Soooo Thursday my client was confirmed to have two boys in uteri! Breech, breech Thus far she, the client, has held stud fast to the idea of a homebirth.
OK, babies appear healthy in so far as growth 2.10 and 2.11 by ultrasound estimation. Unfortunately one baby appears to have what is possibly a dilated renal pelvis, however it is located low in the pelvis, which begs the question “is it really a dilated renal pelvis”. Anyway client has a consult with neonatal medical specialist soon, as well as a second ultrasound.
My prospective? Scared, yes, I said scared! Concerned, excited. I want to risk her out now! I what to give her every opportunity to have a good healthy birth and provide personalized care, provide nutritional counseling, I want to scare her into transferring care. I want to tell her she can do this. I want to see her make it to term with her precious baby’s. Do I emphasis all the rare but possible risk that could leave her babies’ dead, or worse, severely injured during an out of hospital birth? I want some one to mentor me through the experience, someone to hold my hand.
So, just say that I fail to transfer care and she goes into preterm labor next week. Well If I did transfer care she could still go into labor next week, end result will be the same, they will either stop the labor in a hospital setting or not stop the labor and she will have preterm boys. At this point I’m resolved to just taking it one day at a time. After all nothing is wrong till it’s wrong, right!
Sunday, July 13, 2008
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