Thursday, April 15, 2010

Transverse/ECV Procedure

For all of you pregnant soon-to-be or already experienced mommies, you do not ever want to hear that your baby is laying sideways in you (transverse). I read about it in the "What to Expect When Expecting" book (a total must have book for any pregnant women). I never really knew it would mean anything to me though. On my week 37 normal appointment, I learned just that.My baby was transverse. They confirm it with just a portable ultrasound. There was literally a booklet of information I had to read through to make an informative decision on what to do. I could do nothing and hope the baby will turn on it's own, I could have a procedure called ECV (External Cephalic Version), I could just schedule a planned C-section at 39 weeks. What to do. This was my 4th baby and my last. All of my other babies were born naturally and without any complications. Please don't ever take that for granted. I didn't really want to have to experience a C-section if I didn't have to so do I go for the ECV or do I wait it out and hope the baby moves. My very experienced mid-wife told me that I was almost 38 weeks now and the likelihood of the baby moving on it's own is pretty unlikely considering the baby has been in that position most of it's time. Also, the longer I wait to make a decision, the worse my chances become of it being successful. The baby gets bigger and less amniotic fluid so pushing the baby into the correct position is more difficult. Right now, they gave me at 75% success rate. You'd think that's good and go for it, but read the fine print on the possible side effects. Small percents for all between 1-5% but the risks can be so severe-to the point of causing death to the baby. Is it worth it? If you're faced with this kind of decision, read all of the information out there, meet with the OB doctor that will perform it, ask them their success rate, how many or what type of complications have they experienced. If you do make the decision to do this, look at what they'll do if it's succesful. There is the possibility that if the procedure works, baby could turn back into the transverse position again. Can they induce right after the procedure? This procedure is done in labor and delivery units by experienced OB doctors. They do monitor both mom and baby before and after the procedure. I had a tough decision to make. My husband was leaning towards having it as the side effects of a major surgery he thought were worse then the small percent of the procedure. What a tough decision.

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