Multiples

Mixed Messages From Doctors...Very Frustrated

A month ago my section was scheduled for 37w 4d on my birthday.  I was told that was not too early and I could have the date.  It was confirmed with hospital and insurance.  Last week at my NST I was contracting and an internal showed a softening of the cervix so I was put on modified bedrest.  Yesterday the practice calls and tells me they have now changed my section to a full week later because one dr (my dr who said I was already softening) decided it was too early.  I am so upset and I let them know it.  The babies at last night's u/s weighed 4 12 and 4 15 at 33w 3d.  This seems ahead of what they should be measuring.  Why would the dr's act like I am going to go early and then change my delivery a whole week later?  Are these babies large for their gestational age?  I am so confused.  Was wondering what your experiences were.

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Re: Mixed Messages From Doctors...Very Frustrated

  • My boys were born at 33w2d and two of them were 4 lbs, 10 oz and one was 4 lbs 3 oz, so I wouldn't say they're large for GA. Maybe slightly above average.
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  • DS1 was born at 37w5d and did great.  My twins were born at 37w4d (by my calculations, 38w by my OB's calculations, but I know 100% when I O'd).  A was 6lb and B was 5lb 5oz.  I would talk to your OB at your next appt.
  • I'm sorry you're frustrated. IMO, I'd just call that dr. and ask him why he decided to postpone and have him give you his rationale. He owes you that and perhaps it can help appease some of your frustration/confusion about the situation.

    I too had a date set in stone for my delivery but the one dr. said "let's go until 39-ish weeks". Family had to reschedule plane tickets, travel arrangements, etc., but I was happy, in the long run, to have the extra cookin' time as both girls had no NICU time and came home healthy with me.It all worked out despite the change of plans.

    Also, even though the growth scan u/s try to be accurate, mine (thankfully) were way off--one DD was even labeled IUGR/SGA and ended up being a full 1.5 lbs bigger at delivery. So, even though your u/s shows good weights for your gest. age, you can never be sure. 

    Hope it all works out! Hang in there.

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  • All thru my pregnancy, they kept saying oh we won't let you go past 38 weeks.... so in my mind that was July 31st, 38 weeks.  When it came time to schedule my c section, they scheduled it to be 38w4d... which got me really upset since I was so large and uncomfortable then...

    I showed them.. my water broke a week earlier.  Don't get too upset or attached to your scheduled date, babies will come when they want to come.

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  • i had a scheduled c-section at 37 weeks and 2 days due to gestational diabetes. They did do an amnio before hand to make sure their lungs were mature enough. They were 6 lbs and 5lbs 10 with no NICU time.
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  • You have to remember that the u/s weights aren't exact.  If they were, then my girls didn't gain an ounce from Week 35 to Week 36 3 days when they were born!

    IDs usually are delivered around 36 weeks if the u/s estimates that they're big enough (b/c they don't like the babies sharing a placenta much beyond that).  Even with pretty decent weights for 36 weekers (5 lbs 12 oz and 5 lbs 4 oz), my girls had NICU time.  As uncomfortable as you might be, if you can keep them in until 38 weeks, I'd keep them in. 

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  • I had my section at 38weeks 2 days.  I would say this, I am sure modified bedrest isn't fun and you will def be uncomfortable, but if they are growing well in there and all is well with fluids, cervix etc, week to week, I would try to keep them in as long as you can towards 38 weeks. 
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