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would you request an ultrasound for absolute confirmation of baby's position?

post #1 of 12
Thread Starter 

I have my 37 week appointment tomorrow. My dr. seemed sure and nonchalant that the baby is head down at previous appointments. My last birth was unfortunately an unplanned c-section as we discovered babe was transverse (after my waters broke at 36+3). So I am uneasy being this far along now and not having absolute knowledge of the baby's position this time. And by absolute, meaning see it with my own eyes. I've checked out the spinning babies workbook and just can't tell externally what's what.

 

Anyway, does it seem overkill to request an ultrasound at 37 weeks? It's really only for my peace of mind -- because if the position isn't right, at least I can still do something about it at this point. I don't want to seem paranoid or whatever, but pushing aside my uncertainty last time is one of my bigger regrets of that pregnancy (not that I'd have known that I'd be going into premature labor). 

post #2 of 12

honestly if it would make you feel better and your doctor will do it, i don't see a problem with it.  I had an u/s at 37ish weeks with my 3rd becuase he was breech at his 36 week appt. The midwives were sure he was head down at my 37 week appt but i still opted for the ultrasound for piece of mind! i went in to labor just 3 or 4 days after my ultrasound and there was no anxiety about his position because i *knew*! :)

post #3 of 12

If it would give you piece of mind so you can have a successful vbac, then I don't think it would hurt. You're not going to be doing a full anatomy scan, so it shouldn't take very long. 

post #4 of 12
I used to be so anti ultrasounds. But I've had so many this pregnancy. And my midwife even agrees that they are less disruptive to baby than using the doppler. So when I saw my OB at 36 weeks she wanted to do an u/s bc she couldn't say for sure baby was head down. I knew baby was head down and my midwife has told me she is head down - but I went ahead and let her do the ultrasound anyway. Mostly bc I'd never had an u/s on a baby that big and was curious. But I just don't see that there is much harm done with a quick u/s to confirm - especially if it is going to help you feel more at ease! I had a ton of ultrasounds at the beginning of this pregnancy and it really did a lot to help me relax after having had a miscarriage.

Cindy
post #5 of 12

As a vbac mom whose first baby was persistent breech, NOPE, no problem at all requesting an ulstrasound! In fact, with this baby, it was transverse then breech for a while. I was almost certain that it flipped one night a day or two before a m/w appointment & told her. I was having trouble determining for sure, so she felt & also was uncertain. B/c my m/w's practice out of a hospital, she was able to wheel the u/s machine in and do a literal seconds-long u/s to show baby was head down. So, esp if they have a machine right there, ask for it :) Good luck!

post #6 of 12
Thread Starter 

I think I will! I'm sure I will get an eye-roll or something, like i said he's a bit nonchalant (maybe he has forgotten the circumstances of my previous child's birth?) and after a quick palpation says Oh sure, she's head down! But I sort of need to know for sure to be at ease. If it will require an additional office visit, I *may* pass. But they do have a machine there in the office so hopefuly he will just appease me if possible.

 

Vegan Princess, I used to be very anti-ultrasound as well. I didn't have any with previous pregnancy. Then I had a breech cesarean, then a miscarriage, and then with this third pregnancy, I have already had three u/s. And I don't feel bad about it one bit.

post #7 of 12

I would have an u/s for sure!!  Peace of mind going into labor is vital!!!  :)  Do what works for YOU and don't make eye contact in case they roll their eyes!  LOL

post #8 of 12
Thread Starter 

So I brought it up at my visit today, and while he said he was 99% sure the babe was head down, and mentioned something about me being a "doubting Thomas," he finally agreed to bring me in next week for an ultrasound. He also said that "it doesn't really matter either way because there is nothing we can do about it" if the babe isn't head-down, meaning he can't do an external version due to me having had a c-section previously. I just said that may be the case, but there are things *I* can do. Like seeking cranio-sacral, chiro, more inversions, etc., not to mention just simply bracing myself mentally for an outcome I was hoping to avoid. Ay yi yi. Wish he'd just have done one there and then, so I don't have to make an extra trip in nor wait another week, but I don't want to seem too pushy.

post #9 of 12

No you aren't being pushy. A quickie U/S to confirm position is NOT a big deal. It'd take 60 seconds and then you could relax and enjoy the rest of the pregnancy. I used to be more respectful of doctors before I became a nurse. Now I am more of the opinion that I am paying my doctor (well, me and the insurance) and the high and mighty "I am the doctor and I know best you silly little pregnant woman" attitude makes steam come out my ears.
 

My OB does versions on VBAC patients and he has a really good success rate. A lot of what is possible in the world of childbirthing depends on the skill and experience of your provider. Some are also limited by the rules the hospitals and insurance companies put into place.

 

Anyhow, good luck with your U/S. Head down, baby!!!

post #10 of 12
Thread Starter 

Thank you for confirming for me that this is NOT a lot to ask!!  I feel like in general I am a very, very easy going patient with never a complaint, hassles, etc. I generally wait at least 30-45 minutes for each appointment and yet only see my dr. for five minutes or less. I deserve to not feel like he has his hand on the doorknob when I am asking questions or voicing a concern. I will have to do more research on vbac versions if we get an unfortunate surprise with the u/s.  And ask him specifically if he doesn't do them due to liability/insurance reasons, or if he's found medical justification for this position. Because I have heard from many others that this particular dr IS very skilled at doing external versions.

 

Quote:
Originally Posted by LisaSedai View Post

No you aren't being pushy. A quickie U/S to confirm position is NOT a big deal. It'd take 60 seconds and then you could relax and enjoy the rest of the pregnancy. I used to be more respectful of doctors before I became a nurse. Now I am more of the opinion that I am paying my doctor (well, me and the insurance) and the high and mighty "I am the doctor and I know best you silly little pregnant woman" attitude makes steam come out my ears.
 

My OB does versions on VBAC patients and he has a really good success rate. A lot of what is possible in the world of childbirthing depends on the skill and experience of your provider. Some are also limited by the rules the hospitals and insurance companies put into place.

 

Anyhow, good luck with your U/S. Head down, baby!!!

post #11 of 12

I did!! Even though I and the midwife was 99% sure she was head down, I still wanted u/s confirmation.  I had a friend who ended up with a c-section because her baby that every midwife swore was head down, was not... They didn't discover that until AFTER her water broke :( so they would not attempt to turn the babe...

post #12 of 12

I don't know if this is any comfort, since I'm sure you've encountered this in your research, but babies can do all kinds of gymnastics and even turn at the last minute, so it's not going to mean anything 100% if baby is breech now. Do your spinning babies exersizes and hope for the answer you need :)
Also, except in the unlikely scenario it's transverse and not bendy in the right way (which it sounds like yours might have been), it's not a problem to deliver vaginally, unless the Dr says no. It's actually recommended to do and they have updated the recs in Canada anyways and are trying to get all the Docs on board/trained. My MW would have no problem and though rare says she's missed a couple (or they've turned) and it's not a problem.
 

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