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Re: 37 wks and confused about c-section vs induction

From: Asem Anwar Moussa MD (anonymous@obgyn.net)
Sun, 18 Aug 2002 11:56:41 -0500 (CDT)


At Sun, 18 Aug 2002, Daphne wrote: >
>Background: This is my first pregnancy. I am due on Sept 7th and my
>baby was measured at 6.25 lbs on my 36wk u/s. I have no signs of labour
>whatsoever at this point (cervix is closed shut, long and hard). I
>supposedly have a mild case of gestational diabetes and am 39 years old.
>I also have a very narrow frame and pelvic bone. When I was born, I was
>a week late, took 3 days to come out, and measured 8.6lbs at birth. I
>am physically a carbon-copy of my mom.
>
>My doctor doesn't seem to want me to go post-term with this baby. He
>said that this is mainly bc of my age and bc this baby may be larger
>than normal. He has told me that when I get to 39 weeks, if there are
>no signs of labour, he will schedule me for a c-section the next week.
>Should I just accept this? Everyone has told me that I will no doubt
>have a horrible time delivering vaginally, so there is a high
>probability that I will end up with an emergency c-section anyway, but
>my sister and some of my friends think I should still try for vaginal.
>Should I ask for an induction rather than a scheduled "c" if I go beyond
>39 weeks? I know that there are risks with an induction as well. Do I
>have a shot at a successful vaginal delivery if I go to term or past?
>What do you think are my odds of ending up with an emergency c-section,
>given the specs above? I don't really have a preference either way, I
>just want the safest>
>
>--
>Daphne option for my baby. I'd appreciate anyone's input,
>especially the docs.

In your situation&with this unfavourable cervix for induction,I would go for the C-section on the schedlued time,lt is the safest way,Good luck.

--
Dr:Asem Moussa MD
Prof.of OB/GYN.
Alazhar School of Medicine.
Cairo-Egypt
This is for teaching purpose



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