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Any Any reason *not* to do the 20-week ultrasound?

969 Views 30 Replies 20 Participants Last post by  AndrewsMother
We're planning a homebirth, which DH is totally on-board with. I was planning no tests, ultrasounds, etc which I'm comfortable with. DH isn't comfortable with this; he thinks tests = good and normal. I ended up an ultrasound at 13 weeks, which I was okay with because I was unsure of my lmp - and I was a bit off. I'm opposed to screening tests in general, and unneeded medical procedures.

BUT I'm considering getting the 20 week scan as a sort of compromise for him. He's learned early that this is my uterus and thus my decisions, but in interest of keeping him feeling like he's part of it, I think I may do this as a kind of early Christmas present and finding out the sex of the baby, because he really wants to know.

So any reasons I shouldn't get the 20 week scan? Would it bring up things like 'big baby' or raise 'risk' alarms, or have false positives like a GD test does?
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It would most likely be fine. But, I've had them with all three of my kids, this time I will not have one. The reason is that with my last pregnancy, they found soft markers for downs syndrome and also some fluid around the kidney's. It caused alot of worry for nothing, we had to have another 30 weeks ultrasound to check the fluid around his kidney's and then a 2 week old ultrasound on his kidney's. I refused further testing as the fluid was decreasing and I had read that this was common in baby boys and resolved itself around 1-2years old. I felt like we were put through unnessasary tests and lots of worry for nothing. So personally, I will never do one again without a medical reason. However, my first two came out perfect, which was reassuring and it was fun to learn the gender and have things for the babies before they came.
I have them, but I know people who don't because they are concerned about the any potential harm of u/s, plus the risks of having your due date changed, big baby, etc.
I had one last time and don't plan on any this time.
My sil, who is a nursing student was really concerned about me not having one. She claims that they can pick up all kinds of serious problems and that I *must* have one.
I personally feel that they are 1) irritating to the baby. All those kicks at the ultrasound machine are not just to be cute. And 2) I rarely hear of someone saying that they found out something that changed the course of their pregnancy or delivery except to say that they wound up worrying needlessly about false positives. Plus, a friend of mine had an ultrasound that didn't catch her son's heart defect. They still wound up at the hospital with a baby in need of heart surgery with no warning.
If I feel like I need one for reassurance, or my mw thinks one is warranted, by all means. But otherwise, I think I'll just enjoy an old-fashioned pregnancy. With cuter maternity clothes and better nutrition of course.
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Similar to you, I am doing it for mostly DH. However, I have gotten pretty excited about it myself once I scheduled it. I would be fine without it, and DH has been so easy going with everything, not being in a hospital, etc, that I would like to honor him in this. We are comfortable that one ultrasound is not unsafe and I don't believe that deferring to him on this is a bad idea for our baby.
Gosh it's funny my dh is just chomping at the bit to find out the sex! We have one scheduled for Wed. I will be 19 weeks on Thursday! ( I can't figure out how to change my ticker thingy) Anyways I didnt want one because he of course wants to know if it's a boy! We have two girls! But now that it is coming up I am excited to know. Mostly because this pregnancy has been sooooooo different then the last two! We had an ultrasound at 9 weeks to make sure it wasn't muliples so this is my second and hopefully last ultrasound! Again I feel like you other ladies if it makes him happy then that's a good thing! We are planning a homebirth this time and he's been ultra supportive about it, so what can I say! I can't believe we are half way ladies!
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Originally Posted by mamaw/two View Post
It would most likely be fine. But, I've had them with all three of my kids, this time I will not have one. The reason is that with my last pregnancy, they found soft markers for downs syndrome and also some fluid around the kidney's. It caused alot of worry for nothing, we had to have another 30 weeks ultrasound to check the fluid around his kidney's and then a 2 week old ultrasound on his kidney's.
This is the kind of worry I have. I already gave some thought to the potential for u/s to harm the baby - I was okay with one because I would have UNDERestimated how far along I was by a week to 2 weeks.

Quote:

Originally Posted by CookAMH View Post
Similar to you, I am doing it for mostly DH. However, I have gotten pretty excited about it myself once I scheduled it. I would be fine without it, and DH has been so easy going with everything, not being in a hospital, etc, that I would like to honor him in this. We are comfortable that one ultrasound is not unsafe and I don't believe that deferring to him on this is a bad idea for our baby.
Sounds like we're in the same boat.
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Originally Posted by luvmybabygirls View Post
I will be 19 weeks on Thursday! ( I can't figure out how to change my ticker thingy)
Go to the very top of the screen to the "user cp" link, once you're there go to "edit signature". Then just change the number of * before your
icon and the number after-- essentially just moving the icon down the road a few steps.

So it used to be like: "***
:15***", make it "15***
:20****"
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At my 20 week ultrasound with DS (now 6) he was too small for his dates, so I had to have 3 more ultrasounds to make sure he was still growing. LMP said I was due Aug 5th, early ultrasounds said Aug 13 so they didn't change the Aug 5th date. The 20 week said I was due Aug 16 and all of a sudden it was a big issue. I didn't argue it with them, I was happy to be able to see DS again.

This time around I'm doing the 20 week ultrasound, but if they decide to push for lots more after this I'll probably say no unless there's a really good reason.
I'll be having one ultrasound this time most likely to rule out twins and to find out the gender. I'm 14 weeks right now and it should be in the next month, sometime after my next midwife appointment which is on the 22nd. I'll be 17+ weeks by then. I'm fine with one ultrasound, but no more unless it's really medically necessary. I don't do screening tests either.

With my son I had an early ultrasound at 8 weeks for no medical reason and I wish I knew more then to say no. It was a "dating" ultrasound, but I was sure of my dates already so it wasn't neccessary. I also rented a doppler for a month last time and used it every day for a few minutes. I feel bad about that too and definately wouldn't do that again. The risks of ultrasounds are still not known and I wouldn't want to have uneccessary ultrasounds and the frequent use of a doppler for no reason.
I will definately have a 20 week scan because I am having a homebirth. even though I have 4 healthy children of there was a problem with baby say heart defect, gastroischisis(intestines outside abdomen) or some other problem that might need immediate attention. I would deliver in a hospital with the highest level of NICU care available.

The odds of this happening are very low but I prefer to be aware then in the dark. Even it is is a simple cleft I want to have my resources lined up. Even if it something that I wouldn't do anything about I want to know.
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I personally have a slight problem with getting one just for the heck of it so that would be my reason for not getting a 20 week.
So far all of the studies that I've read about have encompassed more than 1 u/s so it's something to think about since you've had 1 already. One study had just 2 throughout the whole pregnancy and they still found problems in the test group. So that's something to think about. I'm getting one today to rule out twins since I'm dating large. The midwife has to know as they don't deliver multiples at the birthing center so to be approved to birth there I have to get it. I guess knowing if I'm having more than one is a good thing too.
If my size were fine though I would not be getting one the whole pregnancy unless something else came up. My midwifes are fine with that too. It's not a full on u/s though. She described it as quick and it won't be a structure checking u/s. It's basically just how many are in there and you're done is what she said. I think the faster the better.
And I agree that things are missed and things are misread and things are incorrect on them. So it would be more of what do you want to put up with? The likely hood that they miss something and you are incorrectly reassured or the possibility of unnecessary worry or the unknown of either by not getting one at all. It's really a personal decision.
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I guess you have to ask yourself what would change if you knew something different. Would you deliver at the hospital if there was a problem? Would you want to know ahead of time if there was a problem incompatible with life? Would you rather NOT know? Would you plan a c/s for certain problems?

If you wouldn't change the birth place, if you wouldn't plan a c/s for certain problems, and if you don't really want to know if there was a problem incompatible with life then there really isn't a reason to get one. If you would change the place of birth or would plan a c/s or need to know ahead of time of any problems then you should get one. But you shouldn't get one thinking that it will reveal ALL problems or ensure a healthy pg. Its a screening tool, its not exact science.

GL with your decision.
I just wanted to quickly add that of the four children I have had, one ultrasound gave us info that I feel was vital for her care. It was info we would have never known about without ultrasound until it was too late to do anything about. With the info we were able to save at least one kidney. There is no doubt it would have died without treatment, possibly resulting in abdominal infection and emergency surgery. This was a surprise. I had no family history or any reason to believe there was a defect. I am grateful for that ultrasound.

Another child's u/s gave us reason to have extreme worry, but was resolved in a later ultrasound. The worry was originally caused before the ultrasound (bleeding and very slow heart rate) and more worries were raised with the ultrasound, but the next u/s put the worries to rest.

With another baby, I had a u/s to rule out heart defects due to baby's heart skipping every 5th beat for awhile during the pregnancy. This ultrasound reassured me that everything was okay.

Only one pregnancy has had no worries at all.

I am scheduled for an ultrasound with this babe a few days before Christmas.
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Originally Posted by nukedwifey View Post
So far all of the studies that I've read about have encompassed more than 1 u/s so it's something to think about since you've had 1 already. One study had just 2 throughout the whole pregnancy and they still found problems in the test group. So that's something to think about.
Do you have links/references for those studies? I'm really interested in seeing them, because this is a topic that I'm considering.

I had 2 ultrasounds with my first, at 9 weeks and 20 weeks.

With this one, I refused the early one but we are planning the one at 20 weeks. And I admit that the main reason is to learn the gender of this baby. I tried talking my husband out of it, but I'm not very convinced so therefore can't be very convincing. But evidence that I can weigh against that decision would be very helpful if you can cite the references.
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My biggest concern is previa. My friend just had a c/s on Monday for complete previa, which was discovered via u/s. If it wasn't for that, I would probably skip it.
Why don't you wait a litle longer and get a 25 week to 28 week ultrasound. This *should* eliminate a lot of the needless worrying for false warning signs. The heart will be able to be mapped out very well and all of the organs will be developed enough to see if there truly is a problem. When ultrasounds are preformed on organs at 20 weeks- a lot of times they aren't done "cooking" so too many false positives are identified.
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Originally Posted by jeliphish View Post
Why don't you wait a litle longer and get a 25 week to 28 week ultrasound. This *should* eliminate a lot of the needless worrying for false warning signs. The heart will be able to be mapped out very well and all of the organs will be developed enough to see if there truly is a problem. When ultrasounds are preformed on organs at 20 weeks- a lot of times they aren't done "cooking" so too many false positives are identified.

i think that is a brilliant idea. at my 20 wk ultrasound (so DH could know the sex of the baby
), they told me there were problems with Mr. Pants's kidneys and there was all sorts of needless worrying and retesting and sleepless nights (for me, from worry) and the problem resolved itself by 26 weeks or so. my sweet boy is totally fine!

this time around, if i get an ultrasound, it will be later rather than sooner.
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Hmmm that got me thinking. I'll be 18 weeks, just before Christmas....what if we do get concerning information that just causes a lot of needless stress for the next month? Wondering if I should reschedule for January sometime...
(I'm on my cell, so I can't quote any replies. )

Oooh - I like the idea of waiting to 28 weeks. An u/s wouldn't change my decisions a bit, nor would it assure me or make me worry. The only thing I worry about is medical scare tactics and cascades of interventions. I'm only considering another u/s for DHs sake, since I'm giving him, uh, not much say in the pregnancy. I'm trying to be a bit more understanding of his thinking that tests are 'needed', even if they dive me nuts.
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