Tuesday, December 14, 2010

OB update

OB appointment yesterday went well. No progress from last week, still at 1-ish cm dilated, still a bit over 1cm cervical length. So that's good news.

I'm officially on the books for a scheduled c-section on January 10. If we get that far. I asked about why they wait til 39 weeks to schedule the c-section, and the OB explained that for elective c-sections, standard of care does not recommend removing a baby from its mother, as the lungs may not not be ready, before 39 weeks. Ok, I guess that makes sense. But, if I go into labor before the 39 week mark, obviously they'll let me go.

Critter is still breech, and we talked more about the version procedure. First off, next week's appointment will be a big one, as we will do a detailed u/s then. They will estimate her size - which is still running big, based on fundal measurement, the OB called her "generous" - and also estimate the amount of amniotic fluid. The OB said we'll use this info to decide whether or not to even try a version. As it stands, she gives it a 50% chance of working, but she also said this % could go down with her increased size. She also said I would have the option of a spinal block, as the procedure can be "very uncomfortable" for me. She said the version itself would only last about 5-10 minutes, with 2 docs working to turn her. 4 hands. She said it is a bit intense, in that they are basically using brute force to get the baby to move. They would also give me a med to relax my ute (terburline, I think). Whole thing takes place in the hospital, with an IV line placed, no eating for 8 hours beforehand just like a surgery, and they'll have an OR ready, just in case I go into labor from the procedure or the critter is in distress, and need to do an emergency c-section. It does not sound at all fun.

I'm still leaning towards not doing the version, but am reserving the final decision until next week, and have the u/s results. She put me on the schedule for Dec 27. As she said, we can always cancel next week if we want. Ok.

So that's about it. I'm slightly less cranky today, knowing I'll be off bedrest by the weekend, which marks 36 weeks. The baby shower my SIL is hosting for me is Saturday, so it is great timing that I'll be released from bedrest that day, and can actually attend! My mom is coming in town for it too, so that will be nice.

There may actually be an end in sight. An end with a baby girl, which makes all this crapola completely, totally and absolutely worth it.

4 comments:

  1. Yay for almost being done with bed rest and having a date for little girl's arrival! Glad you have the ultrasound in a few weeks to make the final decision regarding the version.

    Have fun at the shower!

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  2. So glad for the good news! Enjoy your shower :-)

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  3. Less than a week left until bedrest--yay! Hope the critter listens to her momma and turns ASAP! That version doesn't sound very pleasant. Hang in there!

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  4. The end is in sight, indeed! What breech position is she in? I don't blame you for not wanting to do the version - would you try to deliver naturally even in breech? I've been doing some reading about that lately, because our guy is in a frank breech position right now, though I know he still has plenty of time to turn around and most likely will. Your girl may still turn too. I'm sending you good thoughts!

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