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3rd Trimester
Baby too big/Too much fluid...
So I go into my 37 week appointment today & had to have an ultrasound. Apparently I'm measuring at 39 weeks and I have too much amniotic fluid. I've taken THREE glucose tests and all of the results have been normal ( 88, 77 and 99). Yet, my doctor keeps telling me that OBVIOUSLY my body can't handle sugar and I need to stop eating sugar, bread, fruit juice, etc. Honestly it's not like I've been pigging out & actually been eating decently. I do eat a lot of fruit though. (Who would've thought that eating fruit would be considering bad)
The doctors have really made me feel bad and like I'm hurting my baby. He measured at 8 lb 1 oz and they have already scheduled a c-section. Has anyone else measured ahead with too much fluid? I'm already very uncomfortable and don't need the anxiety to go with it.
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Re: Baby too big/Too much fluid...
I have GD and have too much fluid. We're doing a follow up ultrasound next week to get a better idea of it and measurements on LO. I'll be almost 33 weeks then. From what I know, there can be other reasons for increased fluid besides GD. Secondly, as far as I understand there's no way you can pass the 3 hour GTT and still have GD. Lastly, this I do know for sure. Even if you do have GD, the answer is to not cut out all sugar, bread and fruit juice. You meet with a nutritionist and create a meal plan that works for you. It's important to continue to get a steady and low amount of carbs throughout the day to keep energy levels up.
I would confront him about these things. If you haven't taken a 3 hour GTT, ask for one (I suppose you can pass the 1 hour and fail the 3 hour). Or you could buy a glucometer and check it 2 hours after eating. If you truly have GD, you need to know and need to know how to handle it, even if they choose to induce you as early as next week.
As someone who gave birth to a 9 pounder at 39 weeks i would be asking why they will not even let you try to have your baby vaginally. I was induced at 39 weeks and 1 day, labored for 8 hours, push for only 30 min, he was healthy and perfect in every way.
Good Luck to you, just stick up for what you want and do your own research. The last thing you want is for go time to come and you feel like you have no say or no control.
I had a huge belly with DD- I did not have GD and had a lot of fluid at my 35 week growth ultrasound. DD was born all natural, in just 4 hours, and weighed in at 9lbs 14 ounces- perfectly pink and screaming.
I would talk to your dr. before jumping into a c-section if thats not what you want.
Well, I passed the 3 hour test, but we (my doctors and I) are all convinced I have it. I had it with my DS and my sugars were running high this pregnancy as well. I think it is a total fluke that I passed it. So, I am following the diet to be safe. Also, OP I am measuring 3 weeks ahead - I did with my DS as well. I had him at 37 weeks 6 days and he was 8 lbs 8 oz.
My most recent ultrasound showed a 9+ pound baby and enough fluid to be officially diagnosed with polyhydramnios (no GD), but my MW and OB are still fine with trying a vaginal delivery.
Your OB sounds a little jumpy to me. Your baby has plenty of time to move down and seems to be within the normal range weight-wise. If you feel more comfortable with the c-section, that's fine, but don't let the doctors push you around if you are not 100% sold on it. You have the right to ask questions and ask them to justify their reasoning before you consent.
ETA: And don't let them make you feel bad! Your baby sounds normal and you sound like you're doing a great job keeping healthy, so keep up the good work. I don't know why your doctor feels like it is helpful to jump to conclusions and hit the panic button over this, but he/she sounds like he/she could use a refresher course on bedside manner.
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I go for weekly monitoring and at my first couple appointments my fluid level was high, but this week it was back down at a normal level. My doctor told me it can self correct within days and it could just be how the baby is positioned, that's why the normal range is so large. By the way I also have GD, that is well controlled with diet and my little boy was also measuring at 7 and a half pounds at 35 weeks.
Don't let the doctors make you feel bad. Each pregnancy is different. However if your concerned with sugar in your diet a few simple things you can do are watch your carbs and only do moderate portions of fruit and milk in the middle of the day. Fruit and milk can make your sugar levels go a crazy, especially in the morning and at night when our bodies don't process sugar as well. You can also try to eat more protien and fiber, which helps the sugar process better! If you have a carb also have a protien. Hope that helps and don't feel stressed, your doing great and your almost there! Good luck to you!
Hey ShermansGirl, I was/am in the exact same situation as you with the amniotic fluid, but I think your doctor is absolutely wrong about the diet and the caesarian.
Background-- I measured at 33% amnio fluid at 28 weeks and was going to antenatal testing every week to measure fluid and do a non-stress test. I tested negative on the blood glucose, so they ruled out diabetes immediately.
What I was told is that anything between 5%-25% amnio fluid is NORMAL, but that 40% women have excessive fluid and it is usually nothing. Additionally, they just do a rough measurement of the fluid pockets, so each measurement is a ballpark and not precise.
I am now at 39 weeks and my last measurement was 20%, but the week before it was 15.5%. The baby will DRINK most of your excess fluid as weeks progress. It really, really bothers me that your physician would go ahead and schedule a caesarian! And the diet thing is really ridiculous.
The only things they fear with excess fluid is diabetes, and then cord prolapse when your water breaks. My prenatal diagnostics specialist said that if you are monitored via sonogram weekly until your DD, the chance of cord prolapse is 1 in 10,000. The ONLY TIME they would EVER consider caesarian section should be AFTER your water breaks IF the cord has prolapsed above the baby's head.
That said, it sounds like you are doubting your OB's prognosis, and you are absolutely right to. This person sounds like he is more comfortable doing surgery than dealing with a vaginal delivery.
Is there any way at all you could get a second opinion from either someone else in the practice or another OB?? I would absolutely go elsewhere, because he really doesnt sound like he knows what he is talking about. Just to give you some more background on my doctors, so you know they are not quacks-- I go to University of CA San Francisco prenatal diagnostics, and they are one of the best on the country. The neonatal ICU is the best in the world. Please get another opinion or switch doctors. He sounds like an interventionalist.
Sorry to rant. Good luck!