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Discussion Starter #1
I read so often some variation of "I'd only get an u/s for a valid medical reason." I'm interested to know what a valid medical reason would be. What indications would lead you to get an u/s?<br><br>
I haven't had an u/s this pregnancy, and I don't plan to, but I need to decide under what circumstances I would allow one. I originally thought unexplained bleeding would lead me to get one, but I've already had that and didn't see it as a reason to have an u/s. Thoughts?
 

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I don't schedule U/S but had one because of a very heavy bleeding episode (we wanted to rule out previa). This wasn't spotting - there was blood running down my legs.<br><br>
I *might* consider one if my measurements were WAY off like if I measured more than 4cm ahead or behind more than once.<br><br>
If my MW was insistant. I trust my MW and know she is no fan of U/S so if she strongly recommended it I would consider it. She had a feeling with one of her other clients that didn't do routine U/S and it turned out the baby had a Trisomy (not sure which). Baby was born at home but did not survive (as expected). Because the family knew ahead of time they were able to prepare themselves knowing their DD would not live outside the womb.
 

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I had originally thought I'd not get one but now I'm waivering. I think it might be nice to know placenta placement if its not obvious by doppler since I my first child was born by c-section.
 

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okay so, can someone give me the rundown on why <i>not</i> to get u/s?<br><br>
intuitively it seems to me like it disturbs baby. with my ds my ob insisted on doing one at every visit! once we switched to our midwives we had none!<br>
i've already had one with this babe ( my measurements were way off- turns out i'm 6 weeks further along than we thought!) but don't see a need for more...<br><br>
whats up here?
 

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I had 3 with ds, none with dd. Not planning on any for this one. I would have one to confirm breech (my mw will not do a breech hb) or for bleeding. The only thing that I believe they have conclusively found is that there is a correlation between the larger the number of ultrasounds and left-handedness. This makes me wary as to what other neural things may be affected.
 

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I found some controversy about the safety of u/s. There hasn't been a lot of research done on the long-term effects of it. I have chosen not to have one but would if there were a medical indication. With their safety being questionable to me, I wouldn't do any more than was absolutely necessary.
 

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I would get one if the midwife suspected a problem that would hinder delivery, or suspected multiples (I'd want to check for TTTS and later positioning if we were unsure).
 

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Discussion Starter #8
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<div>Originally Posted by <strong>mama_in_PA</strong> <a href="/community/forum/post/10329545"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I found some controversy about the safety of u/s. There hasn't been a lot of research done on the long-term effects of it. I have chosen not to have one but would if there were a medical indication. With their safety being questionable to me, I wouldn't do any more than was absolutely necessary.</div>
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But <i>what</i> medical indication would lead you to get one? That's what I'm trying to figure out. Just "medical reasons" is too vague for me.
 

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Medical reasons would be bleeding that's more than spotting, suspected breach presentation, lack of movement, things like that.
 

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I have chosen not to have an u/s this pregnancy, but would do so in consultation with my mw if she felt it was needed (she is very non-interventive and knows and understands (and dare I say agrees with?) my reasons for not having an u/s, so I really trust her opinion). We did not discuss it at length, but my guess as to when she would recommend an u/s:<br>
* suspected placental previa<br>
* suspected multiples (she will still do twins as a hb)<br>
* suspected breech (she will still do breech as a hb, but is not keen on a footling)<br>
* lack of movement<br>
There are probably more, but that's what I can think of off the top of my head. I may or may not have one due to bleeding, depending on the circumstances. If it was early in the pregnancy, I probably wouldn't. If I'm going to m/c, I'm going to m/c, and if I'm not, I'm not. But I would have to see how I felt if I was actually in that situation. If I had heavy bleeding NOW at 25 weeks, I would talk to my mw, but I'm guessing it might mean an u/s to see what is going on.
 

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<div>Originally Posted by <strong>mamaSun loveMore</strong> <a href="/community/forum/post/10329504"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">okay so, can someone give me the rundown on why <i>not</i> to get u/s?</div>
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You can find some discussion of this on <a href="http://www.mothering.com/discussions/showthread.php?t=830465" target="_blank">this thread</a>.
 

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Discussion Starter #13
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<div>Originally Posted by <strong>Shanana</strong> <a href="/community/forum/post/10331133"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">If it was early in the pregnancy, I probably wouldn't. If I'm going to m/c, I'm going to m/c, and if I'm not, I'm not. But I would have to see how I felt if I was actually in that situation.</div>
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That's how I felt. I had occasional spotting throughout my first trimester, as I've had in all my pregnancies, and I weighed what an u/s would tell me vs. just waiting it out, when I would get the same info, and decided against u/s. Then I had moderately heavy bleeding at 14 weeks, and still felt that I was going to miscarry, an u/s wouldn't change that, so I didn't get one. That was a week and a half ago, and I haven't had any bleeding since. I know once I start dual care, that an u/s will be encouraged, but by then it seems like it will be too late to know what happened to cause the bleeding. So I'm putting together my list of circumstances under which I would allow an u/s.<br><br>
Thanks for all the input, everyone.
 

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A friend of mine who didn't want any U/S and was plannign a home birth had a breech baby, the midwives convinced her to get a U/S to determine what kind of breech and found that the cord was wrapped 4 times around her neck. I know this is really rare but my friend was going to birth her at home and ended up having to have a emergency c/s, which she went in for after labor started.
 

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I won't get an u/s in the first trimester ever. For me personally, my body will m/c or it won't. There is nothing I can do so I don't want to know until it happens.<br><br>
I do plan on having multiple u/s with this pregnancy past the 20 week mark. Okay, by multiple I mean as many as the doctor feels is medically necessary. My medical reason is that my last pregnancy was a fullterm loss. I don't know why it happened and I cannot let it happen again. Not sure I can survive that again.
 

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<div>Originally Posted by <strong>~Megan~</strong> <a href="/community/forum/post/10329490"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I think it might be nice to know placenta placement if its not obvious by doppler since I my first child was born by c-section.</div>
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That's why I had mine - we are having DC#2 by HBAC at home, and wanted to verify that the placenta was nowhere near my surgical scar from the C/S. I had hyperemesis through week 18, and lots of bleeding/spotting everytime I got sick, so there was some concern about a previa. Of course I got a talking-to by the OB who did the U/S about the terrible dangers of HBAC <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll"> but the U/S did confirm that the placenta was high and posterior, well away from the cervix.<br><br>
That was my "medical indication." We did the U/S around 20 weeks, IIRC.
 

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With my DD, I had an u/s at 11 weeks for "dating", one at 25 weeks to check for abnormalities, and one at 41 weeks to check fluid levels.<br><br>
With the miscarriage, I had one as soon as I started bleeding. I'm glad I did, actually, because it revealed a serious medical problem (nothing to do with the pregnancy) that needed treatment ASAP.<br><br>
That was all before I was more educated in u/s.<br><br>
This time around, I've only had one at 20 weeks to check for abnormalities. The placenta was very far from my C-section scar, so that's good. I might need to get one in a few weeks if the baby is still breech, but we're hoping to determine his position without one (we couldn't tell yesterday, but the MW will be trying again later this week). Aside from that, I will consent to an u/s between 40-42 weeks to check on fluid levels and placenta.<br><br>
So, I'd consent to u/s for bleeding, the 20 week level II, check position of placenta for VBAC or suspected previa, suspected breech, check fetal health for post-dates, etc.
 

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<div>Originally Posted by <strong>jen&james</strong> <a href="/community/forum/post/10332688"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">A friend of mine who didn't want any U/S and was plannign a home birth had a breech baby, the midwives convinced her to get a U/S to determine what kind of breech and found that the cord was wrapped 4 times around her neck. I know this is really rare but my friend was going to birth her at home and ended up having to have a emergency c/s, which she went in for after labor started.</div>
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Babies with the cord around their necks, even 4 times, can and are delivered vagainally all the time. I'm not second guessing your friends decision just letting others know in case this is an issue for them cesarean isn'y always necessary.<br><br>
My MW has accounted several births where the cord was around 3-4 times.
 

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Bleeding for me. I will always have one after bleeding. I want to be informed about it.
 

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I had one for suspected IUGR. I also had hyperemesis and the midwife was worried that things were not quite right.<br><br>
I would also have one for suspected twins, first/second trimester bleeding, and to confirm breech if there was any question.
 
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