Question About Amniocentesis

Brandi - posted on 10/22/2009 ( 14 moms have responded )

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I have gestational diabetes and my Dr. just told me that they would like to induce my labor at 38 weeks because my sugar levels continue to spike up for no apparent reason.



The Dr. also mentioned that in order to deliver that early their office requires an amniocentesis to ensure that the baby's lungs are fully developed and able to function on their own.



Has anyone else ever been told this? My sister was induced with her first child and at that time this test was not required. I'm having a hard time finding risks associated with this procedure this late in pregnancy. I have read about the risks when the test is preformed in the 1st trimester. Any input would be a great help, as I'm not really sure what questions I should be asking or how I should handle this new information.



Thanks!

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Kay - posted on 10/22/2009

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Quoting Kristina:

from my understanding there are other ways of checking the developement of your babies lung other then Amnio.Such as video scopping. I would get a few different opinions from other OB's. Also, are you sure about the 38 weeks thing because 9 months only equals 36 weeks. Anyway, I hope that everything comes out alright for you and your child. Good luck and congradulatioins on the new addition to your family.



you are not pregnant for 9months you are pregnant for 40wks nearly 10 months

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Jovi - posted on 09/17/2012

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hi im 39 week pregnant and have Gd and my doctor just told me that if i want to get induced i have to get a amniocentesis.im very confuse since im full term.

Karen - posted on 10/23/2009

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I have type 2 diabetes, and will be induced at 38 weeks. A baby is considered full term from 37 weeks on, so I don't know why an amnio would be necessary at 38 weeks. I also had a prem baby at 35 weeks who had no problems with his lungs, and we went home 2 days after his birth with no special treatment except for jaundice. Get another opinion. My premmie is now 6ft 5, and been flying an aeroplane solo since he was 17!

Kim - posted on 10/22/2009

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I had gestational diabetes as well and ended up having to have my baby at 35 1/2 weeks and he was fine and I certainly wasn't told I had to have an amnio. I had one at 18 weeks but no-one suggested having one at that late stage here in Australia. I didn't even know they could do that sort of thing then and I don't see how that could tell you your baby's lung functions. I would get a second opinion if you are feeling an easy about it.

Karolyn - posted on 10/22/2009

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I am studying Midwifery and if the Ob has sugested this test it is for a good reason, as the Baby may be under developed due to your diabetes. As you know diabetes is not a straight forward illness of not being able to control sugar levels, it has many complications. I would right down all the question you can think of to ask the OB before you next visit. I know it is a huge risk with amniocentesis when in early stages of pregnancy but the risk is decreased in later pregnancy. I am sure you know what this test involves and i would weigh up the risks factors from your OB and you will know what risk is best for you to take. Good luck i wish you and your family well

Erica - posted on 10/22/2009

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Dont let anyone pressure you into something that you dont feel necessary! I had the same thing as you and was induced at 38 weeks. I also have a liver disease that caused me LOTS of trouble during pregnancy. The test is NOT a need and you can refuse it. I went to a specialist during my pregnancy because I also have HPV stage 2. So, when I asked my doc about that damn test, he said that it really is not necessary. They can do an ultra sound and get the same results! Some doc do have their policies, but they cannot force you to do anything. Keep that in mind. Good luck!

Brandi - posted on 10/22/2009

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Yes, I'm sure it's 38 weeks- I'm 36 weeks today. BTW- thank you all very much for your responses. I'm still concerned because the OB didn't present it as an option- it sounded more like I had no choice, they require it. I go back Monday and will be asking many more questions. I still have the option of waiting until 39 weeks, but with my sugar levels being so eratic there's concern that there could be more serious complications from that.



Also, for those of you that have had amnios in the past- is it as bad as it sounds? I'm afraid that it's going to hurt. Not that my decision would be impacted by that, I'll do whatever I need to for my baby, but I would like to prepare myself.

Gabrielle - posted on 10/22/2009

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If the baby is already at risk why do they want to add to that risk with an amniocentesis? My daughter was full term and was born not breathing. It was scary but they fixed her up. They knew she would have issues as soon as my water broke and it was green, eew. I had too much meconium. The nurses explained about the suction machine they have now and how there is now a lubricant that they can put into immature baby's lungs to open the aveoli in under-developed lungs. I think that he is just trying to cover his own butt, not do what's best for your baby! I know they are the doctor and you are not, but ask for more information! Any doctor worth their salt should be able to cite journal articles and studies. Google scholar has tons of journal articles and if you are already online you can google any terms you don't understand!

Gillian - posted on 10/22/2009

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hmmm, if you have a planned caesarian which i did with both mine they do it at 38 weeks and there is no talk of an amnio or the lungs being underdevelopped. Are u sure he said 38 weeks and not 28?

Lindsay - posted on 10/22/2009

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At 38 weeks a baby's lungs should be mature and you shouldn't need and amnio, but there is always a chance they are still not ready to be on room air. As a mom of a preemie baby that was on a ventilator, CPAP and nasal canula, I wouldn't chance it. Underdeveloped lungs don't just get fixed as they grow, problems can persist for years. If your OB has suggested an amnio, I am sure he has a good reason and I would trust them. It is their job after all. Amnios are relatively safe at that gestation (I will be getting one when I hit 37 weeks this pregnancy to check lung maturity).

Kay - posted on 10/22/2009

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hiya i personally woulddnt have it done to deliver at 38 wks my daughter was born at 38 wks and my son was born at 37+5 also they can give you steriods to mature babys lungs jsut incase and dont have to give you amnio coz i had steriods at 33+35wks pg with ds as i was contracting and they didnt check if babys lungs were mature im sure at 38wks the lungs will be mature goodluck

Roberta - posted on 10/22/2009

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I would not get the amnio either! I delivered at a little over 37 weeks. He was healthy and never had a problem. I also had gestational diabetes. Hang in there it is all worth it! :)

Kristina - posted on 10/22/2009

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from my understanding there are other ways of checking the developement of your babies lung other then Amnio.Such as video scopping. I would get a few different opinions from other OB's. Also, are you sure about the 38 weeks thing because 9 months only equals 36 weeks. Anyway, I hope that everything comes out alright for you and your child. Good luck and congradulatioins on the new addition to your family.

Amber - posted on 10/22/2009

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Dont get the Amnio they aren't worth it!! if ur 38 weeks the lungs are mature!! My mom had this done w/my lil brother and it ended up in a miscarriage! Not to Scare you but DONT DO IT!

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