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