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#51
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Tough decision - Elective C or not ?
On Sat, 27 Sep 2003 21:29:25 -0400, Ericka Kammerer
wrote: If the baby is a girl, the 97th percentile at birth would only be about 9.5 pounds, which many, many women deliver quite successfully vaginally At birth, I weighted 9lb. 4oz. My mother gave birth to me vaginally. She weighted maybe 160 pounds at the time, and she is 5'6". She had no problems giving birth to me. -- Daye Momma to Jayan "Boy" EDD 11 Jan 2004 See Jayan: http://jayan.topcities.com/ |
#52
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Tough decision - Elective C or not ?
That depends. Exactly what outcome are you hoping for? Obviously, a birth with as little problem as possible resulting in a healthy baby and healthy mother. I've had 2 cesareans - one for no good reason, one for very good reasons. I just had a vaginal birth (with venteuse) - a 7 lb 14 oz baby who was quite large for my 4'10" body, yet fit through my pelvis just fine. I would rather have another vaginal birth, of a baby of any size, any day, rather than have another cesarean for anything other than a real medical reason - I mean, 'this is a problem right now, we have to solve it right now' rather than 'this might be a problem, so let's just cut'. A small baby, with a small head that's presenting badly may be much more difficult to birth than a big baby that's presenting ideally. Presentation is *very* important. Size is a whole lot less important than you think. Medically-minded birth attendants tend to treat all head-down positions as equal (because after all, if it doesn't work, we can just do a cesarean) but this isn't true. And there is a lot a pregnant woman can do to help her baby line up in an ergonomically-positive position for birth. Sir, surgery should be a *last* resort, not a "something might go wrong, so let's cut 'er open" attitude. I wouldn't wish a cesarean on anybody for anything but the most important reasons: immediate threat to mother and/or baby. Recovering from major abdominal surgery *sucks*. Being told you will have *no choice* but to have major surgery because you're a woman and you got pregnant again.....sucks. And that's what's happening to a great many women now, who have had previous cesareans. Not because a c/s is safer for the woman or the baby, but because it's less of a liability for the hospital. It's not demonstrably safer for your wife at this point. It's not safer for your baby. So what is the appeal here? I can see your point but I think you're missing my point a little. Yes. Ideally for everyone involved a natural birth is MUCH, MUCH better than anything. Since the baby is big (based on head and abdomen size NOT 'guessed' weight) the consultant has said that an induction at term would be done rather than waiting too long. Also, my wife plans to have an epidural in the instance of natural birth anyway. But, neither of us are keen on ventouse or forceps. Risks of this are increased with epidural, large baby, and inducing.... However, an emergency C-section after 25 hours labour is the worst option by far. You're operating on a mother whos already exhausted, possbily having to rush the op, cutting through contracting muscle etc... However, we both understand the issues with a C, in terms of recovery. Yes, it is major abdominal surgery. (BTW. My wifes a qualified nurse - recovery specialist at that !) Thank god for cesareans when they're needed. This situation doesn't sound like a "needed" cesarean. --angela |
#53
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Tough decision - Elective C or not ?
"nicky" wrote in message ...
"paul williams" wrote in message om... Wifes now 36 weeks but baby is measuring up to 40 weeks already so it looks very large. I measured 4-5 weeks bigger through the last trimester and was also predicted a large baby especially as my second baby had been 8lbs 11 oz ...Thomas was 7lbs 11oz !! Perfectly average weight. I hope the hospital aren't basing their judgement on this being a big baby solely on the fundal measurement. In any case unless the baby is an absolute whopper is there any reason to think hat your wife wouldn't be able to deliver vaginally, ie does she have a very narrow pelvis? Nicky Research and expert opinion says that ultrasound measurements and estimates are accurate to within 10-15%. We've had two and both have been consistent. Head and abdomen measurements in both instances place the baby size slightly above the 97th percentile on the fetal growth chart. So, I guess this means its in the top 3% with regards to size... |
#54
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Tough decision - Elective C or not ?
Ericka Kammerer wrote in message ...
paul williams wrote: (Vijay) wrote in message . com... Mary Ann Tuli wrote in message ... paul williams wrote: Wifes now 36 weeks but baby is measuring up to 40 weeks already so it looks very large. How do they know for sure that the baby is dagerously large? Numerous women in this group have been told to induce b/c of a 10-11lb baby that turned out to be 8-9lbs. That said, it is possible to give birth to an 11lb baby naturally, so I'm still not seeing a clear reason to induce or schedule a c-section. Hmmm. Possible or ideal ??? If it's successful without causing any problems, definitely ideal. The only downside to trying to birth the baby vaginally is that you might end up with an intrapartum c-section rather than a scheduled c-section. While intrapartum c-sections are slightly more risky than scheduled c-sections, they are not as risky as true emergency c-sections. It is *not* an emergency to do a c-section for failure to progress because the baby is too large. It may not be the most fun choice to labor a while and then end up with a c-section, but with good planning and a supportive birth team you've got a really good chance of making it and not having to deal with the consequences of a c-section. Best wishes, Ericka Agree that not every unplanned C should be classed as emergency. However, every unplanned C where labour has taken place for any length of time (be it natural or induced), results in an op being performed on a possibly fatigued and stresses mother, and also having to cut through contracting muscle (i.e. the uterus). |
#55
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Tough decision - Elective C or not ?
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#57
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Tough decision - Elective C or not ?
Ericka Kammerer wrote in message ...
paul williams wrote: Last two ultrasounds where head and abdomen were measured have put the babies size slightly above the 97th percentile... If the baby is a girl, the 97th percentile at birth would only be about 9.5 pounds, which many, many women deliver quite successfully vaginally (even with lousy support--with the support of a birth team skilled at supporting vaginal births of large babies, the odds are even better). Best wishes, Ericka Why the difference between boy and girl? Are boys born larger then? BTW. Its a boy.... (we know :-) ) |
#58
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Tough decision - Elective C or not ?
"Sue" wrote in message ...
Paul Williams wrote: Last two ultrasounds where head and abdomen were measured have put the babies size slightly above the 97th percentile... Ericka Kammerer wrote in message If the baby is a girl, the 97th percentile at birth would only be about 9.5 pounds, which many, many women deliver quite successfully vaginally (even with lousy support--with the support of a birth team skilled at supporting vaginal births of large babies, the odds are even better). And my 97th percentile baby was 9 pounds and was by far the easiest delivery I had. She was born under two hours with only three pushes and no medications or interventions. I went home the next morning and felt wonderful. Unfortunately Paul, you sound like you put your 100% trust in the medical professionals that you are dealing with. To a certain extent, you should trust them. But at the same time, you must keep in mind that doctors do a lot of interventions to save them from getting sued. They do these things, not in the best interest of the patient, they do it for their best interest. Not a good thing, imo. The patient needs to be educated on what interventions are truly needed and what interventions are just done for the convenience of the doctor and staff. It doesn't sound like you have done much research on birthing babies. Ericka gave you some good books to read, perhaps you can look them over quickly to give you a better idea of what having a baby is really like and not one that hospitals make you believe that you should do. Good luck. Not sure I agree with you there. Doctor has offered his opinion that induding at 30 weeks is the best option. My wife is keen on the C section. BTW. My wifes a registered nurse (and a theatre recovery nurse at that!) so knows a bit about things. |
#59
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Tough decision - Elective C or not ?
Linz wrote in message . ..
On 27 Sep 2003 17:18:33 -0700, (paul williams) wrote: Last two ultrasounds where head and abdomen were measured have put the babies size slightly above the 97th percentile... How tall/large are you and your wife? Both of us are pretty short. Shes 5' "2 and I'm 5' 8". Maybe I should have a word with the postman !!! :-) |
#60
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Tough decision - Elective C or not ?
In message , Elfanie
writes And you're operating after many hours of labor... which is BENEFICIAL to the baby! That's why many moms who PLAN to have a cesarean...still want to wait and go into labor and labor for a while before the planned cesarean. There are many health benefits to mom and to baby if they labor prior to surgery. A cesarean after 25 hours of labor isn't usually considered the worst option....since you've given your body the option of having a vaginal delivery as well as prepared the baby for birth. i have to strongly disagree here. an emergency caesarean section after labourin for 35 hours is a terrible option - both pychologically and physically for the mohter. the risks of haemorrahge, infection and deep vein thrombosis are significantly raised. i disagree entirely that there are health benefits to be gained from labouring before the caesarean. show me your data, and i'll show you mine. -- Helen Johnson |
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