Ask a Gynaecologist and Get Answers to Your OB/GYN Questions ASAP
Good afternoon, I am Dr Ruff, thank you for your question, I appreciate this is a stressful time for you and your family. Placenta insufficiency implies that it is not likely to give your baby what it needs to grow. If there is then evidence of growth restriction the concern is much greater. The bilirubin can be secondary to the pregnancy also, often more of an obstructive caused due to having the baby pushing on certain areas of your abdomen.
If the growth restriction was not present then yes I think it would be reasonable to monitor it regularly and delay. But I am assuming someone has decided the risk is now great enough to justify delivering the baby earlier. The steroids are given to assist the babies lungs for when they are born.
I am very sorry this is not the answer you want, but it sounds like you are in good hands.
No worries, so the report only really mentions the amniotic fluid being of reduced quality/volume, and the abdominal size, but this is only a few weeks off the normal.
Are they scanning you again, or planning to go straight for a C-section
Okay, what they are saying then is if there is growth, they will probably say not for c-section and monitor frequently. Fingers crossed this is the case and they can push you a little further
I think it is more that a C-section means the baby is delivered that day in a controlled fashion. An induction will have a high conversion rate to an emergency c-section which you would want to avoid it you can
So they will advise you to have a regular blood test, as long as it isn't worse then the risks are low. The risks are better the longer you can delay, assuming the growth is increasing, but if it wasn't the risks of harm would be higher, hence why you should deliver sooner.
Sorry - it all depends on your scan, if there is minimal growth, then yes, safer to deliver now. Also if your liver function worsens (bilirubin increases further), this may also suggest you need to deliver sooner.
Until your scan it is all a bit of a guess regarding risks sorry
I hope that I have been of some help to you, I certainly wish you and your baby well. Good luck for friday
Yes of course, but just my advice from experience as family in this situation and as a professional, make sure you say what you are feeling. This is so that your concerns can be addressed. It is easy as a doctor to think you are making the best decision for you and your baby, but this needs to be agreed with you, and even if you have concerns, they would be able to discuss why they want to do what they are suggesting.
Best of luck. I hope all will go well.
I am more than happy to address further concerns, and please feel free to come back and message, this thread should be available for a further week after rating.
Please could you also kindly rate my response to your question, many thanks
Good morning, not at all, but it means delivering the baby will be by far the safest option now.
They want you to go for a C-section as soon as possible
Good luck. You can ask them about the scan but if they say the placenta is failing, there isn't much to discuss as without have a c-section your baby will be at greater risk, also there is not enough time to use an induction.