If you read my previous post, I was warded one night due to sudden increase of my blood pressure. Ever since then, I got biweekly appointment with doctor to review on my blood pressure that I would monitor at home every 2 days with BP device.
So here's my concern. Early this month, on my follow up appointment with doctor at HKL, I was advice to deliver by 38 weeks whether or not the baby is ready - that means I'm going to be induced. Or maybe c-section I guess?
I've been reading so far about mothers getting induced on 37/38 weeks due to hypertension. But all of them already in pre-eclampsia stages or constantly high on BP. So far I've been measuring at home and doctor's review, I was on acceptable range. 11x/ 6x ~ 130/7x.
I did ask for advise from the private hospital doctor that I go by appointment and she says that I need to monitor my BP and also if I'm not on medication, I'm alright to deliver by 40 weeks.
What actually makes me more worry is that as I am going for both places, private and government, I have two different EDD, difference of a week, with government being earlier than private's.
Short background story is that, I went for early check up at the private first when I was 5 weeks pregnant and government's at 3 months pregnant. I'm just worried that the scan when I was on first time visit at the government clinic causes the different date as I heard baby measurement varies when it is scan much later.
So back to my concern. Today I have another check up / follow up at HKL again. This time, a different doctor consults me. I voice my concern over the 38 weeks delivery and she too initially agrees that if I'm not on medication, I can usually deliver at 30 weeks. Although of course as I was briefed by the previous doctor, the baby is already considered full term on 37 weeks onwards. I insisted on delivering on 40 weeks after I also double checked with the doctor back in the clinic.
However, the doctor today, told me that she cannot overrule the previous doctor's plan because he's her senior. (like what? Your senior is always right?)
My heart breaks each time she insisted for me to deliver at 38 weeks because I may have complications and risk that I may got pre-eclampsia and soon have fitting when it's nearer to the D date. Then that may put both baby and I at risk. While I do understand that, but I want the baby to come naturally, not induced, not c-sec if there's other options that I may go for.
I went with Jon today. Both of us agreed to take the risk. Initially, she told us that we need to sign a paper of agreement that the patient took the responsibility to deliver at 40 week. She say she'll need to get her senior concern and prepare a a letter, that's why we were asked to wait out of the room. After we were called back into the room, she just mentioned that we'll have to make another appointment at 38 weeks to see the progress, then we will see again what will be the decision then. So no paper were sign that day.
I went on to check what will be the risk if I deliver on early term. Some website says that the baby may not have fully developed brain and there might be risk that the baby will still need to stay in the incubator for some time even when it's deliver on 37/38 weeks. Come on doctor... Latest research already prove that babies developed better when they're 39/40 weeks and best yet when they decided to come out naturally themselves.
In addition, today's scan shows that our baby is measuring slightly behind schedule. All his measurement is one week behind. The more I think the private hospital's measurement is right. But anyway, I intend to deliver at HKL, so I gotta follow the government's EDD. At least by then baby is already on 39 weeks.
I hope I made the right decision as I really feel that I'm alright to continue on the pregnancy until the very last day of the term. Fingers crossed.
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