amnio for lung maturity? (x-posted)

(12 posts)(6 voices)
  1. anyone do this? if yes and at around 36 weeks what was your outcome? I just had mine this morning-- waiting to hear if I have a c-section tomorrow or not--

  2. I watch all of the baby shows on TLC and Discovery Health Channel and I have seen them do it a lot. It seems like a normal pratice when your babies need to be delivered a bit early. Like you said, it is to check for lung development. Good luck tomorrow.

  3. A friend of mine did it at 36 weeks, and it was fine (she was induced right after).

  4. Checking for lung maturity via amnio i common practice if you were to be delivered early before 37-38 weeks. However, in my case, I was scheduled to have a c-sec at 36w6d, but had the c-sec at 36w4d and did not do an amnio. The kids were fine -- no breathing problems and no NICU stay. GL and hope that your c-sec and the baby(ies) turn out well.

  5. thanks y'all-- my results came back borderline and so they pushed my c-section to next Thursday. ahhhhh I am so nervous-- I am 36w 2d with identicals and just want them out and SAFE. there is research that shows that identicals have higher rates than fraternals of stillbirth at this point even if everything has been going great. fcuk, the worry never ends

  6. thanks y'all-- my results came back borderline and so they pushed my c-section to next Thursday. ahhhhh I am so nervous-- I am 36w 2d with identicals and just want them out and SAFE. there is research that shows that identicals have higher rates than fraternals of stillbirth at this point even if everything has been going great. fcuk, the worry never ends

    I know the results are borderline, but what does your doc think of just delivering anyway (given that there is a greater risk)?

  7. I delivered identical boys at 35 weeks, 2 days.

    I had my amnio done at 35 weeks one day and it came back very mature so we delivered the next morning. Zero breathing issues and they were six lbs each.

    I insisted on not going past 35 and 1/2 weeks cuz I was scared!

    Insurance will not pay, (to answer Lotus) to deliver if lungs come back immature.

    I have to say tho, that my Peri did say that if we did come back \"immature\" that's not even borderline- we'd \"re test\" in 3 days and NO WAY wait a week! So, I'd call again and ask for a re check in TWO days! If you're borderline- you'll be mature in 2 days, 3 tops! Are you having boys or girls? If they're girls- you should be set. Did you have the steroids?

    How exciting! Are you ready???

  8. Insurance will not pay, (to answer Lotus) to deliver if lungs come back immature.:

    If there is a KNOWN risk of still birth (other issues) with identical twins, I think they might pay for it.... Sort of like when they have to deliver early when pre-eclampsia or other complications start to arise.

  9. Well, I'm just telling you what I know as fact and that is that insurance will NOT pay for a baby to be delivered ELECTIVELY that has immature lungs IF there are NOT other issues *pre eclampsia etc (meaning if everything else is going swell.). The doctor who did the delivery would be slapped w/ a malpractice suit and fired faster than you can say \"hit the pavement!\" They cannot afford the risks. I had identical twins and went thru it myself so I know what i went through myself. That is WHY they test lung maturity in the first place. If it didnt' matter.. WHY would they test?? Think about it. If all that mattered was still birth risk, they would not test lungs. They would just deliver every baby w/ a risk of still birth immediately and who is to determine the risk of stillbirth anyway?? And isn't every baby at \"risk\" of stillbirth? I mean, isn't that quite aribitrary?

    I'm not trying to argue here, but someone has to make the rules and those are them. And I am talking babies OVER 35 weeks here ( NOT babies who would have SERIOUS breathing issues-- so I am not talking about checking lungs to make sure that babies would need respirators etc cuz they would NOT need those things ( 98% of the time after the 35 week mark and def after 36 mark) so testing is NOT about that--- I would be focused more on that, if that is what it was about, but it is clearly not. It is to see how much support they will need in NICU and if they will even need NICU *how much insurance will pay etc.

  10. Yep they are girls.

    I\'ve brought up the stillbirth research with several different drs in my peri group and they all think I'm just not a risk for that happening.

    Ivfbound, why did your peri say that he'd not wait another week past your 1st amnio chech? Was there anything else going on, or did he say anything about the research I mentioned?

    I have a full workup-- NST plus u/s for fluid and doppler u/s of bloodflow to each twin-- twice a week. I spoke to the head of my practice on Friday, the morning after the amnio came back borderline, and he said we would step it up and do 3 of these this week-- so M-T-W, and go in 1st thing Thursday and get them out of there w/out doing another amnio. When I asked him about the steroid shots (when we decided to go for this plan), he told me the data did not support having the shots after 34 weeks and I was already a bit past 35 weeks that day when we talked.

    So I am just feverishly monitoring them myself for movement this weekend and so far so good.... the funny thing is that every one of my nurses and drs still seem to think that I'll go into labor before Thursday. My body apparently does not agree with them! I have had no signs so far-- even the B-H contractions I was getting for such a long time seem to have mostly disappeared.

    I am honestly just hoping I'll show up tomorrow and either have some more signs of impending preeclampsia or have the NST not go as well as usual and just be able to get it done tomorrow. My blood pressure has been inching up and last week I was a 2+ for protein in my pee but they ran all the labs for preeclampsia and it all came back perfectly normal.

    Well thanks for the replies--I am just trying really hard to control my anxiety and finish strong. I will definitely not be shy about showing up at L&D if I get any sense of them being too quiet in there at any time these next few days.

  11. Sounds like you are being monitored very closely & thoroughly, everything will likely be fine then for you and the girls! Good luck

  12. Had an amnio at 35 weeks with the trips. Babies were so smooshed together that they could only get to Baby A's sac (our boy) He was just shy of lung maturity, so I had them promise that they'd deliver the babies in a week no questions asked. I really thought they'd do the c-section then, so I was so bummed when they told me I'd have to wait an extra week+. Good luck! Ended up delivering them as planned at 36 wks. 1 day, so we were ultra lucky. Take home babies!

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