37 week appointment

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eislem's picture
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37 week appointment

Had my 37 week appt this afternoon and it was a bit rushed as there was a delivery at the hospital and my doctor was backed right up with patients at the clinic. She did the GBS swab but didn't get an internal done, when she was checking my belly size and feeling the baby's position she did say the head is engaged though. That's kind of exciting, right? She's sending me for ANOTHER ultrasound, this will be my fourth and second in the 3rd trimester as she is still concerned about the baby's size. Also, I found out that should I go into labor the Saturday or Sunday before I am due my worst fears are confirmed, there is no backup in the next town over and I will need to be transported to the city to deliver. So now I need to keep my legs and fingers crossed if I haven't delivered before that weekend!

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Engaged is good... meaning that the head is down, right? I'd be bummed not to have gotten the internal. Well... maybe if she determines it's too big then you'll get a chance to be induced and can pick a date that works with the local hospital schedule.

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I'm sorry your appointment was rushed and about the news of needing to deliver by a certain date to avoid being transferred to another city. That sounds rather stressful.

I agree that baby's being engaged IS exciting! I hope the u/s makes your OB feel better. Weight estimates can be great, but they're estimates for a reason. They told me DD was going to be a pound and a half more then she was a few days before birth, but I've heard of them underestimating weights too. It's all in how the baby's positioned for the measurements. Biggrin

eislem's picture
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"kristycoulter1" wrote:

Engaged is good... meaning that the head is down, right? I'd be bummed not to have gotten the internal. Well... maybe if she determines it's too big then you'll get a chance to be induced and can pick a date that works with the local hospital schedule.

Engaged is good, it means the baby's head has descended into the pelvic cavity. I've been reading and apparently in successive pregnancies it is more common for the head to engage at the start or just before the beginning of labour. I have never experienced it before, both my kids stayed high right until I was in active labour... so now I am wondering if I will deliver soon!

Doctor is concerned about the small size of my belly. Apparently when she measured I was more than 3cm smaller than the guideline for uterine size. So I could be having a small baby or she could be OP, either way doctor just wants to be as informed as she can I guess. When I went for my last ultrasound in October, baby was laying transverse along my right side and from the location of the movements I feel, I think she is still over there.

It's amazing how ill informed I am for this being my third pregnancy. The doctor for my first two was so relaxed she never discussed half the things this doctor is doing. Like Monday we had a big discussion on episiotomy versus tearing... I couldn't even tell her what happened with my first two, how bad is that!

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"eislem" wrote:

Engaged is good, it means the baby's head has descended into the pelvic cavity. I've been reading and apparently in successive pregnancies it is more common for the head to engage at the start or just before the beginning of labour. I have never experienced it before, both my kids stayed high right until I was in active labour... so now I am wondering if I will deliver soon!

So I could be having a small baby or she could be OP, either way doctor just wants to be as informed as she can I guess.
It's amazing how ill informed I am for this being my third pregnancy. The doctor for my first two was so relaxed she never discussed half the things this doctor is doing. Like Monday we had a big discussion on episiotomy versus tearing... I couldn't even tell her what happened with my first two, how bad is that!

I didn't know that about engaging "early" or at the start of labor with subsequent pregnancies. This LO is OP and despite measuring on track, weighing less then with DD (I started out smaller with this LO) everyone keeps saying how small I look and I swear it's from his position because he's measuring big weight wise.

I'm sorry about your prior OB not keeping you informed about how things were done during your care, but it's great that your current doctor likes to keep the lines of communication open. Tearing vs. Episiotomy is a hot topic and I hardly ever hear of it being talked about before it happens unless the mother-to-be brings it up, so it sounds like you have a great provider.

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sorry about the news that you might have to be transported to deliver--hope everything works out exactly as you have planned!

My baby has been engaged for a couple of weeks now. My doc said that it's normal for subsequent pregnancies to engage sooner than previous pregnancies! LOL I have to say, having the head down so low for a couple of weeks has been particularly uncomfortable. Ugh! I feel like I'm crushing her head when I close my legs! ha! Hope not, but that's what it feels like! LOL

I brought up the fact that I had an episiotomy with each of my first two babies (delivered by a different doctor) and my doc said that she'd rather I tear "some" than do an episiotomy, so I guess I know where she stands on the issue! I'm guessing you would know if you had tearing or an episiotomy--I thought the episiotomy was the most painful thing to deal with the first few days after labor. Maybe slight tearing will be better? Guess we'll see how this one goes!