"New" labor "rules"

[mrslefty]

hm, I might share the part about the doula with H who is totally against it because "why would we ever need one" and my attempts to explain my fears are largely unsuccessful.

[toratoratori]

Thanks for sharing! Curious about this point, though:

1. Ultrasound done late in pregnancy is associated with an increase in cesareans with no evidence of benefit to the baby. These “late-term” ultrasounds are routine in many care settings, and are often used to estimate the weight of the baby and confirm baby’s position. ACOG is backing the evidence that shows they do more harm than good.

How late in pregnancy are they talking? And also, everything I've read indicates that ultrasounds have no adverse affects to the baby, so ... why does it matter if it's done at 20 weeks vs. 30 vs. 40? I looked through the original document and couldn't find the reasoning. Is it just because practitioners start to get impatient, or is there another reason?

[cdmay]

Some late term us are helpful, though. i had one at 41+2 to check placental condition and fluid levels and it "bought" me another 4 days (biophysical profile, plus nst). That said, i carefully picked my mw and she had specific request about where to have the us, so her approach and interpretation may have varied from an ob's. However, mine was not to check his size, but to confirm conditions were good for him to hang out longer. This seems like solid advice for the general public, especially if the us is recommended to check size.
It was my third us and all were covered by insurance (anatomy scan, follow up for partial placenta previa and the bpp).

[shevacc]

I've also heard multiple women complain size estimates from a late u/s (like after 36 weeks) were way off. I agree that they're mostly used to justify a potentially unnecessary c-section.

[cdmay]

I want trying to be argumentative, and i absolutelY, 100% thingy they are often misused. I just wanted to also put it ow there that care provider's approach and motivation can make a major difference in the interpretation and consequences of late cs.

[jennlin]

Mar 1, 2014 20:26:48 GMT -5 mrslefty said:

hm, I might share the part about the doula with H who is totally against it because "why would we ever need one" and my attempts to explain my fears are largely unsuccessful.

If you want a doula, that's fine, but I disagree with the article that they are a necessity. With a good support person who understands your wishes, that is good enough IMO.

I like how active labor starts at 6cm instead bc that would definitely be a shorter clock for those who are "slow to progress".

[mrslefty]

Mar 3, 2014 13:06:39 GMT -5 jennlin said:

Mar 1, 2014 20:26:48 GMT -5 mrslefty said:

hm, I might share the part about the doula with H who is totally against it because "why would we ever need one" and my attempts to explain my fears are largely unsuccessful.

If you want a doula, that's fine, but I disagree with the article that they are a necessity. With a good support person who understands your wishes, that is good enough IMO.

I like how active labor starts at 6cm instead bc that would definitely be a shorter clock for those who are "slow to progress".

Oh I don't think they are a necessity but H doesn't need to know that

[sarack]

we had an u/s the night before delivery. it estimated our babies over a lb bigger each than they actually were..