Post # 46
Fwiw I went to one ot the most respected midwifery groups in the United States. They were evidence-based and low-intervention. I had textbook pregnancy and had three U/S- one at 7w for viabity/confirmation of a uterine pregnancy, one at 12w for dating/NT scan, and anatomy scan at 20w. Good luck with your pregnancy!
Post # 47
I guess anyone who refuses ultrasounds will want the most natural and intervention-free birth.
However, refusing US could actually go in the opposite direction. As a midwife, this is the experience of a few women I cared for:
– It will be MUCH more difficult to find a private midwife willing to assist a home/birth center birth. In these settings it’s even more important to know that mum and baby are healthy and to be aware of the potential risks involved. Without an ultrasound it’s impossible to properly assess the level of risk and to formulate a plan of care.
– Your care providers won’t know for certain your estimated due date. The calculations based on last menstrual period are often inaccurate, and this means they could misdiagnose a pre-term o post-term birth. You could end up with a high intensity of care and then find out your baby is full term. Or you could go into labour too early and not know.
– Your care providers won’t know if your baby is healthy neither. They’ll want to put you on continous CTG instead of intermittent auscultation of fetal heart, which increases the chances of unnecessary interventions and C section. Given that they won’t know how well your baby can manage the stress of labour, any little sign of possible distress might lead to a C section. They’ll probably insist to have a neonatologist examine your baby as soon as he’s born, which interferes with skin to skin and breastfeeding.
– And they won’t know if your placenta is attached correctly, which is critical to avoid post partum hemorrage. They might provide earlier and more invasive interventions to prevent/stop PPH, only to find out later that it wasn’t necessary.
For all these reasons, WHO recommends at least one ultrasound at around 20 weeks, to check fetal anatomy and placental position. For a low risk pregnancy anything more than 2 ultrasounds (10 weeks and 20 weeks) is unnecessary and can lead to excessive interventions, but the 20w scan is highly recommended.
Post # 48
Never been pregnant, never worked in OB, but I have a renal background and I have sometimes done post void residual scans (I do an ultrasound of their bladder after every time they pee) upwards of 12-20 times a DAY for WEEKS. Never seen any harmful effects to the bladder from all those ultrasounds
Post # 49
I’m not allowed to have no scans because all of my pregnancies are automatically considered ectopic until proven otherwise. So, the scans start before they expect to be able to see anything based on HCG, and they continue regularly until they can confirm the location. So far its never been good news, but without the scans, it would have been much worse.
Post # 50
My coworker had four children at home with a midwife and never had an ultrasound. We were chatting once at work about 3D ultrasounds (I asked a different pregnant coworker If she’d had one) and original coworker asked what that was. Then she said she never had an ultrasound and doesn’t even have health insurance (we work for a large insurance firm with great, affordable health insurance so honestly I really don’t understand) at all. Just said she hired a midwife and they do some kind of coop for medical needs.
I have so so many questions for her and none of them are any of my business. Sigh
Post # 51
An ultrasound literally saved my baby.
I had a super low risk easy pregnancy. Went in at 40 weeks for a normal routine appointment. They did a NST, he was great. My Ob does a quick ultrasound at every appointment to make sure everything looks good. So despite my baby performing wonderfully on the NST I was almost entirely out of amniotic fluid (and I just had an appointment 4 days prior with plenty of fluid). If he hasn’t looked in, my baby would’ve been out of fluid by the following few days. And therefore have died. No my water didn’t break. My body just stopped producing it and the baby ingests it in utero
It would be highly irresponsible to decline this perfectly safe medical procedure. Declining could even harm your unborn baby.
Post # 52
I know someone who used a midwife that never did ultrasounds. I kept thinking something was going to be wrong & they wouldn’t know. Her baby ended up being still born.
Post # 53
mrsaime : My heart literally dropped as I read that. So sad.
Post # 54
brideandblue : I know. It was heartbreaking. I just had this sixth sense the whole time that something was wrong. I believe she made it to full term, or close to it. Her cord wrapped around her foot & cut off circulation. Not sure how long it was like that, I never asked.
Post # 55
I just can’t imagine. So many things can impact delivery that an ultrasound will help prevent. I have placenta previa and if my placenta doesn’t move, then we have to consider whether I can even have a vaginal birth. Without an u/s you wouldn’t know, and things would go very wrong if you have a vaginal birth instead of a c/s. This is a tiny example of what could go wrong. So dangerous to your baby and honestly neglectful.
Post # 56
I lived in the US for 32 weeks pregnant and Germany the rest of the pregnancy. In the US they gave me s handful of very quick ultrasounds (after ruling out ectopic pregnancy). They didn’t like to give many and that was fine. In Germany, I got a 4-d ultrasound at every weekly visit because they are considered so safe. My baby saw no effects from ultrasounds, and I urge you to have at LEAST your heartbeat an anatomy scan.
Post # 57
Anyone who refuses routine ultrasounds is even more unhinged than the people who are still adamant about a link between the MMR and autism.
There is absolutely zero evidence that the routine ultrasounds carried out during pregnancy are unsafe.
Post # 58
At the very least you should have the anatomy scan at 20 weeks.
I honestly doubt you’ll find a midwife to take you without it, as they don’t know for sure you’re low risk without an ultrasound. An OB will probably treat you as high risk without knowing otherwise.
There are many things that can be detected on an ultrasound that may save your baby’s life. If for example he or she has a heart defect and require immediate care right after birth – don’t you want to be in the best hospital possible with a team on standby? Or would you rather be separated from your baby and waste precious time while they’re being transferred elsewhere for care?
Post # 59
Westwood : this. I had a friend who discovered a heart defect at their 20 week scan. Planning ahead is SO important when there is a problem. When she went into labor 8 weeks early the team jumped into action and performed an emergency C section and got that baby into the hands of the best infant cardiac specialists Boston offers (which are really freaking good) immediately. Prior to the anatomy scan there was no reason to think she was anything other than a normal low-risk pregnancy.
OP I consider myself a fairly crunchy momma and had an unmedicated vaginal birth but the ultrasounds are important.
Post # 60
jannigirl : People go to places for momento pics and videos of them. My SIL did this. It was like a boutique.