No luck with the flipping today.
We started with another u/s to do a biophysical profile, as well as confirm Phred's position. I was thinking after the last u/s that calling Phred "complete breech" wasn't quite right, because all the pics you can find by googling show that as the head towards the top of the uterus, the spine basically lined up with your spine, then the baby in a cross-legged position. Phred is in a much more transverse like position, with the head over on my right, spine along the top of my uterus, then feet down near my cervix. Although all the websites seem to say that a transverse baby has their back / shoulder against the cervix. So Phred is upside down transverse. M was joking that it's because I was born in the Southern hemisphere, so all we would need to do is go back there to get our phlip.
I was really hopeful - the u/s tech said that there's plenty of fluid, and Phred is nowhere near engaged, so I figured it would be a snap to get a nice big phlip. Well, not so much. There were two docs there, one pushing up and out of the cervix on Phred's bum, and the other pushing down on the head/back. After the first attempt, although they were pushing down, somehow Phred ended up more like a complete breech. Then back to transverse, complete breech, and back to transverse again. Which was when they decided enough was enough, and it wasn't going to work.
They told me I was a real trooper, and took it much better than most. I figured if I couldn't stand this for 10 minutes, there was no way I could manage labor! As others have said, it wasn't exactly painful, but it was also next to impossible to relax. I did find that concentrating on my breathing helped a lot. But yes, it was mighty uncomfortable. I am definitely glad that we at least gave it a shot!
So anyway, now they want to schedule a c-section for 39.5 weeks (8/30 or 31). In a way, at least, I'm glad that Phred is transverse, because even the anti c-section books say that one cannot deliver a transverse baby vaginally, so I don't have to wonder if I should go out and try and find a practitioner who would let me deliver a breech baby.
I'm really torn as to what to do. Go ahead and schedule? Or tell them that I'm not going to, and wait until I go into labor on my own? I know that I had said in my earlier post that I would wait... but honestly I really thought that something would work, at least the version, and I wouldn't be faced with that choice. (Kinda like how I said before IF that if it didn't happen naturally that was the way it was supposed to be. HAHAHA)
Here are the pros and cons of a scheduled c-section as I see them:
Pro #1: Doctor feels it's safer than going into labor, as (especially given I've been contracting for so long) I may not recognize the labor until I'm well into it. Pro #2: Phred is born in August, which means we get a choice of which year to send him/her to school. Pro #3: Easier c-section when I'm not in labor? (must research this one a bit). Pro #4: Labor with a transverse baby can cause cord prolapse if the waters break, and uterine rupture if the labor lasts for a while. Con #1: I don't get to experience any true labor, which you may call me crazy for, but I was actually looking forward to. But then again they probably wouldn't want me to get far enough into it that I'd feel much anyway. Con #2: Phred may want to cook for longer - who am I to say that he/she is ready now? Especially as I was two weeks late myself, and refused to be induced 10 days before that. However, with basically zero pressure on my cervix, chances are that I'd go late just because of that and nothing really to do with how ready Phred is. Con #3: Less time for Phred to flip naturally, as slim as that chance may be, it's zero once I've had the section. Just found an abstract from 1990 that stated that 24/29 patients with a transverse lie at 37 weeks spontaneously converted by the time they went into labor, with 15 of those vertex. That's actually better odds than I was expecting. But the same paper says to perform version at 39 weeks and if not successful, c-section based on "major morbidity associated with expectant management of these patients".
Is there anything I'm not thinking of, either pro or con? What would you do? Yes, I am soliciting advice, opinions, and anything in between. I really can't make up my mind one way or the other at the moment. It probably doesn't help that I feel somewhat gypped by all this. As I said, I really was looking forward to labor and delivery, and I'm sad that I'm most likely not going to experience much if any of it. I know that once Phred is born I probably won't care one bit, but right now I'm a bit down in the dumps.