"Routine" 30 week ultrasound?! - Mothering Forums

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#1 of 24 Old 08-26-2007, 12:02 PM - Thread Starter
 
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At my 30 week appointment 2 weeks ago, my OB said they normally do a "routine" 30 week ultrasound "to check for growth". : I have never heard of such and politely declined. But it's been bugging me ever since. I have never heard of anything like this. We've already had 2 ultrasounds, one at 10 weeks (because I had recently m/c and I didn't at all feel pregnant, no symptoms at all), and the "traditional" 20 week ultrasound to check for deformities, organ development, etc. Why in the world would they do a "routine" 30 week? I just don't buy the "to check for growth" reason. It has to be either financially motivated, or even more likely IMO, to tell many mothers that thier baby is too large to be delivered vaginally and they need a c/s. Which as we all know is bunk. Anyway, I'm still disturbed by this two weeks later and just wanted to know if anyone else has heard of a 30 week routine ultrasound, or has any theories as to why this office would engage in this.
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#2 of 24 Old 08-26-2007, 12:10 PM
 
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I don't think I've ever heard of a routine 30 wk one. I would've declined also.
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#3 of 24 Old 08-26-2007, 12:12 PM
 
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I had one around 30 weeks but it wasn't routine - they suspected the baby was small and wanted to get a better look (although I hear it's not really that helpful).
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#4 of 24 Old 08-26-2007, 02:08 PM
 
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Sounds goofy to me. Did they measure your fundal height? Assuming they did then they checked for growth.
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#5 of 24 Old 08-26-2007, 02:22 PM
 
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Never heard of that before. What did your doc say when you declined?
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#6 of 24 Old 08-26-2007, 02:23 PM
 
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Around here it is the routine 36 week ultrasound, and the general result is - "omigosh! The baby is SOOOOOO big! It will be 25 pounds at birth if you don't schedule your induction NOW!" Then, after the c-section because the induction failed, a little 6 or 7 pound baby is taken away to the nursery while mom "recovers".

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#7 of 24 Old 08-26-2007, 06:53 PM
 
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Originally Posted by sweeetpea View Post
Around here it is the routine 36 week ultrasound, and the general result is - "omigosh! The baby is SOOOOOO big! It will be 25 pounds at birth if you don't schedule your induction NOW!"
Sadly, the same is true here. It's their standard alright, but not really necessary I would think.
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#8 of 24 Old 08-26-2007, 07:02 PM
 
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Are you "fluffy"? I was told to get an ultrasound (at 36 weeks) SOLELY because I am fat...by a nurse practicioner. I declined (and refuse to see that NP ever again).

Have your fundal heights been on? Has your weight gain been steady? Has anything weird happened in your health recently?

You can decline.

What does your gut tell you?
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#9 of 24 Old 08-26-2007, 08:25 PM - Thread Starter
 
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Sounds goofy to me. Did they measure your fundal height? Assuming they did then they checked for growth.
I actually don't know. I was very concerned with that stuff with #1 but not at all with this one. So I don't even ask. He says everytime I go everything looks perfect, and I leave it at that.

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Never heard of that before. What did your doc say when you declined?
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He said that was fine, no problem.

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Originally Posted by sweeetpea View Post
Around here it is the routine 36 week ultrasound, and the general result is - "omigosh! The baby is SOOOOOO big! It will be 25 pounds at birth if you don't schedule your induction NOW!" Then, after the c-section because the induction failed, a little 6 or 7 pound baby is taken away to the nursery while mom "recovers".

Sweetpea
This is exactly what I'm thinking. The hospital that this clinic is associated with, the one I'm delivering at, has the highest c/s rate in the state from what I've heard. I therefore suspect it's a way to convince moms that they need to have c/s due to the size of the baby.

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Are you "fluffy"? I was told to get an ultrasound (at 36 weeks) SOLELY because I am fat...by a nurse practicioner. I declined (and refuse to see that NP ever again).
A little, I guess?? Not enough that he's ever said anything.
Quote:
Have your fundal heights been on? Has your weight gain been steady? Has anything weird happened in your health recently?
Again, don't know/care about fundal heights this time around. Doc says everything has been "perfect". Weight gain has been very steady. Nothing weird in my health at all.

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You can decline.
I did, remember?

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What does your gut tell you?
Like I said, it tells me it's about intentionally setting patients up for a c/s. Which makes me upset.
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#10 of 24 Old 08-26-2007, 10:00 PM
 
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Before I switched to our local birth center with midwives, the OB I had did an u/s at every appointment. I ended up having 3 total. If I had stayed, I am pretty sure they would have scheduled one for every appointment since then.

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#11 of 24 Old 08-27-2007, 05:37 AM
 
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There's a substantial body of evidence to suggest that routine ultrasounds have not impacted on maternal or fetal morbidity or mortality. I wouldn't have accepted either.

Helen mum to five and mistress of mess and mayhem, making merry and mischief til the sun goes down.
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#12 of 24 Old 08-27-2007, 11:23 AM
 
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Before I switched to our local birth center with midwives, the OB I had did an u/s at every appointment. I ended up having 3 total. If I had stayed, I am pretty sure they would have scheduled one for every appointment since then.
: Wow. That's crazy!

To the op~ you've declined so it sounds you've decided . I think you and the others are right on with the 'whys' as to having a 30 wk u/s to measure for 'growth' .

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#13 of 24 Old 08-27-2007, 05:32 PM
 
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I beieve that ACOG recommends that doctors don't do "routine" sonograms at all, although it seems that most doctors do them. And most women expect them.

Mom to DS March '05 and : DD Feb. '08
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#14 of 24 Old 08-27-2007, 05:41 PM
 
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When I saw my OB during my last pregnancy, I specifically asked about frequency of ultrasounds. Their protocol was to have one early on to check for dates because I have PCOS and don't ovulate regularly. Then another one at 20-25 weeks to check for organ development. And that's it. My OB actually said there was no reason to have another one unless something cropped up along the way. . .as long as my fundal heigh was measuring on-target (+/- 2 weeks) and there was enough activity, another sonogram wouldn't really be useful. I did end up having a third ultrasound at 41 weeks, but I suppose that's pretty common when a women goes overdue? It only lasted 2-3 minutes and only to check fluid levels and all that. I asked about baby's weight, just because I was curious, but the doctor didn't use that in any factor at all. And it's a good thing. . it was off by about a pound and DD came out at a measly 6bls9oz.

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#15 of 24 Old 08-27-2007, 05:48 PM
 
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I have to have one at 28 weeks to ensure the (sorta common) cysts they found at 20 weeks have gone away... could you have these and they didn't go into detail about them? They're almost always harmless...

SANDRA, 41 year old VERY laid-back mama to VERY free range kids Brett (16), Justus (11), Autumn (4), and Ayla (1)... four perfect NCB's! :::
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#16 of 24 Old 08-27-2007, 07:38 PM
 
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One of my friends just told me her dr. does one at 33 weeks to check the baby's growth. I think she's so sick of hearing my advice that I just said, "Oh yeah?"
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#17 of 24 Old 08-27-2007, 08:01 PM
 
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I've never heard the standard before. My doc specalizes in high risk and only does one at 18-20 weeks as a "standard". He'll do others in his office if there is some "risk" he needs to check out.
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#18 of 24 Old 08-27-2007, 08:24 PM
 
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Originally Posted by sweeetpea View Post
Around here it is the routine 36 week ultrasound, and the general result is - "omigosh! The baby is SOOOOOO big! It will be 25 pounds at birth if you don't schedule your induction NOW!" Then, after the c-section because the induction failed, a little 6 or 7 pound baby is taken away to the nursery while mom "recovers".

Sweetpea
:

And if it's small then you have to schedule the induction because it's obviously IUGR, right?

I can't get over this-- a routine 30 week ultrasound. Dang. The MW I chose this time around doesn't even do a routine 20 week, although they'll do one if you want them to.
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#19 of 24 Old 08-27-2007, 11:39 PM - Thread Starter
 
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Originally Posted by Inspired007 View Post
Before I switched to our local birth center with midwives, the OB I had did an u/s at every appointment. I ended up having 3 total. If I had stayed, I am pretty sure they would have scheduled one for every appointment since then.
Yeah, my co-worker told me today her sister had one at every single OB visit -- for absolutely no medical reason. I was
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#20 of 24 Old 08-28-2007, 12:25 PM
 
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Never heard of a routine u/s at 30 weeks unless they suspect something is wrong.

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Aja 8/13/2004

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#21 of 24 Old 08-28-2007, 12:42 PM
 
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Good for you for refusing this unnecessary intervention!
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#22 of 24 Old 08-28-2007, 01:05 PM
 
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"Routine" seems to vary by area and practice.

I had an u/s at 36 w last time as OB wanted to make sure he was head down. It was only routine in that she happened to have a machine in her office, for other docs and m/w, this would not be the case. Really, the only "routine" one I'm aware of here is the 18-20 FA u/s, though I opt for the 12 w IPS as well personally. I am pretty sure my m/w has no further u/s in mind for me at this time.

edited to add, my old OB didn't hazard a guess as to size even with the 36 w u/s, she was at least one who knew that was not accurate.
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#23 of 24 Old 08-28-2007, 01:07 PM
 
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I had an u/s at 36 w last time as OB wanted to make sure he was head down.
The OB couldn't tell this by palpitation?
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#24 of 24 Old 08-29-2007, 01:21 PM
 
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The OB couldn't tell this by palpitation?
Apparently not! So far my m/w tells me this guy is head down (and those sure feel like feet walking along the top of my uterus.) But I know they won't be doing an u/s to check later (let's hope he stays this way!)

I have however heard of even m/w being wrong about which way baby was facing. It happens, I guess.
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