tech actually had me walk away and take a moment to "calm down the baby" because he was too jumpy for her to see anything.

 

This time around, I want no scans at all, because I don't see much point to them if we are going to continue with the pregnancy no matter what. My OB though, says it could help discover conditions which may need super-speciality care at birth that could make all the difference. She's fine with me declining all the scans except the 20 week one. But it's just this sort what-if fear based thinking that I don't want to base my decisions on. I'd rather respond to events as and when they happen, instead of subjecting the baby to ultrasounds whose "safety" is at best dubious and which cannot 100% predict any outcomes. I think I'll be giving my doc a printout of that article in negotiating for no scans.

 

Here's a great post by a doula where she talks about the kind of false sense of security they give: http://vancouverdoula.blogspot.in/2007/03/window-childrenwith-protective.html

 

I feel exactly the same way. I'm not going to change anything based on an u/s. I have to be very much on my toes because I'm dealing with for-profit health care where I am and Doctors try to do as many scans and tests as they can to make the hospitals more profitable. I've seen them threaten mothers who try to refuse them. 

post #25 of 34

The biggest reason I can think of to get at least the 20 week anatomy scan is to rule out placenta previa. 

post #26 of 34
Thread Starter 
Quote:
Originally Posted by Katie8681 View Post

The biggest reason I can think of to get at least the 20 week anatomy scan is to rule out placenta previa. 

 



I had considered this, but correct me if I'm wrong here...

 

-If there seems to be previa, you'll have to come back again later and see if it's moved (which it likely will, as I understand it).  Does that mean if there's no previa at 20 weeks, you'll still need to check later?  Or is previa unlikely to pop up past 20 weeks?

 

-A good midwife will be able to hear and possibly palpate a suspected previa-- yes, no?  At which point, one would go in for a non-routine u/s to confirm.

post #27 of 34
Quote:

 

-If there seems to be previa, you'll have to come back again later and see if it's moved (which it likely will, as I understand it).  Does that mean if there's no previa at 20 weeks, you'll still need to check later?  Or is previa unlikely to pop up past 20 weeks?

 

 

 

I believe it is impossible for previa to develop later in pregnancy when it wasn't there before.    Previa is when the placenta implants over the cervix.  The placenta moves as the uterus grows and the uterus can only grow upwards so movement of the placenta could only be in an upwards direction.

post #28 of 34
Thread Starter 

Thanks, Amelia-- I had that in my brain somewhere, but wasn't confident about it.

post #29 of 34

Yeah, what Amelia said - if previa isn't there at 20 weeks, it won't be. But yes, if it was present, you would need follow-up later to see if it had moved, as it might (or might not). I don't know about being able to figure it out w/o an ultrasound... will be interested to see what others say about that.

 

On another note, as far as those who say they wouldn't do anything different regardless of the results, I will offer someone else's story. I had a friend doing UP/UC who didn't do any ultrasounds. She went into preterm labor and ended up with a c-section... for a baby who could not live. He did not have any kidneys, which is simply not compatible with life. For her, the c-section was very traumatizing, especially because it meant that she was not able to be with/hold/remember her son for the short time he was alive. I don't know that she regrets her decision not to have an ultrasound (she went on to have a successful UP/UC after that), and I'm certainly not saying that she should- but if she had known there was no chance for survival for her baby, she has said she would not have gone to the hospital and gone through all the trauma she experienced there. So that's actually a way that having an ultrasound can prevent unnecessary medical interventions. Again, that's obviously a very rare scenario, but believe me, it was running through my head during my anatomy scan. I personally would never terminate, regardless of the outlook for my child, but I might choose more or less medical intervention based on the information I got from the scan. But that's my call.

 

So how far along are you at this point, Buko? Have you figured out what you plan to do yet? (Maybe you posted that earlier and I missed it!)

post #30 of 34
Thread Starter 

Hey, Monkey-- I'm 12 weeks tomorrow.

 

I actually looked into bilateral hydronephrosis and the like-- my best estimate for ALL conditions that I could have caught and would have terminated/"done something for"/wish I would have known/etc. was about 1 in 5000.  I mean total, including the "more severe" trisomies, etc.  That is a risk (of lack of knowledge) that I may be willing to take.  Downs, the biggest issue, is about 1 in 500 for me, but I am not convinced it precludes HB (for me) and my CNM HB MW agrees-- nor are DH and I convinced we would terminate, etc.  (I should note, for HB purposes, that I live almost literally behind an excellent hospital with NICU-- a literal 7-minute WALK to the door of the ER.)

 

Still undecided...  I'd say more 50/50, whereas before I was maybe 80/20 in favor of the u/s.  I'm much less concerned about any (possibly theoretical) negative effects of one u/s on the baby's development than I am about false positives and possibly the m/c rate of amnio, which we would perform if there were significant risk factors.  I understand the risk is relatively low-- I'd have to show markers first before I'd do amnio, and the chances of showing those markers are not high.  But IF we wouldn't terminate or do much differently for Downs, and IF previa is very likely to be suspected by my MW via fetoscope/etc., then...  I am looking at a 1 in 5000 chance vs... what?  This is the big question. 

 

Surely the chance of false positives in a 20-week are lower than in a 11-13 week NTT.  But let's say there's a 1 in 10 chance of finding scary markers or concerns calling for amnio (which we WOULD do in the case of scary markers), and a 1 in 200 chance of m/c via amnio.  Then my overall chance of losing the baby is 1 in 2000 if I do the u/s-- KWIM?  That's higher (again, just guesstimating) than the chances of my having a child with something scary and fatal (which I'm saying are 1 in 5000).  Of course, if there's only a 1 in 100 chance of finding scary markers, then the overall chance of m/c if I get the u/s is 1 in 20,000.

 

So...  shrug.gif

 

I don't know.

 

I do understand that if I see scary markers, that my chance of having a baby with a fatal/etc. issue have now risen dramatically, even considering false positives.  But I have to consider the odds based on whether I have the u/s at all, especially considering I would definitely do amnio if it looked like I had a trisomy...  I mean-- that's WHY I would do amnio, because the 1 in 200 risk of m/c would likely be outweighed by the (totally pulling this out of my butt), say, 1 in 3 chance of a for-real major problem in a baby with the markers for it.  So, because of that, even just having the u/s essentially carries the risk of losing a baby (perfectly healthy or not). 

 

Still really undecided.

post #31 of 34

Hey, being undecided is okay. You've still got time! It sounds like you're really considering the pros and cons of both sides of things (and it's awesome that you live so close to a good hospital - wish my birth center were closer to one!), which is what I consider to be the "right" thing for everyone to do - regardless of what conclusion they reach. I'm very much a process person (maybe this is why I majored in/taught science?) - I have a lot more respect for ANY decision someone makes (even one I may still disagree with) if they've really put the time into researching/thinking about it. And you're definitely thinking about this more thoroughly than I did. winky.gif

post #32 of 34
Thread Starter 

Thanks, Monkey!  No doubt I get this from my mom-- an MD and research scientist.  Analysis for the win...  Overanalysis for losing sleep.  After 30+ years, I am pretty good at finding a balance, though.

post #33 of 34

I'm the exact opposite. I wish I could get an u/s every day! I love seeing and connecting with my baby bean that way. However, this time around we're only doing the 20 week scan(not sure if we are going to find out the gender or not) simply because after research we've decided minimal u/s exposure is best for baby. 

post #34 of 34

I haven't gotten any sort of ultrasounds/scans with dd3, dd4, or this baby I'm currently baking.  Sometimes I admit to being a big jealous of those who have gotten them, especially since my pregnancy before this resulted in a miscarriage.  But, on the flip side, I think it has really made me trust my body in that whatever is supposed to happen, will indeed simply happen.  It's really helped me to let go and let things happen on their own.  We never find out the sex of any of our kids anyway, so that part wasn't a factor at all.  If for any reason I REALLY felt the need/urge/pull to get a scan around 20 weeks we might do it, but I've not felt that yet, so we just anticipate things are going as they should.  :)

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