The information presented in this activity is not meant to serve as a guideline for patient management. The mode of delivery was cesarean section in 66% of the pregnancies, compared with just 29% of all pregnancies in Calgary during the same period. I will hopefully get a more clear vision of what I want at the specialist. I would be extremely wary of a doctor who automatically scheduled major surgery because of a suspected big baby. He was 4 pounds 7 ounces and came home with us on day 3. I don't have a lot of faith in estimates.
I trusted my midwife more who by feel said she thought about 6 pounds at 36 weeks. Since the theoretic basis of the gestation-adjusted projection method is that normal fetuses do not cross fetal weight percentiles, including fetuses that are not growing normally could certainly affect the accuracy of this method. Our bodies are awesome, you can do it! Address reprint requests to: Eva K. I had an epidural, but it delivering a big baby isn't that bad although I guess I have nothing else to compare it to! Several factors, including the mother's size make this method difficult. The accuracy of intrapartum ultrasonographic fetal weight estimation in diabetic pregnancies. Well, and to save you from experiencing labor I guess! This allowed each patient to serve as her own control and minimized the effects of body habitus, fetal proportions, and other anatomic considerations presence of fibroids, placental location, fetal anomalies, etc on the accuracy of sonographic measurements. Subsequently, Mongelli and Gardosi evaluated 276 low-risk pregnancies that delivered within 35 days of the last ultrasound examination.
Good luck with last few weeks. First, the gestation-adjusted projection method, as originally described, was only applied when the latency between sonographic measurements and delivery was 35 days or less. Am J Obstet Gynecol 1997;177:503-506. Aust N Z J Obstet Gynaecol 2014; 54 10 : 354—9. The Shapiro Francia test of nonnormality was used to assure a normal distribution of data. Or is it a routine procedure done on most women in the practice. I think what others have said - that ultrasounds can be off by up to 2lbs - is something you can take into consideration.
Ultrasound tech told me the baby is around 6. I know thats all anecdotal. Head circumference and diameter, femur, and abdominal circumference. If they want to do a c section anyway, there's no reason to do it early except for the doctors convenience. Subjects A total of 516 singleton fetuses with gestational age ranging from 31 to 41 weeks, who received examination by ultrasound and were born in our hospital, were recruited into present study from January 2010 to February 2014. I'm pregnant again and they are saying it's big. Obstet Gynecol Clin North Am.
She also said that if the baby was large he would show signs in labor: head not coming down, sutures crossing, falling off the labor curve etc and if any of those things happen the go for a c-section. Discussion The accuracy of predicting birth weight from sonographic fetal measurements varies with gestational age. Results The study included 138 patients undergoing 276 sonograms. This does, however, leave a wide range in what is considered average 6 to 8. But, plus sides: I knew when my baby was going to be born. Interestingly, sonograms performed after 37 weeks were more likely to overestimate the birth weight of fetuses at risk for macrosomia and underestimate the birth weight of fetuses at risk for growth restriction than studies performed between 34 and 36. These are certainly within the acceptable range of prediction errors, indicating these fetuses did not cross weight percentiles during the gestational age period studied after 34 weeks.
If you have any concerns about your own health or the health of your child, you should always consult with a doctor or other healthcare professional. The Investigation and Management of the Small—for—Gestational—Age Fetus Royal College of Obstetricians and Gynaecologists Green—top Guideline No. American College of Obstetricians and GynecologistsObstet Gynecol. It is important that repeated measurements at least twice are essential in both ways, to reduce measurement error and improve estimation accuracy. American College of Obstetricians and Gynecologists. The role of growth trajectories in classifying fetal growth restriction.
You could have a 6 pound baby with a huge head and it would be a harder delivery than a 9 pound baby with a small-average sized head. Wagner, a third-year resident in the department of obstetrics and gynecology at the University of Calgary in Alberta. The planners of this activity do not recommend the use of any agent outside of the labeled indications. Only you know your body and can make this decision so do your own research and don't let the doctor force you into a decision you are not comfortable with. They said she'd be 7. Baby born at 40 weeks exactly: 8lbs even She has always had a big head she comes by it honestly- we are big-headed people , which I think was what bumped up the ultrasound estimate! I don't even think 8lbs sounds that big! Have others on this board been given ultrasound estimates of baby's weight at the end of the third trimester? The distance from the top of the pubic bone symphysis pubis to the top of the pregnant uterus fundus is measured in centimeters cm.
A close friend had an estimate the day before she went into labor and it was exactly correct. All the above parameters were measured three times and then averages in cm were calculated. I know people who had 6 lb babies and tore way more than i did and people with 10 lb babies who tore less! It's the size of their head. So they were way off. The model was then validated on an additional 167 cases, confirming an 8. Recently, Mongelli and Gardosi proposed the gestation-adjusted projection method of predicting fetal weight from sonographic measurements remote from term.