Automatic c-sec or trial of labor first?
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|Sat, 07-31-2010 - 8:49am|
My doctor had been leaning towards saying a c-sec would be medically necessary for me, but since my appointment last week, the baby's estimated measurements showed he'll be just below the 5000 gram (11 lb) threshold by my due date my OB office uses to determine whether a c-sec would be medically necessary due to the baby's size. He will still likely be just a few grams below that threshold by that date-- so still probably at least an estimated 10.5 lbs. That means it's completely up to me at this point to decide whether to schedule a c-section for close to my due date.
I have a couple of other co-occurring issues to consider. One is an excess of amniotic fluid. Although that level did decrease a bit in the past couple of weeks, it's still above average. Another is that I turned 43 in June and this is my first baby. And while we don't necessarily give birth as our mothers did, I don't consider the fact that my three sisters and I were all delivered by c-section to be completely irrelevant. Like my mother, I don't have very wide hips. My oldest sister had a long and difficult labor with her daughter that was possibly partly responsible for the learning disability she has today. This sister had a subsequent c-section with her son because he was also well above average for size and had a gigantic head (lol). Another sister was pregnant with triplets and had to be delivered by emergency c-sec at 28 weeks after one of the boys died in an umbilical cord accident. However, she did go on to deliver her daughter by VBAC a few years later, although her daughter was in the average range for size.
My belly is so gigantic at this point I keep getting asked if I'm having multiples and my whole body hurts. So I am leaning towards scheduling a c-section for right around my due date, rather than a few days past-due when my son would hit that estimated 11 lb mark for size. I just can't see going past due at this point. So I'm considering Friday the 13th for a scheduled c-sec (if I can talk my doc into coming in to do it on his day off), just two days before my due date, which falls on a Sunday. What I'm less clear on is what I'll do if I go into labor before then. If it's in the next week, I would probably want to at least have a trial of labor, but more than a week out, the baby could be more than 10 lbs and I still have all the other issues to consider. Because I have heard that a scheduled, or even "unplanned" c-sec is better than getting into a situation where you need an emergency one, I'm still a bit torn about what I should do. Any suggestions?