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No ultrasound? - Page 2

post #21 of 35
Just wanted to throw out that the OB who attended my last homebirth has an ultrasound in his office. An older model, (the US and the Doc! wink1.gif ) but we used it to confirm position at no charge. Maybe you could find a small practice with the same setup for a smaller fee?
Good luck to you; I know how bad it feels to be in that position.
post #22 of 35

you could try a crisis pregnancy center. Many offer free ultrasounds and while it wouldn't be diagnostic, it would rule out anything really catastrophic.

post #23 of 35
Thread Starter 
Thank you for the suggestion. I did call all of the centers within a 50 mile radius and none will do a 2nd trimester US. It is a liability for them apparently so none of them will do it. Same with doctors offices, unless you are their patient, no go.
post #24 of 35

My daughter had an undiagnosed velamentous cord insertion, which means her umbilical cord wasn't directly connected to the placenta.  Instead, it was attached via an artery and two veins.  Had these veins and artery been over the cervix when my water broke, her head would've come down on it, cutting off her circulation and possibly killing her.  I had 6 ultrasounds in this pregnancy, and it wasn't caught.

 

Please, at least get ONE ultrasound, in the second half of your pregnancy, and specifically insist that they look at the baby's cord insertion to make sure it is where it needs to be.  From what I understand, if a velamentous cord insertion is diagnosed pre-birth, it can either be monitored very closely, or a planned c-section prior to due date may be scheduled, to avoid risking waters breaking and the baby's head coming down on the veins.

 

I had my daughter at home, but knowing what I know now, I would've opted for the C-section.  I'm most upset that even though I did get multiple ultrasounds, this wasn't discovered.  Please do get one, but make sure they tell you what kind of cord insertion is involved.  Hugs. 

post #25 of 35
Quote:
Originally Posted by anilorak13ska View Post

My daughter had an undiagnosed velamentous cord insertion, which means her umbilical cord wasn't directly connected to the placenta.  Instead, it was attached via an artery and two veins.  Had these veins and artery been over the cervix when my water broke, her head would've come down on it, cutting off her circulation and possibly killing her.  I had 6 ultrasounds in this pregnancy, and it wasn't caught.

Please, at least get ONE ultrasound, in the second half of your pregnancy, and specifically insist that they look at the baby's cord insertion to make sure it is where it needs to be.  From what I understand, if a velamentous cord insertion is diagnosed pre-birth, it can either be monitored very closely, or a planned c-section prior to due date may be scheduled, to avoid risking waters breaking and the baby's head coming down on the veins.

I had my daughter at home, but knowing what I know now, I would've opted for the C-section.  I'm most upset that even though I did get multiple ultrasounds, this wasn't discovered.  Please do get one, but make sure they tell you what kind of cord insertion is involved.  Hugs. 

A velamentous cord insertion is not the same thing as a vasa previa, which is where the vessels travel over the cervix. A velamentous insertion is where the cord inserts into the membranes rather than directly into the placenta and then the vessels travel over the membranes to the placenta. A vasa previa is a form of velamentous insertion where the membranes cross the cervix in this process, but most velamentous insertions are not vasa previa. A velamentous insertion is very unlikely to cause a problem unless someone is doing cord traction to hasten the delivery of the placenta, since the cord is less stable when inserted into the membranes rather than the placenta itself and can detach more easily if traction is applied. A vasa previa is absolutely a reason to consider a cesarean but they are very rare. A velamentous insertion that is not a vasa previa would not generally be a reason for a scheduled cesarean.

I do have to wonder why you feel an ultrasound is so imperative since you have 6 and none of the detected the issue, which turned out not to be an issue at all.
post #26 of 35
Hi. I know the difference between a velamentous cord insertion and vasa previa. I said that with this type of cord insertion, IF the veins had been over the cervix (vasa previa), it would be very dangerous.
I also specified not to just get an ultrasound, but to insist on the tech doing it to check the cord insertion in particular.
Just because everything worked out for me is no treason to pretend it COULD HAVE been a very different ending. I would want to be fully educated on my babys safety. :-)
post #27 of 35
Anil- did someone look at your cord insertion and just miss it or did they just not look at the insertion at all? I'm wondering bc I've had 2 level u/s (1 for 20wk anatomy scan & another to check for placental location). Both u/s reports noted that cord insertion was "normal".
post #28 of 35
Hi. My sono reports note placement of placenta but do not mention the cord. From what I understand, looking for the cord insertion site I'd not standard procedure everywhere. When I delivered the placenta, the first thing my midwife asked was if I had any ultrasounds done and when ess the most recent one.
post #29 of 35
Got it. Mine were done by perinatologists, both with 30+ yrs of experience. This makes me feel a little better although I know there are no guarantees....
post #30 of 35
I would feel pretty confident about it if they specifically looked at the insertion spot. Also, there are several risk factors: first pregnancy, mom 35 or over, baby a girl, baby conceived via IVF, and twins.
post #31 of 35
Thank you smile.gif and sorry for the hijack
post #32 of 35

middlemama - I hope things have gotten better for you and that you are feeling confident no matter what has happened.

 

I have to say that I could of had an ultrasound and opted out of it by choice. I am not convinced of the safety but besides that my midwife shared that there is not much that they could find in an ultrasound that would affect the ability or her confidence to recommend a homebirth. In fact like a previous poster shared, many conditions are not caught with an ultrasound.

 

I know it is easy to say that it is best for and baby if you an relax and just enjoy your pregnancy. But I do want to say that if you do not end up having an ultrasound and there was some sort of complication there is no way of knowing if that would of been found on an ultrasound.

 

For me, this pregnancy has been so relaxed, no blood tests, no ultrasound. I would never blame myself if something were to go wrong. I think ultrasounds should be reserved for pregnancies with issues, after all, that is why they were first developed. And then they became standard procedure.

 

My midwife said that the measurements are what matter most. If I was not growing or growing too much, falling off the standard curve she would absolutely want an ultrasound. Your midwife is educated and knows what she/he is doing.

This turned out to be a lot longer than intended! Just wanted to send out some encouragement :joyI hope that whatever happens you can relax in knowing that everything will happen the way it should. God bless.

post #33 of 35
Thread Starter 

Thanks everyone. I was able to procure some care and was able to have an ultrasound and all is well at 22 weeks. Everything looked good and we have a baby boy on the way. :) I appreciate the positive and helpful comments I had here. :)

post #34 of 35
So glad to hear, hopefully you have some peace of mind. Congratulations on your baby boy!
post #35 of 35
Yes, congrats on that little boy! Cheers!
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