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Headache

Question
Posted by: Suyanne Strydom | 2019/04/03

Q.

Doubts regarding Dr's assessment in pregnancy, need clarification

I am currently 38 years old and has been considered a high risk in my pregnancy by the clinic and state hospital due to my age and complications during my daughters birth. I am currently 34w2d pregnant even though the sonar measurements and efw shows that I am 35w3d pregnant. My baby has dropped 6 weeks ago and was in breech. The Dr then informed me that if the baby has not turned by 32w he will have to do a c section. The baby did turn and is now in the correct position. He made an appointment for today whereafter he would have scheduled my c section at 36weeks. The Dr was not there today and I had to see another Dr. First she informed me my baby was in breech again, when she double checked she realized that the baby was in the right position. My stomach measured 33cm 2 weeks ago but due to baby dropping further it only measured 29cm today. In my file it is clearly stated that the c section needs to be booked as the previous Dr's was concerned, yet she informed me that I need to come back in 3 weeks for a check up whereafter she will only schedule my c/s in another 2 weeks. I informed her that my baby dropped 6 weeks ago, I have been lactating for 2 weeks and lost my mucus plug a week ago. She seemed unconcerned and told me that I need to come back after 3 weeks and only then will she schedule my c/s. At this stage I am concerned that the baby will come before my scheduled c/s and I will be pressed for time as the hospital is almost an hours drive from my home. Do you think the Dr is correct in her assessment that there is no risk to me or the baby.

Expert's Reply

A.

GynaeDoc
- 2019/04/08

I am not clear why you are having a c/s if the baby is no longer breech. Is there some other problem? You mentioned complications during your daughter's birth. What were these. Generally the safest time to do an elective caesarean is 38-39 weeks, unless there is some urgent  problem which makes it necessary earlier. If the head has engaged (dropped), then the stomach measurement will be smaller and this is not  a concern. It is only if it is thought that the baby is not growing well that this would be a concern. This would best be detected on a  scan.

Without the full picture, I can't really say more than this.

Best wishes

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