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Scans in later pregnancy

post #1 of 10
Thread Starter 

Hey all. I havent been on this forum for a while, because when I used to be online I was very nauseas, and now for some reason if I come online, I become nauseas again! Stupid mind! Well I am nearly 25 weeks pregnant, and am due to see my OBGYN on the 8th of April. I would be 26 and a half weeks. He wants to do another scan, yet I had one at my 12 and 20 week scan. Is this an absolute must, as here in South Africa we pay for these things out of pocket and it is expensive. I know my girly is very healthy as she is moving and kicking and for me that is a sign that all is well. I also hardly feel pregnant, only the SPD(Symphisis pubic dysfunction) that bothers at times, but Mag Phos tissue salts does make a huge difference. So I know all is well. Just the football in front. Hehe. Well, hope to chat more on here, please opinions on scans. Would appreciate. 

 

post #2 of 10

I would ask what the purpose of the scan is.  Are they looking for something in particular? 

I had a 36 week scan for baby #2 to see where the placenta was in relation to my previous c-section scar. we discussed how this would impact any decisions that we were making at the time and it seemed like useful information so we went for it (the placenta over the scar can adhere and give you trouble birthing the placenta).  I am leary of extra tests just to check that things are normal because they seem to pick up any little deviation from average and make it into a huge issue.

 

Questions I always ask when considering testing: 

1. What is the purpose of the test? What are you looking for?

2. What will the impact of the information gained be?  Will it affect your decision making?

3. Does the value of the information outweigh the risk of the test? (more for other tests that are riskier)

 

You can always say no to routine testing if you don't feel it is necessary.

post #3 of 10

Forgot to mention that here in Canada one ultrasound is standard - to check out basic anatomy and rule out any really obvious problems.  It's usually done around 18-20 weeks.  That's it.  If you have spotting, or other complications you may choose to do more, but it's not standard to do more than one.

 

I hope the nausea goes away!

post #4 of 10
Thread Starter 

Hehe, I have no nausea! I am feeling so healthy, thus my feeling that I dont need more scans. Thanks for your advise, I will make note of it and ask the OBGYN when I see him!

post #5 of 10
Quote:
Originally Posted by g&a View Post

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Questions I always ask when considering testing: 

1. What is the purpose of the test? What are you looking for?

2. What will the impact of the information gained be?  Will it affect your decision making?

3. Does the value of the information outweigh the risk of the test? (more for other tests that are riskier)

 

You can always say no to routine testing if you don't feel it is necessary.

I completely agree with that! 
AB must be different, because in BC and ON it's two scans, one at tenish weeks and one around 20 weeks. Anyway! Those are definitely the questions I would ask, it's important to be informed. Maybe there was something in your last scan that set off alarms?

post #6 of 10

I have had 2 babies in BC, in 08 and in 10 and was only ever offered 1 routine anatomy scan done between 18-20 weeks as I was low risk. In normal, low risk pregnancies, I think they only offer you an early ultrasound for dating if you are unsure of your last missed period but I knew when I conceived so they never offered it me as an option. This pregnancy I am in Alberta and its the same standard, one ultrasound mid pregnancy unless there is a complication or you are high risk.

 

I agree with G&A though, if there isn't a medical indication for having another ultrasound, I would avoid it as well. I would have another one, if it was deemed medically necessary for some reason though.

post #7 of 10
Quote:
Originally Posted by rainbownurse View Post

I completely agree with that! 
AB must be different, because in BC and ON it's two scans, one at tenish weeks and one around 20 weeks. Anyway! Those are definitely the questions I would ask, it's important to be informed. Maybe there was something in your last scan that set off alarms?

Funny, I thought that all of Canada was the same.  My mistake.  In Alberta we are actually offered 2 - one at 12 weeks which is for genetic screening.  I'm not sure if most people get that one or not, certainly those of us using midwives don't do it as much.  It's just for screening (for chromosonal abnormalities) and the information gained is not very definitive so many women skip it.

 

My sister-in-law had an 8 week and will have a 12 week in addition to the 18 week because she had a previous miscarriage (they call these viability scans).  See, it just depends on your individual situation and need.

post #8 of 10
Oh yes, I forgot about the nuchal fold ultrasound. I was offered that in both provinces too.
post #9 of 10

All the ladies I work with had two (there are about six of us, lol.). I think it's up to your care provider and you. 


My first one was definitely a viability scan, I had three miscarriages before Bean. 

At any rate, as long as you feel you are making an informed decision, then do what you and your partner feel is best. 

post #10 of 10

definitely not a must from my point of view-- this is our 2nd pregnancy and we've never had a scan. so...i think it's more with what your comfortable with. most places you have the right to decline whatever tests they are offering. and if they say it is required and you can't decline, then you can always ask why that would be...and go from there.

 

glad everything is going well! 

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