37 week appt

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Heatherbella's picture
Joined: 02/14/05
Posts: 4169
37 week appt

My appt was good. GBS was negative. Baby's HB was 138 or something. Everything looks good. She said it felt like baby's head had dropped a bit. I can't really tell. I joked that my waddle is only from my swollen lady-bits and she said that's because the head descending is causing that. Who knew? I sure didn't.

So the midwife wants to start weekly membrane strips next appt (at 38w2d). I'm not sure how I feel about this. I know baby won't come if he/she isn't ready, but I worry about the risk of premature membrane rupture.

Because I'm a vbac we are on a bit of a time constraint. The midwife said something about not letting me go over 41w3d as per some guidelines, but I forgot to ask what exactly all that was about. Now I wish I'd asked. Ugh, part of me wants to say no, but I worry about getting to 41w3d and wish I had started sweeps earlier. Oh man, I don't know.

Joined: 10/12/04
Posts: 961

38.5 weeks should really be fine. I think my doc did it at two days shy of 39 weeks with Lucas and I went into labor 24 hours later. I also went to the chiro that day and drank like a gallon of pineapple juice so I have no idea what officially triggered it! But really, you should be ok at that point.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

Some people are really against sweeps...and I can understand why. I just don't know where I stand on it. Sad

elleon17's picture
Joined: 01/26/09
Posts: 1981

What is the sweep for?

akpufa's picture
Joined: 01/31/08
Posts: 3078

Sweeps didn't change me whatsoever. My personal feeling on it is that if your body is on the brink, it might be the push you need to get going but otherwise it's not going to do much. But that's JMHO Wink Obviously you'll have to make up your own mind on the matter, but if I were going for a VBAC and under the time constraints, etc that come with that, I'd go for it after 38 weeks.

Anyway, glad to hear baby is looking good! Can't wait to find out what you've been baking in there soon!!

sandraleigh's picture
Joined: 11/23/06
Posts: 2672

Sweeps never did anything for me either. I agree with Ashley - they might put you over the edge if your body was already getting ready.

I'd probably go for it, but you might want to do some more research. I guess there is a chance that if the membranes are accidentally ruptured, then you'd REALLY be on the clock and might face an induction, which wouldn't be good for your VBAC plans.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

"elleon17" wrote:

What is the sweep for?

A membrane (cervical) sweep is a vaginal examination during which your midwife will use her finger to sweep the neck of your womb to try to separate the membranes from your cervix.

This can encourage your body to release hormones called prostaglandins that work to soften and thin the cervix, which might encourage labour to start naturally in the next 48 hours.

From this link: Membrane sweep and induction | Labour and birth | Mumsnet

Joined: 03/07/05
Posts: 1595

Sweeps only work if your body would have naturally gone into labor within the next 1-5 days anyway. So, they might give you a little jump start, but they won't change things drastically. As far as I know, the risk of membrane rupture is pretty low. Yes, it's there, but I've never heard of any personal stories where someone said it happened to them. Honestly, if you have until 41 weeks, I see no reason why they would start sweeping at 38 weeks if you are not comfortable with it. You can easily wait until 40 weeks if you are unsure about it!

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

"sandraleigh" wrote:

I guess there is a chance that if the membranes are accidentally ruptured, then you'd REALLY be on the clock and might face an induction, which wouldn't be good for your VBAC plans.

That's my main cause for concern. Exactly that.

I had a really emotional night last night about this and hubby volunteered to call the midwife today and ask for more info. I'm currently leaning towards not having it next week but re-consider at 39w2d.

elleon17's picture
Joined: 01/26/09
Posts: 1981

all these things I am learning. lol! You'd think I am a FTM, but for going into labor naturally I am. Smile

Clarkton's picture
Joined: 01/07/08
Posts: 1972

Yay for GBS- and everything looking good! Smile

I also think I might wait until the 39 wks to have the sweep and personally would likely go ahead with it at that point in hopes it would help things along to avoid getting too close to the deadline. My guess/gut feeling is the risk of rupture is dependent on the "roughness" or care taken by the provider doing the sweep. If the provider is an advocate for your natural birth I would anticipate they would be cautious not to prematurely rupture the water. IDK, just my thoughts. Good luck and don't let this decision stress you too much :bighug:

sandraleigh's picture
Joined: 11/23/06
Posts: 2672

Yeah, maybe hold out at 38 weeks and do it at 39 if she is able.

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

Ok, so hubby phoned the midwife today and got more information. I'm sure she knows he called because I was too emotional to call, LOL. Whatever. He's going to type it all up for me as his notes are hard to read but the gist of it is that the midwife is ok with us not getting the sweeps right away, so that's good.

The 41w3d number she said was the 'standard' for when induction is recommended. Of course we don't have to do that...but if we go to 42w then we have to meet with an OB, and that OB will likely try to force us into a repeat c-section. With non vbacs the OB would likely try to force people into induction at 42w.

So I'm currently leaning towards waiting for any sort of sweep until after 40w. I'm not in a hurry to get baby out and there is no reason why he/she needs to be here now! My appt after my due date is 40w2d so maybe we'll see what that date brings, then re-evaluate.

Joined: 03/07/05
Posts: 1595

YOu know what Heather, baby will probably decide to just come on his/her own before you even have to worry about it!

Heatherbella's picture
Joined: 02/14/05
Posts: 4169

"pollo_la" wrote:

YOu know what Heather, baby will probably decide to just come on his/her own before you even have to worry about it!

That's what I'm thinking/hoping!

Clarkton's picture
Joined: 01/07/08
Posts: 1972

Glad you got some information and have a plan. Sounds like you have plenty of time really though and babe likely will make his/her appearance in that time. Can't wait to see what your team green baby will turn out to be! Smile