Sonogram: The New Crystal Ball?

I am So frustrated at the amount of misinformation put out there as FACT soley for the convenience of the provider! Grrrr!!!!! Some OB’s do it, some GP’s do it, some midwives do it, heck as far my experience shows some DENTISTS do it.

There was recently a comment made on my Castor Oil post from a woman who was told she was too small and couldn’t go to 38 weeks or her “uterus would rip open”. Baby was just TOO TOO big. Even if the poster got some of the semantics wrong (probably is her pelvis they are talking about not her uterus) the arguments for induction just amaze me. Of course I did not offer he any advice as to induction.

My local hospital routinely does inductions at 37 weeks. 37 WEEKS! Yeah. Ludicrous.

The main reason given to women for inductions and even cesareans is the “big baby” argument. And we have these wonderful things called sonograms to “prove” they are too big to “fit” through your pelvis. Please. Do they think we are stupid? Ignorant perhaps, but we are not STUPID.

Here is a lovely blog post by the fantastic “Unnecessarian” on sonograms and estimated size and due dates. Sonograms can be off as much as a pound either way and 2 weeks +/- for due date predictions! So if the sonogram says you are ok for an induction at 37 weeks (by the sonogram) and you induce and it’s off by 2 weeks guess whatcha get? A baby at 35 weeks with respiratory issues, breastfeeding challenges, and a myriad of other psychological implications the likes of which we have NO CLUE about yet.

And the weight predictions are just fantastical. The stuff of Harry Potter and traveling circus acts. There is some science there – just enough to be dangerous. Sure. Gaze into the sonogram screen and see your future: induction + pitocin + epidural = surgical birth.

And let me tell ya from experience: a 2nd degree tear is alot easier to heal from than a 10″ wound on your belly complete with scar tissue and a spinal headache for dessert.

3 thoughts on “Sonogram: The New Crystal Ball?

  1. Ho my god,how true you are…Since I discovered I was pregnant,il informed myself a lot about everything birth related.I choosed a midwife and everithing went gorgeously fine until a little more than a week ago.My bp started creeping up so I started to try to help labor to start.Nothing happened and here the law for midwifes is to have a biophysical profile done at least once at 41 weeks,and if birth have not happened,the care is transfered to a doctor at 42 weeks.For an induction.The scan went fine,the baby had a score of 8 on a possible 8.But the technitian took measurements.For the weight,he was on the 15 percentil(A little more than 6 pounds).For everithing else he was under the 7th,for some even under the first…I talked immediatly to my midwife,who was concerned.But she was ok with waiting for the next profile 2 days later.I was too but almost panicked.The next day I talked to my second midwife(they work by team) to try to have a second scan done this day.I wanted to rule out te 1/5 possibility of an error.She was absolutely ok with it but no hospital wanted to do it.The doc who was at the hospital refused to do it either.She knew him and told me he would do a soft induction and be respectfull of my wiches.So I decided to go for it since my scan sheduled for the next day wouldn’t include measurements.Long story short,I ended with an epidural and a c-section for failure to progress.The doc who was on charge that day(the next) was fine with waiting a little (almost 8 hours…I refused twice to sign the papers)since the baby was great.She was concerned for him but was really supportive.She even tried to stretch my cervix manually.And she left the cord pulse 1 min,since he was measuring so small.There is no way to know how things wouls have gone without the induction.But there is one thing sure.That ultrasoud was wrong on so many level…My son was 7 pounds 8 onces.And he measured 20.5 inches.He was not a iugr case.He came to the worls screaming and moving.With a lot of molding and 2 big red spots on his skull.He was not in a good position…After the operation I had an hemmorage and I’m actually badly anemic.Nursing,with a newborn and a major abdominal operation to heal.
    I’m actually tring to complaint about that technitian.I met her once during my pregnancy,for the 20 weeks scan.She said he was a iugr case and refused to take furter measurements,she wanted me to come back 2 weeks later.She was measuring him at 18 weeks.At 22 weeks,when I came back and with another technitian,he was measuring for an average of 23 and half weeks.That woman has trouble scanning and should not do them.Her evaluation was really off and has have consequences I will pay all my life.Not her,not any of the doctors or the midwifes(who made do with HER evaluation) but me.And that is not ok.Besides,how many women lived the same thing because of her?How many times it will happen again before she end her carrer?THAT is scary.

  2. Delivering a baby by c-section because you think he’s too big to come out the normal way is just plain wrong. You just can’t know until a woman is in labor how her body will open up for the baby. Time and again, I’ve delivered babies for women who were told by their OB that they needed a c-section and could never have a baby bigger than 6 pounds. Low and behold, they VBAC an 8 or 9 pound baby without difficulty!

    So many factors go into labor progression–size of baby, position of baby, how effective the contractions are, how mobile the mom is during labor, and probably many more factors we haven’t “discovered” yet. The only way to know is to let labor unfold and see what the body can do.

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