Nov 20, 2009 08:16 PM
I had an ultrasound at 34w and have an AFI of 30cm. My OB didn't seem too concerned and had me get blood drawn to check my sugars over 3 months, but that came back "excellent". So there doesn't seem to be an apparent cause (which I know is common), but she did mention something I'm not sure I'm comfortable with regarding delivery. She said a lot of times they want to do a slow release of the waters to avoid placental abruption. I understand that abruption is a concern with this, but I have other concerns.
1) In my last labor (my first labor, 2nd pregnancy, VBAC) I didn't dialate until labor, so they won't be able to do an amniotomy with no dialation.
2) The baby didn't engage until I was almost pushing. I know this greatly increases risk of prolapsed cord.
3) I delivered at 42 weeks last time. I know there is a chance of going earlier with poly, and I have had BH contractions, which I did not in my last pregnancy.
4) I REALLY want and plan to have a natural, low intervention birth and I planned to do that with my waters intact. It also seems like a good idea to have CFM if this is the plan, which I know comes with a whole other set of pros and cons.
I really like my OB (she has delivered twice drug free) and she supports my birth plan. We do plan to keep an eye on the fluid and I know a lot could change in another few weeks even. I just want to know if this is really the best course of action for excessive fluid.
Nov 24, 2009 01:07 AM
Here's what you need in order to make an informed choice:
As you can see, and doubtless, already know, your decision isn't a straightforward one. It requires weighing a number of factors relevant to your individual case and taking into account parameters that may change over time. Maybe the best thing would be not to make a firm decision one way or the other now but to discuss what makes the most sense under a set of likely possible scenarios.
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Please note that this Forum is intended to help women make informed decisions about their care. The content is not a substitute for medical advice.