Well, crap.
Jan. 27th, 2009 05:10 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
rivkaLast night Dorian was here to go over some things in preparation for being our labor&delivery childcare. I let her feel a hard bump of baby sticking out on my right side. "That must be his bottom," I said trustingly. "Because it's round, and we know he's head down."
Yeah.
This morning I had my 38-week midwife appointment. All went well until she put me up on the table to assess Niblet's position, heartbeat, and size. At which point it became clear that he is not head down anymore, and that the hard round thing sticking out on my right side is in fact his head.
The good news is that he's still floating; no part of him is engaged in the pelvis, so he's not wedged in this way. He was transverse (crossways) when the midwife examined me, with his head kind of down by my right hip. She sent me over to the hospital for a confirmatory ultrasound, and the sonographer noted that he had turned breech: his head was still over on the side, higher up, and his feet were on my cervix. Then I was examined again by an OB, at which point he was fully transverse again. So he definitely has room to move.
We've scheduled an external cephalic version for Tuesday, February 3, when I'll be just about 39 weeks pregnant. I'll be seeing the OB I saw today, whom I liked very much. His name is Dr. Atlas, he's the chair of the Obstetrics department, he works with my midwives a lot, and he's very supportive of natural birth. I thought he struck a good balance between being warm and kind, and not holding back any information.
In an external version, the doctor literally flips the baby over into a more favorable position by pressing on the outside of the belly. ("Emphasis should be on gentle persuasion of the fetus as opposed to forceful movements," says the article, fortunately.) The article I linked to is kind of old, but offers a good description of what happens. They cite a 65% success rate. Here's the potential outcome tree Dr. Atlas outlined for me:
1. The baby is successfully flipped and then stays head-down, and I go into labor naturally.
2. The baby is successfully flipped and then flips back to breech or transverse, at which point we either schedule a C-section or wait until labor begins and do a C-section.
3. The baby can't be flipped. We schedule a C-section or wait until labor begins and do a C-section.
4. The baby becomes distressed by the procedure and there is an immediate emergency C-section.
Obviously that last one is a low-frequency outcome, but nevertheless the procedure is done on the L&D floor with an OR and an anesthesiologist nearby.
I've read that the success of ECV is heavily dependent on the skill and experience of the doctor, and it seems like I'll be in good hands there.
So, uh, we'll see what happens. Apparently it's not out of the realms of possibility that he'll turn back rightways round himself. Here's hoping.
Yeah.
This morning I had my 38-week midwife appointment. All went well until she put me up on the table to assess Niblet's position, heartbeat, and size. At which point it became clear that he is not head down anymore, and that the hard round thing sticking out on my right side is in fact his head.
The good news is that he's still floating; no part of him is engaged in the pelvis, so he's not wedged in this way. He was transverse (crossways) when the midwife examined me, with his head kind of down by my right hip. She sent me over to the hospital for a confirmatory ultrasound, and the sonographer noted that he had turned breech: his head was still over on the side, higher up, and his feet were on my cervix. Then I was examined again by an OB, at which point he was fully transverse again. So he definitely has room to move.
We've scheduled an external cephalic version for Tuesday, February 3, when I'll be just about 39 weeks pregnant. I'll be seeing the OB I saw today, whom I liked very much. His name is Dr. Atlas, he's the chair of the Obstetrics department, he works with my midwives a lot, and he's very supportive of natural birth. I thought he struck a good balance between being warm and kind, and not holding back any information.
In an external version, the doctor literally flips the baby over into a more favorable position by pressing on the outside of the belly. ("Emphasis should be on gentle persuasion of the fetus as opposed to forceful movements," says the article, fortunately.) The article I linked to is kind of old, but offers a good description of what happens. They cite a 65% success rate. Here's the potential outcome tree Dr. Atlas outlined for me:
1. The baby is successfully flipped and then stays head-down, and I go into labor naturally.
2. The baby is successfully flipped and then flips back to breech or transverse, at which point we either schedule a C-section or wait until labor begins and do a C-section.
3. The baby can't be flipped. We schedule a C-section or wait until labor begins and do a C-section.
4. The baby becomes distressed by the procedure and there is an immediate emergency C-section.
Obviously that last one is a low-frequency outcome, but nevertheless the procedure is done on the L&D floor with an OR and an anesthesiologist nearby.
I've read that the success of ECV is heavily dependent on the skill and experience of the doctor, and it seems like I'll be in good hands there.
So, uh, we'll see what happens. Apparently it's not out of the realms of possibility that he'll turn back rightways round himself. Here's hoping.
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no subject
Date: 2009-01-28 01:26 am (UTC)On Friday, she was *engaged* and *head down* and *pushing on the cervix* and everything and it was good -- and since then, not only has she moved back up, she keeps sliding diagonally-transverse now and again.
It's nerve-wracking ... she's spent THREE SOLID MONTHS with her hiccups coming from below my pubic hair, and now in the middle of week 37 she's suddenly doing flips??
no subject
Date: 2009-01-28 04:23 am (UTC)no subject
Date: 2009-01-28 04:45 am (UTC)Also, at least every other evening (and sometimes each night), she's at least mostly head-down again, which calms me. A little. She's just swimming around having fun giving me heart palpitations, at this point. I get the impression she's not ready to come out yet.
Edited to add: Note: my hospital considers ECVs "riskier and less effective" than just doing a c-section (*spit*), and largely doesn't do them. Ever. They also have an ironclad automatic-section policy for anything but straight OA or OP.
Which would be fine if she'd just go back to being straightforwardly OA, like she was for weeks on end ...