C/S or V/B after shoulder dystocia.

[BellyBelly]

Its up to you what you want. I just have never known someone to have it twice. They are probably out there but never heard it myself.

Try the Cochrane Database, they are independent study reviewers, not biased.

[HotKim]

Its up to you what you want. I just have never known someone to have it twice. They are probably out there but never heard it myself.

Try the Cochrane Database, they are independent study reviewers, not biased.

Kelly, thank you for your response.

You're right, it is up to me. What I'd like tho' is to be sure I'm making a properly informed decision. As you can see from the info I posted, previous SD is the biggest risk factor and at this stage I have up to a 16% chance of it happening again. That's a low-ish risk, in my books, but that doesn't make me feel too good either.

I did try the Cochrane Database and they had no studies on recurrent SD. The info I posted above is from PubMed (also unbiased).

Lucy, thank you also for your input. It is so good to hear that your two children did not suffer the same as your first SD. Despite assertions that SD is a proitional issue, the studies I have looked at indicate that size can be a factor. Since this is in addition to my having already experienced SD I am not as confident as you that I will birth a large baby without problems. That's even if I have a large baby, since estimating size is very inaccurate.

I have an ante-natal appointment tomorrow. Must write a list of questions out for the mid-wife.

[*EmJa*]

hi hotKim,
im in a similar situation as u, im pregnant with number 2 and when my DD was born she suffered SD and BPI to her left arm..ive been told by one doctor that he would advise me to have a c/s or be induced earlier because if bubs shoulders got stuck it could have a worse outcome than DD which is scary but i want nothing more than to have a natural birth.

my new doctor does not seem as worried and thinks i may still be able to have the natural deivery im so very wanting..i have to have a scan at 36wks to check bubs size (which i know is not always accurate) and then they are going to go through everything with me risks etc..but in the end its upto me

its totally upto u, its so hard because we dont have a crystal ball to see wat will happen!

[HotKim]

its so hard because we dont have a crystal ball to see wat will happen!

Hi Blanche!! At last, someone in the same predicament as me!! (not exactly something to be happy about but you know what I mean!!)

I've been meaning to discuss the advantages, if any, of weight prediciton using 3D ultrasounds. Is this something you have considered?? The accuracy of sonographic weight testing is about 60% according to what I have read but you only need to look through the forums to see just how wrong they can get it. (Not trying to put you off here just discussing.)

Yes, if I had a crystal ball that would make this soooooo much easier. It's only since getting pregnant with this one that I have really delved into what happended to Master4 and I am shocked at how lucky we are that he has no residual effects of his BPI. Whilst, I could certainly handle an injury of his kind happening to this baby, I couldn't forgive myself if it were something worse.

How has your DD fared with treatment of her BPI? What kind was it? Master4 had Erb's Palsy (AKA Brachial Plexus Palsy). No movement in the left arm until 6 weeks old. In recent weeks, after reading more into it, I have thanked God it wasn't any worse.

I was considering inducement for this one but again, couldn't make up my mind which was the better of two evils, C/S or inducement?? Neither negates the possiblity of SD or even BPI.

[Captain]

Hi Hotkim

I'm in the same position but I have been unable to find a dr that will support me with a vag birth. I've already been booked for a C-section.

I guess for me I've decided I can't take the risk. DD has a right arm BPI, she had nerve grafts and will probably be having tendon transfers in the next year. So seeing the injury every day has made the decision a bit easier for me to deal with. I don't know if I could cope with the guilt if it happened again.

Good luck with making your decision, I know it isn't an easy one.

Blanche, I really hope things work out for your birth.

[HotKim]

Captain, hug for you and your daughter, she has obviously suffered alot because of it.

That's the same reason I am leaning toward a c/s. I think we were lucky the first time and that we won't be as lucky again and I'm not prepared to risk the baby. Like you, I'm scared of making the wrong decison.

Today I had an ante-natal appoinment and spoke to a midwife who gave me a really good talk about the risks. In the end she said that I just need to put my trust and my faith in whatever decision we choose. She's right though, if I don't, it won't matter what I come to it won't work out if I don't have my heart in it.

[*EmJa*]

my DD had brachial plexus palsy/erbs palsy too she hasnt had any surgery and we have been told she wont need any surgery in the near future, we just had to do excerises everyday. i think we were pretty lucky too as it hasnt really affected her that much she crawled at 8 mnths and walked at 10mnths.

they are doing a scan in a few wks to check this bubs size and i know they are not accurate but it will give an estimate and i dont feel as big as i did with DD. i really am more terrified at having a c/s than a vaginal delivery and im praying that SD or BPI will not happen again, i wasnt active at all in labour with DD cos i was induced so im hoping this time i will be able to be more active.

[HotKim]

Blanche, our son hasn't needed surgery either, just lots of physio until he was cleared at 18 months old. To look at him now, you would never know he'd been injured in such a way. He will start playing rugby (Union) in a few months so I'm keen to have him looked at again just to make sure there isn't any problem with him doing sport.

Like you, I was much more afraid of having a C/S than a vaginal delivery, fear of the unknown mostly. I was able to ask my midwife yesterday of the benefits of 3D scans but she didn't have any relevant info on them.

Best of luck with whatever delivery you choose.

[*EmJa*]

Thats great to hear ur DS will be starting rugby soon!

i wish u the best of luck with everything and hope u have a happy and healthy bub, take care