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I think (I am trying to remeber, we just talked about this in my women/children nursing class!) that most doctors really consider much after a week from their due date is getting to a point where it wouldn't be safe to try a vaginal delivery because the baby is still growing and may not fit through the pelvis. And a baby getting stuck can be a serious medical issue requiring a C-section. Plus, the placenta is made to last 40 weeks, after that is starts to calcify and can keep the baby from getting the oxygen, blood and nutrition it needs. So it is kind of a coving you bases thing I think. It is easier to just go ahead and get on the schedule so that if you haven't deliveried by then you know when you are going in.
I think that scheduling an induction ahead of time if you go over term is a much better option than what some docs around here have been doing (luckly, they have started to realize it isn't very good!) to schedule elective c-sections at 38-39 weeks! If they are off a few days in the age calucaltions there can be some significant lung growing to do still! But luckily that is going out of vouge now.
Only for medical reasons. I think as long as my body is the best place for a baby to be it should stay there. When that is no longer true, it should be born.
Only for medical reasons here too. Baby will come when it's ready, IMO.
@abbyful: I had a very bad experience being induced with DS and hope to never have it happen again. With that said I would not be induced again unless it was for medical reasons which was the case with DS. It turned my "natural" birth plan into one intervention after another. Not fun.
It is my understanding that this IS for medical reasons that doctors do the prescheduling - it's just a side benefit that it "gets the ball rolling". So, I don't understand why it'd be a bad thing? It sounds like you are judging your friends without all the info.
I would only want to be induced for medical reasons. I've heard that induced labours are awful and aside from not wanting to go through that, I'm going to trust the medical professionals' opinions on when the baby needs to come out. I'm sure by the end I will be so ready to just meet my baby already but it's not my call to decide when the baby is going to arrive.
I would not get induced unless there was a significant medical necessity or I was 2 weeks past due.
I should also say that induced labors are simply giving artifically high amounts (for the time) of the natural hormone that gets labor going in normal births. There can be complications but the point is that your body isn't producing the correct amounts of the hormone required to kick start contractions and cervical effacment for birth.
Just to clarify, induction is done using an artificial version (pitocin) of the natural hormone (oxytocin).
There are too many negative side effects for me to ever be comfortable with that option unless there was an important medical reason. That said, please don't mistake my strong feelings about it for judgement! Every woman has to make that call for herself and her baby and I understand that there are many reasons of personal value that women choose to go ahead with the procedure.
Only for medical reasons! And if I go over my due date then at 41 weeks I will gladly go for daily/every other day NST to check & make sure baby & placenta are well... as long as they are ain't nobody touching me with pit, cervidil, a sweep, nothin'.
I've seen failed inductions too many times that end in cesarean for the simple fact that baby was NOT ready and once started the baby HAD to be delivered... one way or another. =/
I am also against augmenting my labor..... even if my water has already broken. I'm on the side of keep your hands out of my vag and "risk of infection" goes WAY down. lol
I would definitely induce for post-dates, macrosomia (very large baby), or a host of other indications (blood sugars dropping in Gestational diabetes indicating placental insufficiency, decreased movement indicating fetal distress, etc). I work in NICU, and I can't pretend that I haven't seen a lot of bad things happen to babies who should have been born earlier. If my OB thinks it is necessary, and can communicate the reason to me, I trust her, and will do whatever is necessary to improve my chances of a safe arrival for my baby, even if it sucks for me.
I just had a baby that was induced for medical reasons so I certainly agree with that. And as others have stated above after 2 weeks there is serious risk to the baby so that would be considered a medical reason.
I think being induced for anything other than medical reasons isn't healthy. A baby will come when it's ready, unless there's something wrong.
Nature's been doing this for thousands of years, no need to tamper with it unless it's necessary, I think.
Only for medical emergency reasons. I would never be induced unless absolutely necessary. They wanted to induce my mom with me, and she refused. I came when I was good and ready :)
The clinic I went to induced moms if they were 8 days overdue, which is what happened for me. By that point I was almost ready to do a self-c section to get that freaking baby out of me, so I didn't mind the induction at all. :)
PS
@Ms Mini: knows what she's talking about!! Medical professionals know their stuff! If they think the baby would be better off out, listen to them....
I can't really make this call until I actually get pregnant and carry a baby to term, but I think I would be open to it for medical reasons. FI was over ten pounds when he was born and I have a lot of fear surrounding having a giant baby who is late and basically just walks out (or kills me).
I kid, but yeah, I'd really hate to face serious complications because we gave the baby so much extra time that it got too big to safely deliver.
Something like 50% of inductions end in c-section. Being induced also makes labour more painful from the drugs they use. As well as it is one intervention after another that puts more stress on the baby.
Social Inductions are bad, unless medically indicated.
In France they set your due date at 41 weeks, so if I'm late by more than like 3 days they will most likely induce me. I sure hope it doesn't come to that though!
@crayfish - I know these inductions I'm thinking of were not for medical reasons. They were "you can wait until things start naturally, or we can induce you on date x and you'll get your baby in time for people to visit you on the weekend!" (Different hospitals/doctors too.)
And I'm not judging my friends, if I would judge anyone, it would be the doctors pushing for induction when not medically necessary. Induction is great when needed for a medical reason, but it seems like it's becoming a convenience thing.
i have never been pregnant and not planning on it soon, but i think i would if i was a week or two after my due date, or for medical reasons. i certainly wouldn't before my due date! my mum had to be induced to give birth to me, i was born 11 days past the due date, i just didn't want to leave the comfy womb! i also didn't walk til i was almost too lol, guess i just didn't see the point of walking when i could crawl or be carried!
but i think as long as it is safe for you and the baby, inducing is fine, as long as there is a good reason for it
and i was born in a natural birth, not c-section, but they did use the 'salad tongs' to get me out i believe
My dr said she would induce me if I went over a week. For her, going over a week did equal medical reasons. We did not schedule an induction though. How it would have worked is, at my 40 week appt they would have scheduled an induction for week 41, with the hope that my baby would come on her own and we could cancel induction. But I still would have to be 40+ weeks before they would schedule it- they didn't set it up at my first prenatal appt or anything. I ended up being induced at 39 weeks for medical reasons. It ended in a c-section. My cousin knew what was up- as soon as she heard I was getting induced, she told her mother- let me know how Tatum's c-section goes.
I would only consider an induction if I went over by 2 weeks. And even then I would prefer to be checked regularly to make sure everything was ok rather than just get hooked up to pitocin or cervidil. Induced labors tend to be harder and the contractions more powerful than regular labor and in more cases induced labors end up in the use of epidurals or c-section than regular labors. I guess one intervention leads to another...
I would only get induced if it was medically necessary. Not just because I felt I was tired of being pregnant or wanted to meet my baby or to have a certain birthday or anything.
I get a lot of judgement thrown my way for this but I had an elective, scheduled induction with my son.
I moved about 120 miles when I was 6 months pregnant. I had a lot of complications in my pregnancy and I refused to change OBs. She had been my OB/GYN for years and knew all that there was to know about my body and my baby. I did see an OB here in town and had her office send all my medical records as a back up plan but I continued to make weekly and bi weekly 4 hour round trip drives to see her. I felt like continuing my medical care with her and delivering in the facility that I had originally chose was the best thing to do for my baby. So, we scheduled an induction the week of my due date. Had I not had the types of complications I did, we probably would have scheduled the induction a little further out so that I had the opportunity to let things happen naturally but there were some issues that had caused us to question whether letting baby hang out a little longer would be wise.
For the record, my labor and delivery went beautifuly smooth. I had prepared myself for a difficult process but not a single thing went wrong.
I guess my point is, you never know what people's reasons truly are and you just have to make your own decisions and let others do the same.
My doctor likes to induce if you get past 41 weeks. My plan is to try to push her closer to 42 weeks though if I do wind up going late. As long as there aren't signs of fetal distress or some other medical reason for induction I would much prefer to go into labor naturally.
I went 4 days past my due date and they had me come in for a nonstress test to make sure baby was still happy and healthy and would have had me come in every few days if I hadn't delivered. Luckily I was having lots of contractions that day and ended up delivering the next day (without induction) so I never got an 'induction talk'. The most that was said is we are not comfortable letting women go past 42 weeks. Since I had an early ultrasound and after reading about some of the complications of late delivery I felt comfortable with that. If I had reached 2 weeks past the due date I would have been fine with an induction.
@Ms Mini: "If my OB thinks it is necessary, and can communicate the reason to me, I trust her, and will do whatever is necessary to improve my chances of a safe arrival for my baby, even if it sucks for me."
That's pretty much the way I feel about it. My hospital won't even talk about a post-date induction (provided tests show everything is alright with me and the baby) until 41 weeks.
Although she won't be able to deliver, and I will see regular OB's at some points during my pregnancy, my primary caregiver is a midwife who encourages things like not finding out the gender, breastfeeding, and natural childbirth (although she doesn't judge negatively on any different choices), and I trust her explicitly. If she thinks that it's gotten to the point where I would need to be induced for the health of me and/or the baby, I would do so in a heartbeat.
Otherwise, without a medical reason I wouldn't induce...especially not just because I was impatient to meet my baby (although I'm sure I will be) like what I gather to be the case with Abbyful's friends.
I was induced at one week late, and for us, it was definitely the best decision. I trusted my doctor completely, and he had a number of good reasons to induce at that point, but also made it clear that the choice was ultimately up to me. When I arrived at the hospital for the induction, I hadn't had any symptoms of impending labor, and I was only at 1 cm. As a side benefit, it happened to be the only day that week that my doctor would be on call for deliveries (he and the other doctors in his practice rotated). But I agreed to the induction because of the possible medical consequences for the baby, and the fact that my own doctor would be there was just an extra perk. The baby wound up being over a pound more than predicted and her (seemingly giant!) head got stuck during delivery, so I'm very glad I didn't wait for her to stop procrastinating and show up on her own. If she's as lazy as I am, it might have taken awhile.
I got induced 6 days early because I was tired of being pregnant. The doctor had said that everything looked good and I got an ultrasound at 38 weeks to make sure he was ready to be born so he induced me at 39 weeks.
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I've noticed that long before their due dates, many of my friends already have inductions scheduled. For example, if they are due April 30, at the beginning of April they may already have a induction scheduled for May 3, for no medical reason, just because it's past their due date.
What are your thoughts on induction? When would you get induced?