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confused by doctors decission.


Forum: High Risk Pregnancy

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  #1  
December 14th, 2012, 03:05 PM
Mega Super Mommy
Join Date: Mar 2006
Location: Ontario Canada
Posts: 2,684
I have delivered at 34, 35 and 31 weeks. I have been seeing a specialist for my entire pregnancy. I will be 32 weeks in a few days. I saw the specialist yesterday and they did an ultrasound. At 31 weeks 3 days I baby was over 5 and a half pounds. They informed me that they no longer consider me high risk because of the babys weight. If I go into labour they are now not going to try to stop it, and they don't even recommend bedrest anymore. The specialist won't see me for a month. At this stage in pregnancy normally an ob see's you ever 2 weeks not every month and being high risk you would think they wouldn't spread it out so long.

does this protocol seem strange? What is your hospital's stance on which week to try and stop labour? I have always focused on weeks and the complications not the weight. Is weight more important the gestation weeks?
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  #2  
December 14th, 2012, 05:51 PM
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Join Date: Mar 2011
Posts: 8,598
Are you still seeing your regular OB? I saw my regular OB just about weekly at this point in my last pregnancy - sometimes twice a week. We did NST every other week and His appointment the opposite weeks. As long as you continue w/ you regular OB on the bi-weekly appt. I would still call my OB and see what he/she says about this. I do agree that it is highly unusual.

My dr would stop or help labor after 34/35 weeks. He would and did stop labor up to 33 weeks 5 days. He also made sure that I had the shots to mature baby's lungs. He said he would want to keep baby in as long as possible.
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  #3  
December 15th, 2012, 12:21 AM
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Location: United States
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I cant imagine weight being more important than weeks. Ultrasounds aren't a good determination of weight. Lung development is more important and that comes with time not weight. I agree with talking to your ob about it and also getting the shots to help lung maturity.
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  #4  
December 15th, 2012, 05:26 AM
Mega Super Mommy
Join Date: Sep 2012
Posts: 2,259
If your still seeing your regular ob that could be why they dont need to see you anymore. If the baby is over 5lbs and have good lungs they usually consider them ok to come out. My son was born early and was under 5lbs, they were hoping to get him to 5lbs before delivery because then development is alot better. This is all what i got told at the hospital but it could be different for you so i would check with your regular ob.
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  #5  
December 15th, 2012, 11:03 AM
momof8lopez's Avatar Platinum Supermommy
Join Date: Feb 2009
Location: illinois
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At 35wks my high risk ob would let me deliver. He would of stopped labor anytime before then. If labor was not progessing on its own, he would not of helped it until after 39wks. That is my hospitals protocal. I was also seeing a MFM dr. as well and my high risk dr. weekly from 32wks with NST's every week. I delivered at 37wks and baby was fine, but they would not help my labor until I was dilated to 5cm and was risking an infection. I had stalled around 4cm and they were talking about sending me home because policy would not allow them to help my labor.

At 32wks babys lungs are not developed and would require weeks in the NICU. I have seen 37wk babys weighing in at 7lbs and more and require nicu time due to lung issues....why would any dr. want to risk a baby being born premature with lung issues? I would find a new dr. you should be monitored weekly and everything done to prevent labor...makes no sense to me.
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  #6  
December 16th, 2012, 04:35 PM
Mega Super Mommy
Join Date: Mar 2006
Location: Ontario Canada
Posts: 2,684
I don't have a regular OB, I was too high risk so all my care was at this specialized hospital.

Was told that this is the policy for all hospitals in Toronto. There unfortuntely is no other area that will take my care because of my other risk factors

I asked specifically about the lungs because my 31 weekers (last pregnancy and as soon as I started to dialate they sectioned them out) had so many problems and one didn't surivive. However they told me it isn't a concern because that was twins.

UGG I don't really know what to do.
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Last edited by wishing; December 16th, 2012 at 04:53 PM.
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  #7  
December 16th, 2012, 05:09 PM
Mega Super Mommy
Join Date: Sep 2012
Posts: 2,259
At this point i would try to relax and take it easy. The longer the baby cooks the better. I would just call a regular ob and ask their advice, even if they cant help you maybe they can lead you in the right direction. I will keep praying for you and baby.
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