The latest in the saga

Things couldn't be more unclear after the appointment today.

Ultrasound showed...baby head down. Again.

No effacement. No dilation.

Based on what I've told the doctor about feeling the baby being transverse a lot of the time, she thinks the reason for no effacement/dilation is that she is slipping back and forth between head down and transverse. For other people at this point she said she would think that the lack of progress was due to something else more temporary and that she wouldn't question going into labor, etc. In my case, based on what I've been feeling, she said that I may well not make progress at all because the baby is so inconsistent. That's why she said that if I did an induction, I would have a high likelihood of failure (ending in c section anyway). So she gave me to options.

1. Keep the c section on Tuesday.
2. Cancel and schedule an induction in my 40th week (probably September 15 or 16).

She really couldn't recommend either way. She said it is really up to me and how important it is to try for a vaginal birth. She said that I should consider what is my worst case scenario - if a c section is the worst, wait for induction. If a failed induction is worst, go for the c section.

I HAVE NO IDEA! I basically left it with her that if she didn't hear otherwise, I will be there for the c section next Tuesday. If I decide on the induction, I have to call tomorrow to schedule it and cancel the c section.

I truly have no idea what to do. I'm less freaked out than just annoyed at this point. Here are some considerations:

1. I asked her if my endometriosis could cause complications with the c section. She said it could if I have adhesions she has to cut through but she has no idea until she gets in there. It could mean the risk of damage to an organ or something is higher. But she said she wouldn't consider this a major consideration and she would think about the other preferences first.

2. What if all this time I've been thinking the baby is transverse and I've been WRONG?! If the baby truly went head down a couple of weeks ago and has been head down since then, it would be considered "normal" and I don't think she would be so worried about a failed induction. So all this concern is based on what I THINK is going on in there? I have NO confidence I know at this point! What if I'm on the road to a normal labor and have a c section instead based on my own misinformation?

3. It's very tempting to just do the c section next week because I want to be done being pregnant more than anything in the world. But I also want to make the best choice.

4. My worst case scenario is a failed induction. My best case scenario is just going into labor. But in order to schedule a c section in advance you can't just wait until after your due date, decide the baby isn't coming on its own and call for a c section the next day. If you could, that's what I would do. It's basically next Tuesday OR induction. (Assuming I don't go into labor first.)

5. I have no idea the likelihood of going into labor on my own between now and the induction. But if I choose the induction date and have to actually be induced I would be really really freaked out about it. It's not like you can just change your mind that morning and say, "nope, want a c section!"

If anyone has an opinion, please comment. Because I seriously don't know what to do. Your guess is as good as mine.

For what it's worth, I did get to see a lot of Alexa on the ultrasound. She had a cute little face and was sucking when I saw her. I got measurements on her for the first time and she is measuring about two weeks behind. They weren't concerned at all, she's just a smaller baby. She might be built very differently than Nathan and Kenna, who are both tall! Her estimated weight is 6 pounds 3 ounces.