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Re: 13weeks / pelvic cavity

From: Bryan Jick, M.D. (anonymous@obgyn.net)
Thu, 26 Jun 1997 18:44:35 -0500 (CDT)


At Thu, 26 Jun 1997, Loriann wrote: >
>I went for my 13 week check up and the doctor
>said the baby was "too deep in the pelvic cavity" to
>be able to hear the heartbeat, plus i am overweight
>what exactly does the too deep in the pelvic mean?
>shouldnt the baby be out of there at this point in
>the pregnancy. shouldnt i hear a heartbeat at that point
> in pregnancy regardless of size and/or
>location? (it was taken with those
>hand held devices not a stethescope)
>
>He ordered no u/s since he said
>the size felt ok....i am still concerned probably and
>hopefully for no reason
>
>thank you
>
>--
>loriann
>

Dear Loriann

If your doctor has an ultrasound machine in his office, he could have spent less than 1 minute to verify fetal heart activity. At 13 weeks, if the patient is heavy, it is difficult to hear fetal heart tones consistently.

If the size of the uterus felt fine, the chances are over 99% that everything is O.K. I have a sono in my office, so I'll take a quick peek when I can't hear the heartbeat.

I tell patients that from week 13 or 14 (when the "sickness" stuff is gone) until week 18-20 (when they feel movement), they are in pregnancy LIMBO! They occasionally ask themselves..."gee am I REALLY pregnant?" You're feeling fine, not showing, and not feeling movement, so hearing the heart is REASSURING.

Overall, I think you have nothing to worry about, but consider this...call the nurse, and ask if you can come in next week just to hear the heartbeat (which often the nurse can check for you without you having to see the doctor).

Good luck!

--
Bryan S. Jick, M.D., F.A.C.O.G.
Board-Certified Ob/Gyn
drbryan@earthlink.net



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