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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Ultrasound Scan Report Of A 37-week-pregnant Woman Indicate?

I was diagnosed with complete placenta previous from the 2nd trimester. All my scans confirmed it had not moved and I was set for c section for 39 weeks. At 37 weeks I asked for a ultrasound because I hadn t had one in 6 weeks and I wanted to see if it moved. I moved to 7 mm from cervix as low lying posterior. The dr tells me that I can keep my c section bit it s considered elective at this point. He says it is my choice whether I want to take a risk and try vaginal. He has no recommendation. He says its 50 50 chance my baby and I will be healthy and have a normal birth. He says I have to make a decision by Friday as my c section is set for Monday. (I just saw him today to discuss my options) I m going crazy trying to decide what is the best course of action. I don t want to just take the easy way out but I want to know what is the best option. Here is more details about my history and health. I have 3 live births, 5 abortions years ago. I m 35 yrs old. I m married and this is planned. I am 5 ft tall and 247 lbs. I can hardly walk because of hip and back pain. I went to physical therapy which made it worse. I am not able to get around well anymore either and he says if I go natural he will make me wait until 42 weeks. I don t know if I can make it that long either! Its a New Dr that did not deliver My babies but he is very experienced. I had a dream last night before I met with the Dr today. I was pushing and the baby got stuck because of my hips keep going out of wack. (They click out of place and I can walk because of pinched nerves) I crack my hips to be able to walk. The Dr says its normal but I never had it this bad. Anyway I have severe anxiety and I can t make this decision alone. What If I choose to have a c section that is not necessary and then I can t have more kids or I get sick from infections? The Dr told me there are risks for both, like my Bowles could be punctured or my bladder. I don t want to have permanent damage. Also my last pregnancy was so hard, and they could not give me an epidural because I m overweight. They couldn t get the needle in. They were digging and pushing into my spine it was terrible. I m terrified to have either type of birth and just want this baby out of me. I love my children but honestly I don t know.if I can go through this again. I m panicking, what should I do? Its too late to get a second opinion. I would have to switch drs even within the hospital system. There is no other drs to ask advice from unless I switch drs and get all my records sent over and then there are no appointments for another 3 weeks anyway! I feel like something bad is going to happen. When I had my last I bled a lot and my dr was stopping the bleeding with a towel and I had a vaginal birth. Is that normal? I asked later because I never had that before. The nurse gave me iron and told.me.it s normal to bleed a lot. But I never had them pressing inside me with towels unless I just don t remember. My last birth was also 1.5 years ago, so very recent. Before that was 11 years ago and 16 years ago. Hope I gave enough info for you, thanks.
Fri, 20 Dec 2019
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General & Family Physician 's  Response
Hi,

With past history of multiparty & difficult labors, the fact that you have low lying placenta this time &your physical condition not favorable for normal delivery.

I would suggest to go for planned lava followed by tubectomy. This would dave yourself &your baby too &would prevent the dreadful situation in the future.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Vasudha Jayant Athavale, General & Family Physician
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What Does The Ultrasound Scan Report Of A 37-week-pregnant Woman Indicate?

Hi, With past history of multiparty & difficult labors, the fact that you have low lying placenta this time &your physical condition not favorable for normal delivery. I would suggest to go for planned lava followed by tubectomy. This would dave yourself &your baby too &would prevent the dreadful situation in the future. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Vasudha Jayant Athavale, General & Family Physician