QuestionI am almost 29 weeks. I have a fibroid in my uterus below the baby, it was measured at almost 12 cm last week ( it measured the same at week 18 ) my doctor has mentioned I may have to have a c-section ( I have a 3 year old which I had vaginal) I'm also a diabetic. He suggest if I have a c-section I should have a tubal. His reason is they would have to cut me higher up and vertically and he says he would recommend one due to all my risk factors. Do you think it would be unwise to get pregnant again? I'm not sure I want more kids but you never know. Also I'm 30 and other then my diabetes which is controlled and boarder-line hyper tension I've had a good pregnancy. I just would like to have a womens point of view. I have one more question with my last ultrasound at 27 weeks the baby was 2lbs 6 ozs , they told me that is normal but from everything I read it sounds a bit larger then it should be ? My first was always on the small side ( born full term at 5lbs 11ozs.)Thanks
AnswerDear Erica,
The average fetal weight at 27 weeks would be approximately 1.93 pounds. So, yes, the 2 lbs. 6 oz. would be above average, however not necessarily unexpected with a diabetic mother. Diabetes during pregnancy causes the mother's increased blood glucose (sugar) to circulate to the baby. In response, the baby's body makes insulin. All the extra sugar and the extra insulin production can lead to excessive growth and deposits of fat, thus, a larger baby. Keeping your blood sugar well controlled will help to minimize this issue as much as possible.
As far as a tubal ligation goes, that is really a very personal decision. If you have well-controlled diabetes and high blood pressure (which does not yet require treatment) NON-pregnant, and are otherwise of normal/healthy weight and lifestyle and medical history, then I guess I'm not understanding your high risk factors - or at least enough to warrant permanent sterilization at 30. But then again, I do not have full access to your medical history either. Now, the classical C-section incision will put you at a slightly higher risk of uterine rupture with a subsequent pregnancy, which I am sure is an additional risk factor that your doctor is weighing into his advice.
You may really have to do some soul searching on this one, along with having a much more detailed conversation with your doctor about your specific risk factors and their ramifications. And, with the times we are in, unfortunately assessing our home situation and the ability to provide and care for another one down the road has to factor in too. They are expensive little critters! :-)
I hope this has helped you and answered your question. I wish you well.
Brenda
