Re: Do I need Progesterone?

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You ask many difficult questions in your treatise. I will try to address one of them, and that is an induction 2 weeks early. Altho this makes a lot of sense--smaller head/body, easier birth, It does not always work that way. When trying to induce too soon, you run the risk of some breathing problems with the baby (less than 5%) and the biggest fear, your uterus will poop out, and we will commit you to a c-section that if you would have entered labor naturally, would not have happened. If your cervix is favorable at 38 weeks, that would be your best bet. Medicine and obstetrics is a art, you are asking for absolutes where none exist. Good Luck to you.

At Sat, 21 Dec 2002, Shawnon wrote: >
>I recently read the inquiry written regarding true disproportion, and the
>one reply this woman received. You do not know how long I have looked for
>someone I could relate to on this.
>
>I have the same question. I have given birth with great difficulty to 5
>babies with heads all over 14 1/2 inches. The largest ones were 15, 15
>1/2 (flexible) & 15 1/2 (overdue & non-flexible). The baby with the
>mature non-flexible head received brain injury, and suffers to this day
>with unnatural brain waves. This breaks my heart.
>
>Before marrying the father of these babies, I gave birth to three other
>children with significantly smaller heads. Their heads were 12 - 13 1/2
>inches. The two 12 inchers were my first, the first was pulled with
>forceps and the second with leverage via the physicians hands. The third
>was my easiest birth ever. I used Lamaze breathing techniques and the
>baby was of such proportions that it worked perfectly. It was at this
>point that I decided that birth was easy. These first three babies were
>all born at 38 weeks (from the doctor's date), 36 weeks from conception,
>with no problems.

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

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