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Narrow Pelvic Arch


Forum: Natural Childbirth

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  #1  
January 12th, 2011, 05:46 PM
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I had an appointment with my OB this morning and he mentioned that at my 10 week appointment he had indicated in my chart that I had a narrow pelvic arch. He said he made sure to make a note so he could make sure I was progressing correctly while pushing and didn't show signs of shoulder dystocia or any other complications. He made it seem like the narrow pelvic arch could create some serious problems.

I'm currently 28 weeks and have been completely confident in my decision to have a natural childbirth up until today but the OB's comments about a narrow pelvic arch have me worried. I read a little online about shoulder dystocia (bad idea, since I am definitely worried about it now) and just can't shake the apprehension.

Do any of you have any experiences or stories about women with "narrow pelvic arches" who had successful NCB deliveries? Or also ones that ended up with complications?

Also, is it just me or does it seem a little inaccurate to be basing this off of an exam when I was only 10 weeks pregnant? Doesn't the pelvis change a lot during pregnancy?
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  #2  
January 12th, 2011, 07:48 PM
Kelllilee's Avatar Platinum Supermommy
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Unless you have specific damage or deformation to the pelvis (usually from disease or injury) there is really no way to know ahead of time whether your pelvis will open enough. You are right that there is a lot of change that goes on during pregnancy, and even more so, labor.

I hate to say it, but it kinda sounds like your doctor is "setting you up" for a complicated delivery. I would have a talk with him at your next appointment and ask him point-blank if he thinks there will be a problem, why, and what he suggests to avoid them. Those answers should give you a good idea what he thinks. His answers should reflect a willingness to change your position during delivery, alternative remedies, etc... If he basically tells you your only choice if there seems to be a problem is a c/s, I would consider getting a new doctor or midwife.
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  #3  
January 12th, 2011, 08:18 PM
Caelen's Avatar Platinum Supermommy
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Quote:
Originally Posted by Kelllilee View Post
Unless you have specific damage or deformation to the pelvis (usually from disease or injury) there is really no way to know ahead of time whether your pelvis will open enough. You are right that there is a lot of change that goes on during pregnancy, and even more so, labor.

I hate to say it, but it kinda sounds like your doctor is "setting you up" for a complicated delivery. I would have a talk with him at your next appointment and ask him point-blank if he thinks there will be a problem, why, and what he suggests to avoid them. Those answers should give you a good idea what he thinks. His answers should reflect a willingness to change your position during delivery, alternative remedies, etc... If he basically tells you your only choice if there seems to be a problem is a c/s, I would consider getting a new doctor or midwife.
Could not have said it better.

There are methods for dealing with shoulder dystocia aside from c-sections. Its just having a doctor that knows them. Hopefully yours does, and if not, hopefully you can find one who does.
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  #4  
January 12th, 2011, 11:04 PM
Sk8ermaiden's Avatar Platinum Supermommy
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Location: Houston, TX
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My friend was told at her first appointment that she had a narrow pelvic arch and vaginal delivery would be difficult for her. This doctor was a quack in every way, but she did switch to a good doctor who also agreed on the pelvis (but did not try to scare her about delivery.)

So even with zero confidence in her body, a self induction at 41 weeks with castor oil, an early epidural, and purple pushing flat on her back, she got the baby out totally fine. (Basically, she set herself up for a c/s in every way and still managed vaginal delivery.)

You never know the amazing things your body can do! Plus everything loosens up during labor anyway!
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  #5  
January 13th, 2011, 07:30 AM
moon~maiden's Avatar Cheryl~ birth truster
Join Date: Jul 2007
Location: south eastern Mass
Posts: 13,088
the best way to open your pelvis up as much as possible is to be moving- walking, rocking on hands and knees, squatting if you can manage that (I'm not great at it myself) and the worst is laying flat on your back. I would ask about movement in labor at my next appointment and use the response to gauge whether I needed to be finding a new care giver. I switched at 16 weeks with my first and it was the best thing I could have done.
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  #6  
January 13th, 2011, 07:39 AM
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Join Date: Oct 2007
Location: Northern VA
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The only thing I can add is don't be afraid to find a new provider at 28 weeks if you get the impression he is setting you up for a c/s. Even if you're not sure if you want to switch, do some research on OBs or midwives in your area & get a 2nd opionion. It can't hurt & it may ease your fears some.

BTW: Good to see you around again Cheryl.
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