Ok...I need advice once again! I trust you women so much...I have to get your input!
Here is the situation:
I have a friend that switched care providers at 35ish weeks to a midwife/hospital practice. Her due date is Friday, Dec. 25th/Christmas.
She was not happy with her OB care b/c her OB (only 1 in the practice) wanted to schedule an induction at 39 weeks b/c she was going on vacation. This did not sit well with my friend b/c her first daughter was induced at 42w and wasn't born until 42w2d (*and only a 7 lb'er). She wanted to wait until the baby was ready to come on her own (yay!). (There were also other reasons for the switch...personality conflicts with nurses, etc.)
SO...
she switched to a midwife practice and ended up getting a 37week ultrasound since she switched care providers. The ultrasound revealed that the baby's cord was wrapped around the baby's neck 3 times. They apparently said it 'wasn't a big deal' (at first) but that they wanted her to go in 2x/week for NST's/ultrasounds/etc to 'keep an eye on it'.
Now they say they don't want to 'let her' go past her due date and want to INDUCE HER. Reason? They don't want the baby to get too big b/c they are worried about cord compression.
They also told her to BE PREPARED FOR A C-SECTION.
She is NOT happy and does NOT want a c-section!!
*****
I do not know a whole lot about nuchal cords but this is what I told her:
Get online and do some research, and get a 2nd opinion!
The cord wrapped around the neck is not that uncommon. (i told her about 1/3 of babies have the cord around their neck at least once if not more)
In the case of a long cord, it can actually be a good thing that the baby is 'wrapped up' in the cord b/c it prevents cord prolapse.
If worse comes to worse, and the cord is too short for the baby to be delivered all the way, they can clamp/cut the umbilical cord after the head is delivered so the rest of the baby can be delivered. (she wants to delay cord clamping/cutting if possible though)
The cord is not 'strangling' the baby b/c the baby doesn't breath through it's mouth and completely on its own until after its born and the cord has been cut. (unless it IS being compressed somehow or if there is a knot in the cord, etc).
*****
I'm not against 'keeping an eye on things'...but i feel like this has caused a lot of undue stress/fear/inconvenience for something that is kind of common (AND THEN TO TELL HER "BE PREPARED FOR A C-SECTION"???).
If she had stayed with the other practice she wouldn't have even gotten another ultrasound until she was 'post-dates' so she would not know about the cord being wrapped 3 times. Is that a blessing or a curse? She kindof had the mentality of "thank God I switched when I did and found out about this"...
BUT...is it really an issue that 1.) she needs to be induced, and 2.) needs to prepare for a c-section ???
My gut instinct says NO...but maybe i'm wrong and don't know what I'm talking about (very possible, lol!). Which is fine if i am...i don't mind being wrong one bit! If this is something serious that it really is a blessing/good thing she switched and ended up finding out about this then GREAT!
But I would HATE for her to end up being induced (which puts her at a greater chance of a c-section ANYWAY), and the baby be born before she's ready. I told her, "your 1st was born at 42w2d and 7 lbs...which means you probably are one of the women that have a longer gestation....and this baby might need to go to 42w too! I know that's not something women want to hear! (believe me, i know...since my 3rd was born at 42w6d!), but it's just sad that she switched care providers late in the game to have a better birth experience, and ended up with all this worry/push for induction/possible c-section! And with MIDWIVES!!
Any info I can give her directly related to nuchal cord??? Anyone who had babies with the cord wrapped around several times? Did you know about it before-hand and was it an issue?
(My own experience is only this: My 2nd was born with the cord wrapped around his neck twice and didn't know it until delivery and it was never an issue...and he was 'big' weighing in at 9 lbs. 3 ozs.)
She is starting to look into it, but doesn't have access to a wonderful natural birth community like I do, so i am posting this here and will pass on any info to her)
Thank you in advance!