Thoughts to Ponder

15 February 2015

It seems my doctor favors cesarean sections. I had a routine ultrasound to check the state of the baby and I was advised that she's too large. At 36 weeks and 3 days, our little girl is in frank breech position, weighing an estimated 7 pounds and 11 ounces with fetal biometry at 38 weeks and 5 days. The ultrasonologist (who also happens to be my doctor's husband), told me that it's quite rare for the baby to turn at this late stage.

When Dr. Aina Sales Diaz looked at the results of the scan, she advised that I should have myself checked again after a week and if the baby has not flipped over to the vertex position by February 18, then I can have the cesarean section done two days later. She did not suggest other options.

I decided to do a bit of research and came up with the following:

1. Ultrasounds are usually inaccurate and are off by 1 or 2 pounds. Many women who were told that they will have 9 to 12 pound babies found that the actual weight at the time of birth was around 6 to 8 pounds.

2. Those who were also measuring a few weeks in advance (fetal biometry), were able to deliver normally as their baby turned at 39 weeks or right before their scheduled operations.

3. Most were advised to try for vaginal delivery first as an emergency cesarean section can easily be done if the baby is too big or still in breech at the time of actual labour.

Earl and I have agreed to wait it out for as long as possible before undergoing surgery, so now I'm trying to decide if I should still do the ultrasound or defer it to a later date?

Other things we need to consider:

We're almost done with shopping for the baby, but there are some items we can't seem to decide on. For example, where will the baby sleep? We plan to buy a crib in Singapore (the type that converts to a toddler bed), but for the few weeks we'll be in Manila, where will we place our newborn? I was thinking of the Graco Pack 'n Play® On The Go™ Playard. but it doesn't look too comfortable.

Another concern is should we buy a stroller? I can understand how it might not be needed here in Manila as there are a lot of people who can help with the baby - relatives, nanny, etc. But since we're based in Singapore where we don't have a car or household help, would a stroller be worth investing into? We'll need one that's suitable for a newborn and can easily be folded with just one hand. Also, which brand? We don't mind paying a bit more if it can last until our second child.

Maybe it's better to opt for a baby sling instead and buy the stroller when she's a little older? The problem is that I find them complicated and I'm not really sure how safe they are for newborns.

Are maternity binders necessary? I have yet to find a cheap one - though I've noticed that with anything baby-related, the price seems to skyrocket.

Decisions, decisions.


Amy @ The Tide That Left said...

As a relatively new mum I can recommend a stroller for a little one even if you're very sling dependent too. In restaurants/cafes/when visiting friends, it will give you somewhere to sit baby, or for baby to sleep. I do think that it's good to spend a little more money if you can, although don't know enough to recommend a brand.

Regarding the c-section, I think you're right to be cautious. I had an emergency section and it wasn't nice. Can they not try to turn the baby?

Nicole said...

Thanks Amy! Good point on the stroller :) As to turning the baby, I've read about that but my doctor seems to be focused mainly on c-sections and didn't offer other options. I was thinking of switching but with just three weeks left, we'll just have to stand our ground with her and hope for the best.