PREGNANCY-BIRTH Messages for February, 2000: Re: confusing dr. appointment today...

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Re: confusing dr. appointment today...

From: anonymous@obgyn.net
Wed, 23 Feb 2000 08:13:57 -0600 (CST)

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Reply: kelly: "Re: confusing dr. appointment today..."

At Tue, 22 Feb 2000, kelly wrote: >
>Hi,
>I am 15 weeks 4 days. I had an appointment today,and the nurse could
>not find the heartbeat with the doppler. I am by nature a very anxious
>person so I of course got very scared. When the doctor came in
>though,he tried and was able to pick up the heartbeat. That done, he
>started feeling my uterus and said I felt alot bigger than I should be
>at this stage. So he gave me an ultrasound..the baby measured 15 weeks
>4 days right on the button..but he says that the baby is positioned
>"high up" and is breech. He then said that he wants me to come in on
>friday so the technician can do another ultrasound.
>I asked him is there a bad reason why the baby is high up and he said
>"could just be positioning" but thats all he said. Is there anything
>for me to be concerned about at this point? Is there a bad reason why
>the baby would be positioned high? My uterus is right at or right below
>my belly button. He said he only saw one baby on the ultrasound..is
>there a chance that theres 2 and ones hiding or something?? I'm really
>worried..can anyone give me any reassurance?
>Thank you and sorry for the length...
>
>--
>Kelly
>

OB visits like the one you describe can be very anxiety provoking, and a little more information from your doctor may well have set your mind at ease. It is not uncommon to miss the heartbeat by Doppler at this point in pregnancy, but it is expected that an US will be performed, as it was in this case, to provide reassurance both for mother and doctor. Many factors can influence the size of the uterus at 15 weeks, with multiple pregnancies and wrong dates heading the list. While it is possible to miss a multiple pregnancy on US, it is extremely rare, and is not something that you should waste energy worrying about. The US is also quite accurate at dating at this point. The position of the baby at 15 weeks is completely irrelevant. The baby is still a small fish in a biggish pond, and would be expected to be spinning and flipping at will.

Since the baby is alone, and the right size for your dates, there is really not much to worry about. The size of the uterus is a very poor predictor of anything prior to late in the 2nd trimester, and I usually do not measure myself until 24 weeks. Good luck with your pregnancy!

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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