rnfromtn:

.Large for gestational age is a medical reason to induce if all of the other factors fall in line.  Good luck.

This is not true unless there are other issues, or you are at least 38 weeks.

Just because you are measuring big does not mean the baby is big. My sister was measuring 44 weeks or something at 36 and her daughter was only 8 lbs 2 ozs. I was measuring on the smaller size and my son was 8 lbs 11.5 oz and 21.5 inches.

Most doctors will not change due dates this late. The earlier they date the pregnancy the more accurate the due date.

nk1220:

I would be questioning this too.  And fwiw, if you're measuring 40 weeks, why would he say that 12/22 is an accurate edd with no excess fluid?! I would come right out and ask him.  This sounds weird.

Thank you! He looked at me like I was an idiot. I asked about my edd being off - he said no, I asked why LO is so big if he is only 36 weeks, he said "He might just be a big boy" and then ordered the U/S. I guess I will find out tomorrow- its just hard not sit here and worry about it all night.  

If you weren't charting then an early dating U/S is the most accurate predictor of EDD. Changing your EDD based on later size measurements is never a good idea because a) they're very inconsistent whether you're talking about fundal height measurements or an U/S, and b) even IF your baby is on the bigger size, that doesn't mean that they're further along in their gestational age than you think.  Your baby could be 7lbs right now, but that doesn't mean their lungs are the maturity of a baby that's measuring at 7lbs at 40+ weeks, they could just be a bigger baby. 

What is the point of an U/S to measure size?  Not much unless you have medical indicators that warrant them checking.  I personally wouldn't even do it.

Also, I'm not sure how you already have an induction date?  Do you have medical concerns that are making the doctors look into size further?  If you don't have any medical issues then you really shouldn't be looking at induction at this point regardless of what the date is.    

genmccarley:

Maybe he's saying your EDD is accurate because of a 1st trimester u/s ? They generally take those as accurate up to I think 12 weeks for dating of the pregnancy from what I understand.

The first dating ultrasound is the best for getting an EDD. I wouldn't worry much about measuring big, if you're really further along than they thought you'll just go into labor earlier. 

saturdaynightdoubletree:

rnfromtn:

.Large for gestational age is a medical reason to induce if all of the other factors fall in line.  Good luck.

This is not true unless there are other issues, or you are at least 38 weeks.

LGA can be a medical issue.  And I am not talking about before 38 or even 40 weeks.  Geez, people take things SO literally.  If the baby is measuring very large, your bishops score is good and LGA can be considered an appropriate reason for inducing labor before you go overdue, past 40 weeks.  Delivering a large baby, say 10 or more pounds can be dangerous too.  I know, I have been there.

sbevmc09:

If you weren't charting then an early dating U/S is the most accurate predictor of EDD. Changing your EDD based on later size measurements is never a good idea because a) they're very inconsistent whether you're talking about fundal height measurements or an U/S, and b) even IF your baby is on the bigger size, that doesn't mean that they're further along in their gestational age than you think.  Your baby could be 7lbs right now, but that doesn't mean their lungs are the maturity of a baby that's measuring at 7lbs at 40+ weeks, they could just be a bigger baby. 

What is the point of an U/S to measure size?  Not much unless you have medical indicators that warrant them checking.  I personally wouldn't even do it.

Also, I'm not sure how you already have an induction date?  Do you have medical concerns that are making the doctors look into size further?  If you don't have any medical issues then you really shouldn't be looking at induction at this point regardless of what the date is.    

My hospital only allows you to go to 41 weeks. So if I am still pregnant on 12/29 they will induce. They say he is healthy, and I am healthy - which I think is why I am confussed about the u/s - especially since he ordered it for tomorrow. If u/s and belly measurements dont really mean anything, I dont see the point in ordering one. 

rnfromtn:

saturdaynightdoubletree:

rnfromtn:

.Large for gestational age is a medical reason to induce if all of the other factors fall in line.  Good luck.

This is not true unless there are other issues, or you are at least 38 weeks.

LGA can be a medical issue.  And I am not talking about before 38 or even 40 weeks.  Geez, people take things SO literally.  If the baby is measuring very large, your bishops score is good and LGA can be considered an appropriate reason for inducing labor before you go overdue, past 40 weeks.  Delivering a large baby, say 10 or more pounds can be dangerous too.  I know, I have been there.

Actually, ACOG specifically recommends against this unless there are other medical indicators present (like gestational diabetes, for instance).  It's extremely hard for them to know exactly how big your baby is and they have zero idea what your body is capable of delivering.  It's unusual for a body to grow a baby it can't safely deliver barring other medical complications.  Does it happen?  Of course, but it's extremely rare and that's why they recommend against inductions for it.

CartersComing1212:

sbevmc09:

If you weren't charting then an early dating U/S is the most accurate predictor of EDD. Changing your EDD based on later size measurements is never a good idea because a) they're very inconsistent whether you're talking about fundal height measurements or an U/S, and b) even IF your baby is on the bigger size, that doesn't mean that they're further along in their gestational age than you think.  Your baby could be 7lbs right now, but that doesn't mean their lungs are the maturity of a baby that's measuring at 7lbs at 40+ weeks, they could just be a bigger baby. 

What is the point of an U/S to measure size?  Not much unless you have medical indicators that warrant them checking.  I personally wouldn't even do it.

Also, I'm not sure how you already have an induction date?  Do you have medical concerns that are making the doctors look into size further?  If you don't have any medical issues then you really shouldn't be looking at induction at this point regardless of what the date is.    

 

My hospital only allows you to go to 41 weeks. So if I am still pregnant on 12/29 they will induce. They say he is healthy, and I am healthy - which I think is why I am confussed about the u/s - especially since he ordered it for tomorrow. If u/s and belly measurements dont really mean anything, I dont see the point in ordering one. 

That's surprising considering the average FTM goes into labor later than 41 weeks.  I'd be wary of that.  

Either way, try not to worry about it too much.  A lot of doctors like to rely on the U/S and it's pretty common that they'll order an U/S for it.  Some practices are even doing it routinely now, but it really doesn't give them much insight.  They do a lot of things that aren't evidence based.  

That is weird. Perhaps its to get more moolah out of you and your insurance company. That's all I can think of since you make an excellent point haha.

nk1220:

I would be questioning this too.nbsp; And fwiw, if you're measuring 40 weeks, why would he say that 12/22 is an accurate edd with no excess fluid?! I would come right out and ask him.nbsp; This sounds weird.

sbevmc09:

CartersComing1212:

sbevmc09:

If you weren't charting then an early dating U/S is the most accurate predictor of EDD. Changing your EDD based on later size measurements is never a good idea because a) they're very inconsistent whether you're talking about fundal height measurements or an U/S, and b) even IF your baby is on the bigger size, that doesn't mean that they're further along in their gestational age than you think.  Your baby could be 7lbs right now, but that doesn't mean their lungs are the maturity of a baby that's measuring at 7lbs at 40+ weeks, they could just be a bigger baby. 

What is the point of an U/S to measure size?  Not much unless you have medical indicators that warrant them checking.  I personally wouldn't even do it.

Also, I'm not sure how you already have an induction date?  Do you have medical concerns that are making the doctors look into size further?  If you don't have any medical issues then you really shouldn't be looking at induction at this point regardless of what the date is.    

 

My hospital only allows you to go to 41 weeks. So if I am still pregnant on 12/29 they will induce. They say he is healthy, and I am healthy - which I think is why I am confussed about the u/s - especially since he ordered it for tomorrow. If u/s and belly measurements dont really mean anything, I dont see the point in ordering one. 

That's surprising considering the average FTM goes into labor later than 41 weeks.  I'd be wary of that.  

Either way, try not to worry about it too much.  A lot of doctors like to rely on the U/S and it's pretty common that they'll order an U/S for it.  Some practices are even doing it routinely now, but it really doesn't give them much insight.  They do a lot of things that aren't evidence based.  

This.  This means they'd automatically be inducing most first time moms... that's scary.

sbevmc09:

If you weren't charting then an early dating U/S is the most accurate predictor of EDD. Changing your EDD based on later size measurements is never a good idea because a) they're very inconsistent whether you're talking about fundal height measurements or an U/S, and b) even IF your baby is on the bigger size, that doesn't mean that they're further along in their gestational age than you think.  Your baby could be 7lbs right now, but that doesn't mean their lungs are the maturity of a baby that's measuring at 7lbs at 40+ weeks, they could just be a bigger baby. 

What is the point of an U/S to measure size?  Not much unless you have medical indicators that warrant them checking.  I personally wouldn't even do it.

Also, I'm not sure how you already have an induction date?  Do you have medical concerns that are making the doctors look into size further?  If you don't have any medical issues then you really shouldn't be looking at induction at this point regardless of what the date is.    

All of this.  Babies are all different sizes at birth.  It's not like you can say how big they should be or that a certain size they are automatically a certain gestational age...

CartersComing1212:

sbevmc09:

If you weren't charting then an early dating U/S is the most accurate predictor of EDD. Changing your EDD based on later size measurements is never a good idea because a) they're very inconsistent whether you're talking about fundal height measurements or an U/S, and b) even IF your baby is on the bigger size, that doesn't mean that they're further along in their gestational age than you think.  Your baby could be 7lbs right now, but that doesn't mean their lungs are the maturity of a baby that's measuring at 7lbs at 40+ weeks, they could just be a bigger baby. 

What is the point of an U/S to measure size?  Not much unless you have medical indicators that warrant them checking.  I personally wouldn't even do it.

Also, I'm not sure how you already have an induction date?  Do you have medical concerns that are making the doctors look into size further?  If you don't have any medical issues then you really shouldn't be looking at induction at this point regardless of what the date is.    

 

My hospital only allows you to go to 41 weeks. So if I am still pregnant on 12/29 they will induce. They say he is healthy, and I am healthy - which I think is why I am confussed about the u/s - especially since he ordered it for tomorrow. If u/s and belly measurements dont really mean anything, I dont see the point in ordering one. 

They aren't just looking at size- they are making sure fluid levels and a number of other things are still on track and that the higher rate of growth isn't being caused by some other factor. 

And your doctor is completely right to not change your due date. My kid is the size of an average 2 1/2 year old. That does not mean he is 2 1/2- he is certainly not there emotionally or physically in many respects. He is 21 months, despite how tall he is. Being in a higher percentile does not make your fetus physically ready sooner. You need to listen to your doctor on this and stop being impatient. If you induced now you would almost certainly be doing it too soon and would be risking the health of your child for your own selfish reasons. Your child's health needs to come first, and as long as it is not impairing your health, sit back and prepare yourself to still be pregnant on 12/29. If he decides to come sooner on his own, great.

Kingston54:

I wouldn't argue an extra ultrasound!  I would just get it and see what they say!  They might be able to determine how big the baby is and get a better idea of how far along you actually are!

You should really learn to read the other responses. A 3rd trimester never, under any circumstances, alters a due date.

GhostMonkey:

CartersComing1212:

sbevmc09:

If you weren't charting then an early dating U/S is the most accurate predictor of EDD. Changing your EDD based on later size measurements is never a good idea because a) they're very inconsistent whether you're talking about fundal height measurements or an U/S, and b) even IF your baby is on the bigger size, that doesn't mean that they're further along in their gestational age than you think.  Your baby could be 7lbs right now, but that doesn't mean their lungs are the maturity of a baby that's measuring at 7lbs at 40+ weeks, they could just be a bigger baby. 

What is the point of an U/S to measure size?  Not much unless you have medical indicators that warrant them checking.  I personally wouldn't even do it.

Also, I'm not sure how you already have an induction date?  Do you have medical concerns that are making the doctors look into size further?  If you don't have any medical issues then you really shouldn't be looking at induction at this point regardless of what the date is.    

 

My hospital only allows you to go to 41 weeks. So if I am still pregnant on 12/29 they will induce. They say he is healthy, and I am healthy - which I think is why I am confussed about the u/s - especially since he ordered it for tomorrow. If u/s and belly measurements dont really mean anything, I dont see the point in ordering one. 

They aren't just looking at size- they are making sure fluid levels and a number of other things are still on track and that the higher rate of growth isn't being caused by some other factor. 

And your doctor is completely right to not change your due date. My kid is the size of an average 2 1/2 year old. That does not mean he is 2 1/2- he is certainly not there emotionally or physically in many respects. He is 21 months, despite how tall he is. Being in a higher percentile does not make your fetus physically ready sooner. You need to listen to your doctor on this and stop being impatient. If you induced now you would almost certainly be doing it too soon and would be risking the health of your child for your own selfish reasons. Your child's health needs to come first, and as long as it is not impairing your health, sit back and prepare yourself to still be pregnant on 12/29. If he decides to come sooner on his own, great.

 

EXCUSE ME?? At what point did I say I wanted to be induced NOW??? The question was about me being confused about why they would order an ultra sound if they are sure of my EDD. Do not get all snippy and call me selfish. Thank you. 

CartersComing1212:

GhostMonkey:

CartersComing1212:

sbevmc09:

If you weren't charting then an early dating U/S is the most accurate predictor of EDD. Changing your EDD based on later size measurements is never a good idea because a) they're very inconsistent whether you're talking about fundal height measurements or an U/S, and b) even IF your baby is on the bigger size, that doesn't mean that they're further along in their gestational age than you think.  Your baby could be 7lbs right now, but that doesn't mean their lungs are the maturity of a baby that's measuring at 7lbs at 40+ weeks, they could just be a bigger baby. 

What is the point of an U/S to measure size?  Not much unless you have medical indicators that warrant them checking.  I personally wouldn't even do it.

Also, I'm not sure how you already have an induction date?  Do you have medical concerns that are making the doctors look into size further?  If you don't have any medical issues then you really shouldn't be looking at induction at this point regardless of what the date is.    

 

My hospital only allows you to go to 41 weeks. So if I am still pregnant on 12/29 they will induce. They say he is healthy, and I am healthy - which I think is why I am confussed about the u/s - especially since he ordered it for tomorrow. If u/s and belly measurements dont really mean anything, I dont see the point in ordering one. 

They aren't just looking at size- they are making sure fluid levels and a number of other things are still on track and that the higher rate of growth isn't being caused by some other factor. 

And your doctor is completely right to not change your due date. My kid is the size of an average 2 1/2 year old. That does not mean he is 2 1/2- he is certainly not there emotionally or physically in many respects. He is 21 months, despite how tall he is. Being in a higher percentile does not make your fetus physically ready sooner. You need to listen to your doctor on this and stop being impatient. If you induced now you would almost certainly be doing it too soon and would be risking the health of your child for your own selfish reasons. Your child's health needs to come first, and as long as it is not impairing your health, sit back and prepare yourself to still be pregnant on 12/29. If he decides to come sooner on his own, great.

 

EXCUSE ME?? At what point did I say I wanted to be induced NOW??? The question was about me being confused about why they would order an ultra sound if they are sure of my EDD. Do not get all snippy and call me selfish. Thank you. 

teehee. I love caps.

sbevmc09:

If you weren't charting then an early dating U/S is the most accurate predictor of EDD. Changing your EDD based on later size measurements is never a good idea because a) they're very inconsistent whether you're talking about fundal height measurements or an U/S, and b) even IF your baby is on the bigger size, that doesn't mean that they're further along in their gestational age than you think.  Your baby could be 7lbs right now, but that doesn't mean their lungs are the maturity of a baby that's measuring at 7lbs at 40+ weeks, they could just be a bigger baby. 

What is the point of an U/S to measure size?  Not much unless you have medical indicators that warrant them checking.  I personally wouldn't even do it.

Also, I'm not sure how you already have an induction date?  Do you have medical concerns that are making the doctors look into size further?  If you don't have any medical issues then you really shouldn't be looking at induction at this point regardless of what the date is.    

PP is wise. Baby's size and weight have very little to do with their gestational age and growth. Just because baby is big, doesn't mean he's healthy and ready to be come out.