Is c-section necessary when “measuring large”?
Q: I’m wondering how I can find information on my doctor’s c-section rate. I’m not due until 4/5, but today she indicated that I’m measuring large (39cm) and wanted to discuss a c-section after confirming the baby’s weight with an ultra-sound. This seems so unnecessary to me and now I do not trust my doctor at all to do what is in our best interest. Any advice would be appreciated.
A: Measuring 39cm at 38+ weeks gestation is within the normal range. Sonograms for estimated fetal weight are notoriously inaccurate at full term. ACOG (American College of Obstetricians and Gynecologists) guidelines recommend elective c-section ONLY for diabetic women or women with an estimated fetal weight over 5000g (4500g for diabetic women). Also, ACOG does not recommend primary elective c-sections. Based on the information you gave, there appears to be no reason for an elective c-section. Discuss your concerns with your doctor and if you are not satisfied with the answers you receive, do not hesitate to look elsewhere. You have to consent to a c-section, which means you have the right NOT to consent, as long as you and the baby are healthy.
As far as discovering your doctor’s c-section rate, the statistics may be difficult to obtain. First, try discussing this with your doctor. You can also try to call the hospital Patient Representative or the director of the ob/gyn department.
Good luck,
Hilary Prager, CNM, MPH
Women’s Health Liaison and Public Relations Chair for NYC Chapter of ACNM
www.nycmidwives.org
Sheridan says:
Big Baby Bull is so common today. I have actually gathered together wonderful stories and information about big babies at http://www.pregnancybirthandbabies.com/Big_baby.htm
It is amazing to me how many moms are told this by their care providers.
Elizabeth says:
From the info you’ve given that does sound suspect to me. Typically this may be suggested is the mother is quite a bit overweight or there are some other health issues at play. Not having spoken to the doctor it’s difficult to guide you, however I would suggest discussing this further with your doctor and perhaps get some feedback from other OB GYN’s.